Title Page
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Date and Time
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Engineer
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CMID
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Location
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Copper/Fibre
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Customer Name and Contact Number
Site Information
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Invisilight?
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Pre-installed socket/media converter?
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External cabling?
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Internal cabling?
FTM
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Have you contatced your FTM for assistance prior to submitting this form?
Issue
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Is stage 1 cable damaged?
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Is stage 1 cable missing?
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Long Ladders Required?
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UG Training Required?
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Additional Information
Results
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Have you completed a power/Navitek test?
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Photo of power level/Navitek result from DP
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Photo of power level/Navitek result from customer
Investigation
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Have you rekroned socket/respliced media coverter?
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Have you rekroned IDC/respliced CSP?
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Have you checked local hatches/risers for breaks?
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Have you performed a thorough inspection of your internal installation checking for breaks etc?
Additional Photos
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Photo of cab
Cab Location
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Photo of front of house/flat (showing full house if long ladders needed)
Additional Information
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Is BM approval required to complete repair works?
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Any other access information required? e.g. risers locked with site specific keys
Customer Availability
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Preferred date for re-visit in the next 7 days
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AM or PM slot required?