Lwf electrical - Nara and service/network restorations

• Tow number:

• Customer address:

• No danger

• No dogs

• Power is turned off

• No asbestos on property

• No confined space

• Job is safe to start

• Are there any other dangers? If so outline them and how to avoid or minimise contact with these.

Customer Details

• Installation Date

  Date

• Has the customer agreed with the location of the NTD or PCD? Or works carried out?

  Yes

  No

  N/A

• Is the customer satisfied with the workmanship of the installation?

  Yes

  No

  N/A

• Upload Supporting Photos Here

  Media

• Tick if your cable is installed with an existing cable

• How many blockages

  Select 1 2 3 4

  • 1
  • 2
  • 3
  • 4

• How many hours onsite including talking to ttt nsoc etc

  Select 1 1.5 2 2.5 3 3.5 4 5 6 7 8

  • 1
  • 1.5
  • 2
  • 2.5
  • 3
  • 3.5
  • 4
  • 5
  • 6
  • 7
  • 8

• In depth description of what was done: from struggling to find mpt, missing pits,faulty cable, unable to rod congested lid, stuck fibre, testing for signal At what points and if you have had to discuss with customer for 30 minutes etc and even if it's a built up area if you had to get somebody to help or be extra careful.

• Mud map for ^40m with measurements and mpt location (must be clear if it's easier to draw just take a photo)

  Drawing

• Materials list below

  Select 20ext 30ext 40ext 60ext 80ext 120ext 200ext 300ext 500ext pcd 1ftc 2ftc 3ftc 4ft 3int 5int 10int 15int 20int 30int 50int s/plate L/plate corner 3m/10m 3m/15m 3m/20m 3m/25m

  • 20ext
  • 30ext
  • 40ext
  • 60ext
  • 80ext
  • 120ext
  • 200ext
  • 300ext
  • 500ext
  • pcd
  • 1ftc
  • 2ftc
  • 3ftc
  • 4ft
  • 3int
  • 5int
  • 10int
  • 15int
  • 20int
  • 30int
  • 50int
  • s/plate
  • L/plate
  • corner
  • 3m/10m
  • 3m/15m
  • 3m/20m
  • 3m/25m

• Serial numbers:

Sign-Off

• Contractors Signature:

  Sign

• Customer Signature:

  Sign