Survey Scope

• Ticket Of Work:

  Select NBN Telstra Optus TPG Telstra & NBN

  • NBN
  • Telstra
  • Optus
  • TPG
  • Telstra & NBN

Scope of Works (This section should provide a clear understanding of work that is required to allow an accurate design, price, and method of works to be created for the end Customer.)

• Provide a detailed description of the required project Scope

• Ticket Of Work Address

• Site details:

• Site Contact Name:

• Site Contact Phone Number:

• Site Contact Email:

• Survey Date:

  Date

• Field Represenative:

  Jasmine Hallett

  Namra Razza

  Darren Jenkins

  Scott Whitehead
• Location
  Address

• Special Conditions. ( inductions, Permits, Police Checks, out of hours)

  Select Working with Childrens / Police Check Site Inductions Out of Hours requested Heritage/ Cultural / Fauna reserve / waterways Additional CounciL / Shire Consultatiin Developers input ( heights / Clearances etc)

  • Working with Childrens / Police Check
  • Site Inductions
  • Out of Hours requested
  • Heritage/ Cultural / Fauna reserve / waterways
  • Additional CounciL / Shire Consultatiin
  • Developers input ( heights / Clearances etc)

• Works required based on scope provided (Construction Plan)

  Media
Loc Reference

• Loc Id

• Provide a detail of required works referencing relevant Locations ( Loc A to Loc C) Include any asset reference Id

• Method of Civils

  Select Open Trench Directional Drill Non Destructive Digger ( Fauna) NDD ( Services) Asbestos Management required

  • Open Trench
  • Directional Drill
  • Non Destructive Digger ( Fauna)
  • NDD ( Services)
  • Asbestos Management required

• Identified cables in Loc location ( photos of cable identification required)

  Select Fibre NBN Fibre Telstra Fibre Other Copper HFC Network (Cx50, CX75) UG HFC Network ( cx50 , cx75) aerial Direct buried Copper Unidentified Cable ( known in this location) HFC (RG6, RG11) NA Cable Joints

  • Fibre NBN
  • Fibre Telstra
  • Fibre Other
  • Copper
  • HFC Network (Cx50, CX75) UG
  • HFC Network ( cx50 , cx75) aerial
  • Direct buried Copper
  • Unidentified Cable ( known in this location)
  • HFC (RG6, RG11)
  • NA
  • Cable Joints

• Asbestos Works Required

  Yes

  No

  N/A

• Break Out & Reinstatement

  Yes Concrete

  Yes Asphalt

  Yes Pavers

  Yes Other

  Not Required

• Quantity

• Location Call outs

  Select Hospital/ Medical centre Schools Age care facility Transport (Bus/trams/train) Utilities (Gas, Water, Power (UG/OH) Emergency Services

  • Hospital/ Medical centre
  • Schools
  • Age care facility
  • Transport (Bus/trams/train)
  • Utilities (Gas, Water, Power (UG/OH)
  • Emergency Services

• Location Photos

  Media

• Are you installing pipe?

  Yes

  No

• Between Loc IDs (Size of Pipe and Distance)

Haul

• Joint Location

• Provide a detail of required works referencing relevant Locations ( Loc A to Loc C ( all cables to be identified and photos provided)

• cable plans or supporting info (Atlas, GDD, nearmaps)

  Media

• Provide Photos for all Device locations (with LOC IDs)

  Media

• Provide a description of the asset and required scope to remove or decommission

Aerial Works

• Joint Location

• Provide a description of required works referencing relevant Locations ( network, road crossing, EU drop cable) remember to capture all impacted cables

• Provide Photos for proposed Aerial activities including Customers lead in cables if required

  Media

• cable plans or supporting info (Atlas, ADR, near Maps)

  Media

• Is EWP Required?

  Yes

  No

  N/A

• Recommended Contractor/s

• Traffic Management

  Yes

  No

  N/A

• How long is Traffic required ( hours or Days)

  Select 1 Day 2 Days 3 Days 4 Days 5 Days Consultation with Civil Contractor required ( long duration) Night works required Half Day Only

  • 1 Day
  • 2 Days
  • 3 Days
  • 4 Days
  • 5 Days
  • Consultation with Civil Contractor required ( long duration)
  • Night works required
  • Half Day Only

• Night works required

  Yes

  No

  N/A

• Permits (

  Yes

  No

  N/A

• What permits are required

• Are Inductions or specific conditions required

  Yes

  Not required

• Detail of requirements

  Yes

  No

  N/A

• Provide any relevant information that will assist with the submission of this survey or design query.

• Date of Submission

  Date

• Field Representative

  Sign