Information
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ToW number
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Conducted on
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Prepared by (your name)
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Company name
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Address
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Activation Date
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1. LIC Data
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Approx distance from multi port to customer premies
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Is there a LIC present
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If YES what is the LIC diameter
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If YES what is the LIC material
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Telstra LIC used?
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Other LIC used (select from reason list)
- Unable to locate LIC
- LIC not accessible
- Jiggle test failed, ridding failed
- Unable to use HSE
- Jiggle test passed, rod ding failed
- Potential excessive property damage
- Existing network is Aerial
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2. Pre scope PASS or FAIL details
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Scope pass rod and roped
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Scope pass lead in cable installed
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Scope pass customer already connected
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Scope pass blockage repaired
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Add media
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Scope fail unable to locate pit
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Scope fail unable to locate multi port
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Scope fail multi port full
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Scope fail customer not at home
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Scope fail back yard feed
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Scope fail unable to locate lic at premies (lic enters cavity wall)
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Scope fail asbestos pit break out required
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Scope fail asbestos pit new pit required
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Scope fail OH&S reasons
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Scope fail lic blocked
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Scope fail no existing LIC aerial
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Scope fail NBN pole licence issue
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Enter pole number
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Scope fail other reason
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3. Suggested machinery required
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Excavator
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Enter meters pit to property entry point
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Enter meters property entry point to building entry point
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Add media
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Trencher
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Enter meters pit to property entry point
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Enter meters property entry point to building entry point
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Add media
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Hand dig (shovel and pick)
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Enter meters pit to property entry point
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Enter meters property entry point to building entry point
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Add media
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Grundomat
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Enter meters pit to property entry point
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Enter meters property entry point to building entry point
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Add media
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Concrete cut
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Enter meters pit to property entry point
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Enter meters property entry point to building entry point
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Add media
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Core bore per 100mm
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Add media
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Other
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4. Scope fail supporting attachments
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Enter brief solution details
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Add drawing
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Add media
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Add media
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Add media
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Add media
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5. PRD date (planned remediation date, when will the LIC be installed/repaired
