IRS CABLE CONDITIONING SURVEY V1.0

• Site conducted

• Priority

  Select P1 P2 P3 P4 P5 Small Works P6 no access

  • P1
  • P2
  • P3
  • P4
  • P5
  • Small Works
  • P6 no access

• SITE NOTE

• Reference number

• This survey is to determine the condition of the cabling and carry out a network assessment across selected MDU installations. Where ever possible this is a non-intrusive condition survey. However, your assessment and responses are to be based on what you need to access to respond to the questions in the survey below. But, at no time should you take any risks to your personal safety in completing the survey. It is important to note that during this survey programme you will assess installations that were completed before these requirements were enacted and which were appropriate at the time the installation was completed and which continue to be acceptable if they are in good condition.

  Drawing

1. Surveyor Details

• Sccialphatrack

2 - Address Details (Full address details required)

• 2.1 - Full Address/Street & flat number range

• 2.3 - Town/City

• 2.4 - Post Code

• 2.5 - Building MA/owner and contact details (if known)

3 - Building information.

• 3.1 - Total Premise Count

• 3.2 - Number of Floors

• 3.3 - What services are currently provided to the building ?

  Select IRS CATV BT Other Fibre provider?

  • IRS
  • CATV
  • BT
  • Other Fibre provider?

• Are there any Fibre providers in the building?

  Select Yes No Unable to Confirm due to Location

  • Yes
  • No
  • Unable to Confirm due to Location

• 3.4 - How is the building wired?

  Select Internal Wiring External Wiring N/A

  • Internal Wiring
  • External Wiring
  • N/A

• Please provide photo of site.

  Media

4 - Site Access Requirements

• 4.1 - Is access to be arranged via the MA / Porter? contact details

• 4.2 - Are keys or access required to location of the lockbox/DP?

  Select Yes No

  • Yes
  • No

• If "Yes" detail which type

  Select FB Keys Gerda Keys Ladders Private Gardens Roof Access VM Cab Keys Other

  • FB Keys
  • Gerda Keys
  • Ladders
  • Private Gardens
  • Roof Access
  • VM Cab Keys
  • Other

• Please detail.

• 4.3 - Is the Cabinet/DP(s) safe to access? (lock box height, difficult to reach, have to lean or over stretch to open)

  Yes

  No

  N/A

  Unable to Confirm

• Detail the DP location and list any risks to safety due to the location.

• Attach photographs.

  Media

• 4.4 - Were there any areas of the building that could not be accessed which inhibited the completion of any part of the survey.

  Yes

  No

• Detail which area could not be accessed, what part of the cabling or network could not be surveyed and estimate the percentage of the building you were able to survey.

5 - Remedial works required?

• 5.1 - Are there any remedial works required?

  Yes

  No

• Describe works required.

• Attach photographs of works required.

  Media

• 5.2 - Is there any suspected ACM's in the area of works required?

  Yes

  No

• Please provide details.

• Please provide photos.

  Media

6 - Hazards - Priority

• 6.2 - Highlight any concerns that can be fed back to the property owner or MA.

  Yes

  No

• Provide details

• Please provide pictures.

  Media

7 - Signature

• 7.1 - Surveyors Signature

  Sign

• 7.2 - Survey Completion Date

  Date

• Does this survey required any works?

  Yes

  No

• Labour Rate 1 Man

• Labour Rate 2 Man

• Labour Rate Abseilors - per day

• Abseil RAMS - per site

• Replace or add rubber matt edge protection - per site

• Access Equipment - Cherry Picker/Scaffold (Quote Required)

• Replace Tray (per metre) - size

• Replace or add blocks for tray work (Big Feet)

• Replace Cat Wire (per metre)

• Replace metal trunking - State length & size

• Replace PVC trunking - State length & size

• Install Metal Cable Ties (per bag)

• Replace External Cab (X-small - Small - Medium - Large)

• Replace Internal Cab (Small - Medium - Large)