Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Engineer Details:
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Engineer Name:
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Engineer Tech Number:
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Engineer Contact Number:
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Engineer Team Manager:
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Engineer Team Number:
Customer Details:
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Customer Name:
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Job Number:
Incident Details:
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Who was involved in the incident:
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The incident MUST be reported to your Team Manager as an a ident at work or near miss:
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Date and Approximate time of the Incident:
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Has anybody been injured during the incident:
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Give details of the injury:
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Is there any damage to the customers property:
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Give details of the property damage:
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Photograph property damage- customers permission required:
Damaged Equipment Details:
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Which Sky Equipment was involved in the incident:
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Details of the Now TV Product:
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Supply photos of the damaged Now TV product:
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Type of STB:
- PVR 6
- PVR 5
- PVR 4
- PVR 3 or below
- HD STD 595
- STD FLOW or below
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Enter full NDS number:
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Supply pictures of the STB damage:
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Type of Broadband Router:
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Enter Serial Number of the Broadband Router:
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Supply photos of the Broadband Router Damage:
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Type of On Demand Connector:
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Supply Photos of the damaged connectors:
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What other equipment has been involved in the incident:
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Supply photos of the damaged WiFi Booster.
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Supply photos of the damaged IO link
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Details of the Equipment Involved in the Incident:
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Supply photos of the damaged equipment
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Details of the the customers set up- what was the damaged item connected to at the time of the incident:
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Please make sure that you return the damaged product and all related cables through the RED bag process:
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Detail the items you are returning:
- Power Cable
- HDMI Lead
- SCART Lead
- RF lead
- SAT Feed Cable
- Ethernet Cable
- Other
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Supply details of additional items being returned:
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Enter the Tracking Returns Label Number:
