Title Page

  • Site Name/Number:

  • Site Address:
  • ISG Job Number:

  • Surveyor :

  • Fault call ref number:

  • Conducted on

  • Brief description of works (note which data cab and position of new outlet):

  • Number of engineers required:

  • Number of hours required on site:

  • Can work be carried out during normal working hours:

  • Note OOH access times (will nightshift need to be arranged if site is not 24hrs)

Telephone

  • Is new phone outlets required

  • Number of new phone sockets required

  • Note singles or doubles:

  • Average length of 3pr 1308 in meters

  • Additionals ( multicores, D.P., Krone strips ect)

Structured Cabling

  • Is new Data cable required? If yes state what type.

  • Number of new cables required:

  • Average length of cable run in meters:

  • Is new outlet required:

  • Number required:

  • Note if dual or single outlets or mixed

  • Is new patch panel required:

  • How many new patch panels?

  • Are new patch leads required:

  • 1m patch leads

  • 3m patch leads

  • Additional info:

Fibre

  • Is new fibre required:

  • Fibre core size

  • Length of fibre cable

  • Number of cores required

  • Are new fibre trays required

  • Number required

  • Presentation type

  • Presentation of existing fibre tray (ST, LC, ECT)

  • Number of spare ways on existing fibre tray:

  • Are new fibre patch leads required

  • Number required

  • Length of patch leads

  • Connector type

  • Note other connector types required

Access Equipment

  • Is special access equipment required, other than standard steps.

  • Note any access restrictions from back yard to shop floor (ramps ect) Should Hss deliver to front of store?

  • Notes (e.g. asbestos register present, noise/access restrictions, fire sealing required)

Media

  • 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

  • Cabinet location

  • Description:

  • Additional pictures:

  • Picture
  • Additional pictures

  • Description:

Stock Req

  • Stock list is meant as a guide and is in no way a complete list. Any additional material required please list below.

Containment

  • Do you require any containment

  • 1 gang pvc back box

  • 2 gang pvc back box

  • white pvc trunking (3m length)

  • What size

  • Note any bends & amounts required

  • 20mm copex (per meter)

  • 20mm glands white

  • Colour of copex

  • 20mm white pvc conduit (3m length)

  • Note any accessories & amounts required ( bends, couplers, adaptors ect)

  • Additional materials:

Brand Rex (or preferred manufacturer)

  • Do you require data cable materials? If so state what type.

  • Low Smoke Cat5e (305m box)

  • RJ45 Modules

  • Half Width Blank 25x50

  • Single Gang Faceplate

  • Double Gang Faceplate

  • 24 Way Patch Panel

  • 1m Patch Leads

  • State if colour other than white is required and amounts:

  • 3m Patch Leads

  • State if colour other than white is required and amounts:

  • Additional materials:

Telephone

  • Do you require Telephone materials

  • 4pr 1308 cable (100m drum)

  • LJU3/1A Master idc Single

  • LJU3/1A Master idc Double

  • Additional materials:

Fibre materials

  • Do you require any fibre materials

  • Length of fibre

  • Fibre core size

  • Number of cores

  • Number of connectors

  • Connector type

  • Fibre trays (loaded)

  • Number of fibre patch leads

  • Length

  • Connection type

  • Additional materials:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.