TSL NGA Scoping Form Version 3

• S/O Number

• Address

• Commit date

  Date

• Prepared by:

• Estimated time to complete technical install

  Select 2 hours 3 to 4 hours 4 to 5 hours 5 or more hours

  • 2 hours
  • 3 to 4 hours
  • 4 to 5 hours
  • 5 or more hours

Next Actions

• HighCost Needed.

  Highcost Needed

• What work type is to be completed?

  Select 1. Aerial. 560 2. Haul. 561 3. Surface Mount. 562 4. Shallow Trench. 563 5. 564. (Highcost ) 6. 565. (Highcost)

  • 1. Aerial. 560
  • 2. Haul. 561
  • 3. Surface Mount. 562
  • 4. Shallow Trench. 563
  • 5. 564. (Highcost )
  • 6. 565. (Highcost)

• Chorus approval required

• CPE code Claim

  Select add ONT 751 J/P install 752 CPE/ set top/ RGW 753

  • add ONT 751
  • J/P install 752
  • CPE/ set top/ RGW 753

• 2 Day Install

  Simple Existing Duct Blow Under 450m

  Simple Arial Blow under 450m

• Type of network?

  Select Air Blown Fiber Blow Fixed Fiber Haul Aerial (overhead)

  • Air Blown Fiber Blow
  • Fixed Fiber Haul
  • Aerial (overhead)

• Specific skills required?

  Yes

  No

• What Skill set required?

  Select Ruggerdised Trenching Concrete cutting Drill shot required Blocked duct under concrete Blowing distance greater than 450m Outside Boundary remedial Other

  • Ruggerdised
  • Trenching
  • Concrete cutting
  • Drill shot required
  • Blocked duct under concrete
  • Blowing distance greater than 450m
  • Outside Boundary remedial
  • Other

• Distance of drill shot? Note: If less than 20m a grundomat can be used.

• Distance of trenching?

• Short description of other

• Short description of what is required

Customer / Job Details

• Name

• Contact

Job instructions

• Detailed description of works required

• Add labelled photos using the 'inote HD' app

  Media

Health, Safety and Environmental Issues

• Underfloor access?

  Yes

  No

  N/A

• Ceiling access?

  Yes

  No

  N/A

• Location of ETP?

• Gas detector required?

  Yes

  No

  N/A

• Dogs on site?

  Yes

  No

  N/A

Consents Required

• Right of way?

  Yes

  No

  N/A

• Multi dwelling unit?

  Yes

  No

  N/A

• Heritage site or Building?

  Yes

  No

  N/A

Network

• 3rd Party pole. Number, Location, Termination Type.

• Distance from boundary to ETP?

Internal information

• WYAH materials?

• Preferred location of ONT?

• Preferred location of RGW?

Additional notes

• Notes

Outside property consent

• Hole excavation and trenching?

  Yes

  No

  N/A

• Removal of concrete/tiling/pavement?

  Yes

  No

  N/A

• Installation of conduit(s)?

  Yes

  No

  N/A

• Removal of existing copper line to the house?

  Yes

  No

  N/A

• Others? E.G. Heath & Safety, Needs a CAR.

  Yes

  No

  N/A

• Clean up: We will leave the property in a clean and tidy state on competition. This does not include reinstatement to the same condition.

Inside property consent

• Drilling small holes?

  Yes

  No

  N/A

• Cutting holes in walls?

  Yes

  No

  N/A

• Exposed surface wiring?

  Yes

  No

  N/A

• Removal of ceiling tiles?

  Yes

  No

  N/A

• Surface mounted installation and hardware?

  Yes

  No

  N/A

• Others?

  Yes

  No

  N/A