Information
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Site
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Postcode:
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Job Number Reference
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Walk Off by:
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Date of Walk Off:
Antennas
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Status of Antennas
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Please provide pictures of any works
Headend
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Status of Headend
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Please provide pictures of any works
Backbone
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Cabling
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Please provide pictures of any works
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Number of Riser Locations
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Electronics Location 1
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 2
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 3
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 4
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 5
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 6
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 7
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 8
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 9
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 10
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 11
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 12
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 13
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 14
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Please provide pictures of any works
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Are there any other risers
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Electronics Location 15
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Please provide pictures of any works
Plot Number
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Plot Number
Cupboard Install Status
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Cupboard Install Status
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Please provide pictures of any works
Socket Installs
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Lounge 1 TV Socket
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Please provide pictures of any works
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Lounge 1 Data Socket
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Please provide pictures of any works
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Lounge 2 TV Socket
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Please provide pictures of any works
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Lounge 2 Data Socket
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Please provide pictures of any works
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Bedroom 1 TV Socket
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Please provide pictures of any works
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Bedroom 1 Data Socket
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Please provide pictures of any works
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Bedroom 2 TV Socket
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Please provide pictures of any works
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Bedroom 2 Data Socket
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Please provide pictures of any works
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Bedroom 3 TV Socket
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Please provide pictures of any works
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Bedroom 3 Data Socket
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Please provide pictures of any works
Plot Commissioning
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Is the plot commissioned?
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All within specification
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Outline any variations and cause
Sign Off
Sign Off
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Has all rubbish been removed from plot?
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Outline reasons
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Has work area been left neat and tidy?
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Outline reasons
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Has the plot been fully completed and tested with no return visits required?
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Outline reasons
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Name
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Completed Sign Off
