Title Page
-
Conducted on
-
Is Network Adjustment Needed or any issue that will prevent equipment installation (Location change, pole space etc.)
-
Network Element ID (Pole,Chamber ID)
-
Prepared by
-
BT pole, Shared use Pole, Chamber or wall mount DP
-
Photo of pole including surroundings
-
Pole id photo
-
Is pole in location shown on map?
-
Location
-
Is Pole within climbing date
-
Pole test date
-
Pole test date photo verifcation
-
How many homes are connected to main pole
-
Carrier pole? (is there an ariel network feed to another DP?)
- Yes
- No
-
Pole Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Pole Condtion and difficulties
- None
- Overgrown
- Wayleave
- TM Required
- Space needed
- Ladder Only
- Mupe Only
- Is pole accessable from highway
-
Network adjustment required,(pole Space). Please specify adjustment needed
-
Chamber directly feeding pole top view photo (lid open)
-
Chamber location
-
Chamber type
-
BT Chamber Naming Convention
-
Chamber feed to pole
-
Distance from chamber to base of pole
-
Is chamber sutible for Splice closure?
-
Does the pole have any extender poles connected?
-
How many Poles are connected
-
Pole 1 ID
-
Pole 1 Location
-
Pole 1 ID
-
Pole 1 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
1 Pole Location
-
Pole 2 ID
-
Pole 2 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Pole 2 Location
-
Pole 1 ID
-
Pole 1 Location
-
Pole 2 ID
-
Pole 2 Location
-
Pole 3 ID
-
Pole 3 Location
-
Pole 1 ID
-
Pole 1 Location
-
Pole 2 ID
-
Pole 2 Location
-
Pole 3 ID
-
Pole 3 Location
-
Pole 4 ID
-
Pole 4 Location
-
Notes
-
Pole ID
-
Pole id photo
-
Pole test date
-
Pole test date photo verifcation
-
Is pole in location shown on map
-
Location
-
How many homes are directly connected to pole?
-
Carrier pole? (is there an ariel network feed to another DP)
-
Pole Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Pole Condtion and difficulties
- None
- Overgrown
- Wayleave
- TM Required
- Space needed
- Ladder Only
- Mupe Only
- Is pole accessable from highway
-
Network adjustment required,(pole Space). Please specify adjustment needed
-
Chamber directly feeding pole top view photo (lid open)
-
Chamber location
-
Chamber type
-
BT Chamber Naming Convention
-
Chamber feed to pole
-
Distance from chamber to base of pole
-
Is chamber sutible for Splice closure?
-
Does the pole have any extender poles connected?
-
How many Poles are connected
-
Pole 1 ID
-
Pole 1 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Is Pole 1 within climbing date
-
Pole 1 test date
-
Pole 1 test date photo verifcation
-
How many homes are connected to pole 1
-
Pole 1 ID
-
Pole 1 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Is Pole 1 within climbing date
-
Pole 1 test date
-
Pole 1 test date photo verifcation
-
How many homes are connected to pole 1
-
Pole 2 ID
-
Pole 2 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Is Pole 2 within climbing date
-
Pole 2 test date
-
Pole 2 test date photo verifcation
-
How many homes are connected to pole 2
-
Pole 1 ID
-
Pole 1 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Is Pole 1 within climbing date
-
Pole 1 test date
-
Pole 1 test date photo verifcation
-
How many homes are connected to pole 1
-
Is Pole 2 within climbing date
-
Pole 2 ID
-
Pole 2 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Pole 2 test date
-
Pole 2 test date photo verifcation
-
How many homes are connected to pole 2
-
Pole 3 ID
-
Pole 3 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Is Pole 3 within climbing date
-
Pole 3 test date
-
Pole 3 test date photo verifcation
-
How many homes are connected to pole 3
-
Pole 1 ID
-
Pole 1 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Is Pole 1 within climbing date
-
Pole 1 test date
-
Pole 1 test date photo verifcation
-
How many homes are connected to pole 1
-
Is Pole 2 within climbing date
-
Pole 2 ID
-
Pole 2 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Pole 2 test date
-
Pole 2 test date photo verifcation
-
How many homes are connected to pole 2
-
Pole 3 ID
-
Pole 3 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Is Pole 3 within climbing date
-
Pole 3 test date
-
Pole 3 test date photo verifcation
-
How many homes are connected to pole 3
-
Pole 4 ID
-
Pole 4 Type
- Standard Pole
- D Pole
- Hollow Pole
- Ring Type
- S Pole
- SD Pole
- C Pole
- H Pole
- Z Pole
- Joint User
-
Is Pole 4 within climbing date
-
Pole 4 test date
-
Pole 4 test date photo verifcation
-
How many homes are connected to pole 4
-
Notes
-
Is the chamber in the location shown on map? If not please answer yes to the network adjustment question on the title page.
-
Location
-
Chamber type
-
Chamber location
-
BT Chamber Naming Convention
-
Photo of chamber (closed lid) showing location and surroundings
-
Photo of chamber (open lid) please ensure that gate guards and gas detector are in photo
-
Is the incoming network feed ducted or direct buried?
-
Leadins (subscriber connections)
-
How many homes are directly connected with subscriber drop cables
-
any notes required
-
Adress of DP (if location of DP has changed please mark on PDF and add change to Title page)
-
Number of Prermise connected to DP
-
Is this DP fed from a pole (if yes please answer with Pole ID)
-
Is this location planned for an OFDC?
-
What is the OFDC number that is either in this location or feeding this location?
-
Are there any access issues with this location
-
Please add note to Describe any access issues
