Information
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Block Name:
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Postcode:
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Job Number Reference
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Engineer:
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Date:
Screens
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How many screens installed?
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Screen Location
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Photograph of Screen Location
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Size of screen?
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Make/model
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Asset number/serial number
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Screen connected to 4G modem connected via USB and working
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Screen connected to 4G modem connected via USB and working
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Screen connected to 4G modems WIFI signal
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Photo of 4G modem WIFI signal
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Screen showing content
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Photo of screen showing content
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On/off button disabled
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Provide photograph
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Volume button disabled
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Provide photograph
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Additional Screen
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Screen Location
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Photograph of Screen Location
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Size of screen?
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Make/model
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Asset number/serial number
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Screen connected to 4G modem connected via USB and working
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Screen connected to 4G modem connected via USB and working
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Screen connected to 4G modems WIFI signal
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Photo of 4G modem WIFI signal
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Screen showing content
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Photo of screen showing content
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On/off button disabled
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Provide photograph
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Volume button disabled
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Provide photograph
Installation Completed
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Works completed?
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Please provide photographs
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Source of power
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MCB / RCBO
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Cable Type
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Cable Length (metres)
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Cable run photographs
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Firestopping completed?
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Provide photographs
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Material used
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Explain reason not completed
Containment
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Type of containment used?
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Photographs of containment
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Length of containment used? (metres)
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Correct accessories for containment used?
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Photos of correct accessories for containment used
Outstanding Works
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Are there any outstanding works required?
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Explain reason for outstanding work and what is required
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Photographs (if required)
Sign Off
Sign Off
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Engineer Name
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Client Representative
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Client Representative Position
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Completed Sign Off
