MMC Residential / Commercial Plan (for ESL)

• SimPRO No :

• Enable Ref No :

• Customer Address:

• Plan Completed by :

• Date Completed :

  Date

Customer / Job Details

• Customer Name & Contact Number

• Type of installation?

  Select Brownfield Connection Brownfield (with PALI) Connection Greenfield Connection MDU Connection ROW Connection Internals Only Civil Relocate Commercial Connection OTHER

  • Brownfield Connection
  • Brownfield (with PALI) Connection
  • Greenfield Connection
  • MDU Connection
  • ROW Connection
  • Internals Only
  • Civil Relocate
  • Commercial Connection
  • OTHER

H&S / SITE HAZARD INFO

• Working at Heights Required?

  Yes

  No

• Provide details (e.g. if EWP required etc)

• Gas Present?

  Yes

  No

• If Gas is present then the Plan MUST avoid the Gas Exclusion zone (refer to the Enable Standards for details)

• Dogs on site?

  Yes

  No

• Action Required :

• SACM on site?

  Yes

  No

• Provide Details / Location

• Any other hazards on site?

  Yes

  No

• Please provide details of other hazards

• Is CIVIL Required?

  Yes

  No

• Road Level Category

  Low Volume

  Level 1

  Level 2

  State Highway

• FAP Sighted

  Yes - Paver

  Yes - Marker Post

  Not Visible

  N/A

• Tube (at FAP) Sighted

  Yes

  No

  N/A

• Does the Customer have any specific local utilities?

  Select Irrigation System Local Power to Outside Lights, Automatic Gates etc Electronic Dog Fencing Robotic Lawn Mower Boundary Wire OTHER

  • Irrigation System
  • Local Power to Outside Lights, Automatic Gates etc
  • Electronic Dog Fencing
  • Robotic Lawn Mower Boundary Wire
  • OTHER

• FENCELINE Distance (Metres)

• TRENCH (SOFT SURFACE) Distance (Metres) - Includes Hand Dig, Terra Saw etc

• TRENCH (LANDSCAPED) Distance (Metres) - Includes Stones, bark, weedmat, plants / shrubs etc

• SLOT CUT (ASPHALT) Distance (Metres)

• SLOT CUT (CONCRETE) Distance (Metres)

• TRENCH (ASPHALT) Distance (Metres)

• TRENCH (CONCRETE) Distance (Metres)

• Default Metres (Radial)

• Actual Metres (FAP - ETP)

• Reason for Variation (if Default & Planned Distance varies) :

• Additional Notes for Civil Tech

• Is any Premise Installation work required?

  Yes

  No

• IMPORTANT NOTE: SACM (if present) is captured in the H&S / HAZARD INFO Section

• Does the Customer have a Media Panel?

  Yes

  No

• ETP to ITP / ONT Distance (Metres)

• Distance in Ceiling (Metres)

• Distance Under Floor (Metres)

• Proved End to End Route is Accessible

  Yes

  No

  N/A

• Access Issue Details (if any)

• Phone Integration / Copper Cutover Required

  Yes

  No

• Install Type

  Back to Back

  Internal Cabling

  Internal Trunking

• Additional Notes for Install Tech

• Screen Shot of Property from Webmaps - https://www.enable.net.nz/maps

  Media

• Photos - Outline of Works (Civil - FAP to ETP and Internals = ETP to ONT / RGW position)

  Media

• Fenceline

  Yes

  No

• Fenceline - Sign as Agree

  Drawing

• Slot Cut - Asphalt / Concrete

  Yes

  No

• Slot Cut - Sign as Agree

  Drawing

• Trench

  Yes

  No

• Trenching - Sign as Agree

  Drawing

• I confirm that:
  - I have seen, read and understood this information and the end user terms and accept those terms; and
  - If I am not the owner of the property, I have obtained the consent of the owner for the installation works; and
  - I understand that there may be an impact on the operation of burglar and medical alarms, particularly monitored alarms. [Note: check with your alarm provider or telecommunications service provider]

• I have read and agree to Enable's End User Terms

• I understand and approve the methodology of works for my fibre install

• Authorised Signature :

  Sign

• Enable Representative:

  Sign

• We will carry out the work in accordance with Enable End User Terms (http://www.enable.net.nz/about-enable/governance/ufb-reference-offer.html ).