Title Page
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Site Name/Number:
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Site Address:
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ISG Job Number:
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Surveyor :
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Fault call ref number:
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Conducted on
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Brief description of works (note which data cab and position of new outlet):
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Can work be carried out during normal working hours:
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Note OOH access times (will nightshift need to be arranged if site is not 24hrs)
Telephone
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Is new phone outlets required
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Note singles or doubles:
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Additionals ( multicores, D.P., Krone strips ect)
Structured Cabling
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Is new Data cable required? If yes state what type.
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Is new outlet required:
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Note if dual or single outlets or mixed
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Is new patch panel required:
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Are new patch leads required:
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Additional info:
Fibre
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Is new fibre required:
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Fibre core size
- 50/125 OM2 (up to 550m)
- 62/125 OM1 (up to 275m)
- 9/125 OS1 (above 550m)
- 50/125 OM3 (up to 550m)
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Are new fibre trays required
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Presentation type
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Presentation of existing fibre tray (ST, LC, ECT)
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Are new fibre patch leads required
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Connector type
- ST - ST
- ST - SC
- ST - LC
- SC - LC
- SC - SC
- LC - LC
- Other
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Note other connector types required
Access Equipment
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Is special access equipment required, other than standard steps.
- Narrow aisle scissor (10m working height)
- Compact scissor (7.8m working height)
- Star 10
- 3 tier ladders
- 3.6m Pop up
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Note any access restrictions from back yard to shop floor (ramps ect) Should Hss deliver to front of store?
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Notes (e.g. asbestos register present, noise/access restrictions, fire sealing required)
Media
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Please take as many pictures as possible showing cabinets, outlet location, cable runs, possible obstructions and any site plans if none supplied ( hint: fire escape plans)
Media
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Cabinet location
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Description:
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Additional pictures:
Picture
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Additional pictures
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Description:
Stock Req
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Stock list is meant as a guide and is in no way a complete list. Any additional material required please list below.
Containment
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Do you require any containment
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What size
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Note any bends & amounts required
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Colour of copex
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Note any accessories & amounts required ( bends, couplers, adaptors ect)
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Additional materials:
Brand Rex (or preferred manufacturer)
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Do you require data cable materials? If so state what type.
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State if colour other than white is required and amounts:
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State if colour other than white is required and amounts:
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Additional materials:
Telephone
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Do you require Telephone materials
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Additional materials:
Fibre materials
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Do you require any fibre materials
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Fibre core size
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Connector type
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Connection type
- ST - ST
- ST - SC
- ST - LC
- SC - LC
- SC - SC
- LC - LC
- Other
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Additional materials: