Title Page
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Job Number
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Site Address
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Conducted on
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Installed by
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Have the holes been fire stopped both sides?
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Please provide details
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Please provide photos of the fire stop before sockets fitted (inside & out).
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Has the socket/s been installed?
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Please provide details
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Please provide photos of the socket/s installed in Living Room (IRS, Fibre & Virgin).
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Have you installed a bedroom socket?
- Yes
- No
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Please provide details
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Please provide photo of socket installed in Bedroom.
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Was the socket/s tested?
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Please provide details
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Note that the expected signal levels at the socket is between 55db and 65db on the TV/Sat analysers
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Is there sufficient signal at the socket?
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Please provide details of the issues found.
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Please provide pictures of the customers equipment working and connections to new socket.
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What equipment was connected and tested?
- Freeview
- Freesat
- SKY+ receiver
- SKY Q
- Foreign receiver
- Radio
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Other notes if different from the normal process.
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By signing the below, I confirm the work has been carried out to a satisfactory standard.
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Residents Name
