HFC Survey Template v1.03

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• MANDATORY- STREET VIEW

  Media

• MANDATORY - SIDE VIEW

  Media

• MANDATORY -.SITE ENTRY

  Media

• OPTIONAL - Provide additional photos of property or damage identified in work area

  Media

• Add Mailbox Photo (if available)

  Media

• MANDATORY - Provide photos of all identified EUP's onsite

  Media

• MANDATORY - Specify amount of EUP's

• MANDATORY -Are there any essential services

  Yes

  No

  N/A

• Provide images of essential services

  Media

Connection Pit ( PIT 1)

• MANDATORY -Provide pictures of Connection Pit (landscape, pit overview and network link if applicable)

  Media

• MANDATORY -Specify Pit Type

• MANDATORY-Specify Pit Location

  Footpath

  Nature Strip

  Reserve

  on property
• MANDATORY - Provide Pit Address
  Address

• MANDATORY - Connection Device

  Media

• MANDATORY -Specify Connection Device

  Select 2 Port Tap 4 Port Tap 8 Port Tap 2 way Splitter DC 4 2 way Splitter 488 2 way splitter 777 DC 8 DC 12 Amplifier Other

  • 2 Port Tap
  • 4 Port Tap
  • 8 Port Tap
  • 2 way Splitter DC 4
  • 2 way Splitter 488
  • 2 way splitter 777
  • DC 8
  • DC 12
  • Amplifier
  • Other

• MANDATORY - Device Attenuation

• Network link size (if applicable)

• MANDATORY -Is LIC located in another pit?

  Yes

  No

  N/A

PIT 2 INFORMATION

• MANDATORY- Provide photos of Pit 2 (landscape and Network)

  Media

• MANDATORY -Specify Pit Type

• MANDATORY - Specify Pit Location

  Footpath

  Nature Strip

  Reserve

  on property
• MANDATORY- Provide Pit Address
  Address

• Network link size (if applicable)

• Is LIC located in another pit?

  Yes

  No

  N/A

PIT 3 INFORMATION

• MANDATORY- Provide photos of Pit 3 (landscape and Network)

  Media

• MANDATORY -Specify Pit Type

• MANDATORY - Specify Pit Location

  Footpath

  Nature Strip

  Reserve

  on property
• MANDATORY- Provide Pit Address
  Address

• Network link size (if applicable)

• Is LIC located in another pit?

  Yes

  No

  N/A

PIT 4 INFORMATION

• MANDATORY- Provide photos of Pit 4 (landscape and Network)

  Media

• MANDATORY -Specify Pit Type

• MANDATORY - Specify Pit Location

  Footpath

  Nature Strip

  Reserve

  on property
• MANDATORY- Provide Pit Address
  Address

• Network link size (if applicable)

• Is LIC located in another pit?

  Yes

  No

  N/A

PIT 5 INFORMATION

• MANDATORY- Provide photos of Pit 5 (landscape and Network)

  Media

• MANDATORY -Specify Pit Type

• MANDATORY - Specify Pit Location

  Footpath

  Nature Strip

  Reserve

  on property
• MANDATORY- Provide Pit Address
  Address

• Network link size (if applicable)

• Is LIC located in another pit?

  Yes

  No

  N/A

• Provide additional pit pictures below in sequence and make notes on schematics...

• Additional Pit Pictures in sequence

  Media

LEADIN DETAILS

• MANDATORY- Provide photos of LIC.

  Media

• Is LIC to capacity?

  Yes

  No

  N/A

• MANDATORY- Provide LIC conduit size.

• Is property HFC ready?

  Yes

  No

  N/A

• Pictures of existing comms

  Media

• specify tap information

• Specify units connected

• Are all Laterals run?

  Yes

  No

  N/A

• Specify units with no laterals run

• Provide detailed scope for running laterals to these units

• Provide photos (if req) to refernce information in scope

  Media

• If No, proceed to New Build

• This section will identify all requirements for a new MDU build.

• Specify scope for new build

• Provide phptos as required for new build

  Media

• Are any civil works required?

  Yes

  No

  N/A

• Specify civil works required?

• Add photos to referenced information provided above

  Media

Additional information. Not covered in standard build

• Aditional information

• Additional photos

  Media

Hauling

• Was any hauling undertaken?

  Yes

  No

  N/A

• Specify metres hauled?

schematics

• Have schematics with all identifiers been uploaded

  Yes

  No

  N/A

• Sign off and submit survey

  Sign