Information

  • TOW Number

  • Conducted on

  • Prepared by (your name)

  • Company name

  • Customer Address

  • Please select your CSA (customer service area) NSW

  • Please select your CSA - ACT

  • Please select your CSA - QLD

  • Activation Date

LIC DATA

  • Approx distance from multi port to customer premies

  • Is there a LIC present

  • If YES what is the LIC diameter

  • If YES what is the LIC material

  • Telstra LIC used?

  • Other LIC used (select from reason list)

Pre Scope Pass or Fail details

  • 2. Pre scope PASS or FAIL details

  • Scope pass rod and roped

  • Scope pass lead in cable installed

  • Scope pass customer already connected

  • Scope pass blockage repaired

  • Add media

  • Scope fail unable to locate pit

  • Scope fail unable to locate multi port

  • Scope fail multi port full

  • Scope fail customer not at home

  • Scope fail back yard feed

  • Scope fail unable to locate lic at premies (lic enters cavity wall)

  • Scope fail asbestos pit break out required

  • Scope fail asbestos pit new pit required

  • Scope fail OH&S reasons

  • Scope fail lic blocked

  • Scope fail no existing LIC aerial

  • Scope fail NBN pole licence issue

  • Enter pole number

  • Scope fail other reason

Suggested machinery required

  • 3. Suggested machinery required

  • Excavator

  • Enter meters pit to property entry point

  • Enter meters property entry point to building entry point

  • Add media

  • Trencher

  • Enter meters pit to property entry point

  • Enter meters property entry point to building entry point

  • Add media

  • Hand dig (shovel and pick)

  • Enter meters pit to property entry point

  • Enter meters property entry point to building entry point

  • Add media

  • Grundomat

  • Enter meters pit to property entry point

  • Enter meters property entry point to building entry point

  • Add media

  • Concrete cut

  • Enter meters pit to property entry point

  • Enter meters property entry point to building entry point

  • Add media

  • Core bore per 100mm

  • Core bores required

  • Add media

  • Other

Scope fail supporting attachments

  • 4. Scope fail supporting attachments

  • Enter brief solution details

  • Add drawing

  • Add media

  • Add media

  • Add media

  • Add media

PRD date

  • 5. PRD date (planned remediation date, when will the LIC be installed/repaired

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.