Front Sheet
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Fibre ID & Site Name
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PIA Reference
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PIA Lead Engineer
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Build Type
- TRR
- BFT Install
- SD Install
- Survey
- CST Install
- Other
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Date
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List of Site Personnel
A End Lead-in Information
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Site Name and address
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Lead-in Location. ie; Basement BT frame room.
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2 x Lead-in Photos, 1 of close up view, 1 at distance showing full location.
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Additional Information; i.e requirement for working at heights, hatches etc.
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Additional Photos of route
Duct & Chamber Information
Duct and Chamber
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Duct and Chamber
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Chamber
Chamber
Chamber
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Chamber Type
- JF2
- JF4
- JF6
- JF10
- JF11
- JF12
- JRC4
- JRC11
- JRC12
- JRC14
- FW Manhole
- CW Manhole
- Lead In Duct
- Other
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Chamber Street Name
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Chamber Location
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Chamber location plotted on OR plan (if differs from the OR duct plan).
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Chamber Lid Image + plus location (footway, carriage way) & access restrictions. (bus lanes etc). Please add notes as required
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Confirm the Chamber is Clear for working - i.e; desilt / gully suck required, gas leaks<br>
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At build was a manifold or node positioned in this chamber and if so what variety was it?
- Yes
- No
- cold shrink through connection
- 1 port BFT manifold
- 2 port BFT manifold
- 4 port BFT manifold
- Mini node
- Large node
- Other
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Uncovered Chamber Image - Photo required for TRR & Build stages
Duct
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Duct Section Number
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Distance of Duct Section to next chamber
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Duct Capacity and Status (more than one selection can be chosen)
- 0-50% full
- 50 - 75% full
- 75 - 100% full
- Blockage
- Congested
- Rerouted
- Missing
- Other
- Silted
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Duct Capacity - What cable solutions can be installed considering the duct space capacity.
- 12 way BFT
- 7 way BFT
- 4 way BFT
- 10mm CST
- 18mm sub duct
- No Capacity/Blockage
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State the Cable Type Used
- Rope
- 4way BFT 16mm
- 7way BFT 18mm
- 12way BFT 24mm
- Sub-Duct 18mm
- 8f CST 10mm
- 12f CST 10mm
- 24f CST 10mm
- 48f CST 10mm
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Duct Plan Image Capture (only required if the duct route differs from that on the plans provided)
Enabling Works
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Are any enabling works required including civils, TM, permissions
B End Lead-in Information
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Site Name and address
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Leadin Location. ie; Basement BT frame room.
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Leadin photos
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Additional Information; i.e requirement for working at heights, hatches etc.
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Additional Route photos
Sign Off
Task Overview
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Confirm Status of Works
- Complete and good to progress to next stage
- Complete but requires:-
- In-Complete, requires:-
- Review Needed
- In-Complete, had issues that need addressing, (see comments)
- Enabling works
- Site assess requirements
- TM requirements
- Chamber access issues
- Additional time
- Other
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Annotated Overview Plan
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Comments - any additional assisting information
Lead Engineer Off
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I can confirm that all information provided is accurate to the installation works undertaken
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Engineer Signature