Information
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Service order number
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Customer Address
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Prepared by
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Pole Inspection Date
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Date of installation (For dispatch purposes)
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Pole Owner
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COUNTIES - Continue with the Visual Inspection and build only if the order is in a UFB 1 area and send completed form to pole@ucg.co.nz. DO NOT continue build if the order is a UFB 2 or UFB 2+ area, as there is no Chorus/Utility agreement in place. Please complete the Visual inspection form and send to connect@ucg.co.nz
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Is this a UFB 1 area?
- Yes - proceed with visual inspection
- No - complete visual inspection form, DO NOT continue build. There is no agreement in place
Pole visual inspection for Provisioning services
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Pole type
- Busck
- Hardwood
- Larchwood
- u-Pole
- Rail
- Softwood
- Spun
- Tanalised
- Vierindeel
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Vierendeel pole?
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V1 - Less than 395mm on the wide face. Do not climb this pole, scope for underground solution. V2 - between 395mm and 415mm. Continue with form to apply for use, access will be from EWP only. V3- 6 - Greater than 415mm. Continue with form to apply for use.
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Is the pole tagged? If yes then consult your FM, if no proceed to pole test).<br>
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Special Purpose Pole? (Is it a stub pole, brace pole, or pole with jockey arms - if YES is selected then tech is not able to climb and UG solution will be required)
- Yes > Unsuitable pole
- No
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Accessibility
Assessment for Provisioning services
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Does the pole support electrical conductors crossing elevated motorways, overpasses or navigable waterways?
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Does the pole support electrical conductors crossing limited access motorways, overpasses, waterways or railways?
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Is the pole located inside boundary on a ROW, shared driveway, long driveway or any private land?
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Is the pole, a double or H-frame pole, supporting transformers, switches (air break switch) or supporting spans longer than 100m?
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Is there/will there be Chorus UFB/NGA connection from the top to bottom of the pole? (Please ensure when selecting your category that, if you are required to attach the service lead up or down a WELL pole this will be UG-OH. Please ensure your photos show the route up or down a pole if UG-OH is selected).
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Does the pole have multiple aerial cables attached ? (only 3rd Party distribution cables like VF)
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Number of services
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Does the pole have an 11kV or higher electricity underground cable riser attached to the pole or does it have electricity earthing conductors installed?
Photos
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Photo of pole showing pole ID
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Photo showing the full pole including the top of the pole
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Photo of full aerial fibre route annotating the ownership of each pole
Location details
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Pole ID
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Pole address
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Pole GPS Co-ordinates
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VECTOR - Continue with the Visual Inspection and build and send completed form to pole@ucg.co.nz.
Pole visual inspection for Provisioning services
-
Pole type
- Busck
- Hardwood
- Larchwood
- u-Pole
- Rail
- Softwood
- Spun
- Tanalised
- Vierindeel
-
Vierendeel pole?
-
V1 - Less than 395mm on the wide face. DO NOT climb this pole, scope for underground solution. V2 - between 395mm and 415mm. Continue with form to apply for use, access will be from EWP ONLY. V3- 6 - Greater than 415mm. CONTINUE with form to apply for use.
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Is the pole tagged? If yes then consult your FM, if no proceed to pole test).<br>
-
Special Purpose Pole? (Is it a stub pole, brace pole, or pole with jockey arms - if YES is selected then tech is not able to climb and UG solution will be required)
- Yes > Unsuitable pole
- No
-
Accessibility
Assessment for Provisioning services
-
Does the pole support electrical conductors crossing elevated motorways, overpasses or navigable waterways?
-
Does the pole support electrical conductors crossing limited access motorways, overpasses, waterways or railways?
-
Is the pole located inside boundary on a ROW, shared driveway, long driveway or any private land?
-
Is the pole, a double or H-frame pole, supporting transformers, switches (air break switch) or supporting spans longer than 100m?
-
Is there/will there be Chorus UFB/NGA connection from the top to bottom of the pole? (Please ensure when selecting your category that, if you are required to attach the service lead up or down a WELL pole this will be UG-OH. Please ensure your photos show the route up or down a pole if UG-OH is selected).
-
Does the pole have multiple aerial cables attached ? (only 3rd Party distribution cables like VF)
-
Number of services
-
Does the pole have an 11kV or higher electricity underground cable riser attached to the pole or does it have electricity earthing conductors installed?
Photos
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Photo of pole showing pole ID
-
Photo showing the full pole including the top of the pole
-
Photo of full aerial fibre route annotating the ownership of each pole
Location details
-
Pole ID
-
Pole address
-
Pole GPS Co-ordinates
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NORTH POWER - Continue with the Visual Inspection and build only if the order is in a UFB 1 area and send completed form to pole@ucg.co.nz. DO NOT continue build if the order is a UFB 2 or UFB 2+ area, as there is no Chorus/Utility agreement in place. Please complete the Visual inspection form and send to connect@ucg.co.nz
-
Is this a UFB 1 area?
- Yes - proceed with visual inspection
- No - complete visual inspection form, DO NOT continue build. There is no agreement in place
Pole visual inspection for Provisioning services
-
Pole type
- Busck
- Hardwood
- Larchwood
- u-Pole
- Rail
- Softwood
- Spun
- Tanalised
- Vierindeel
-
Is the pole tagged? If yes then consult your FM, if no proceed to pole test).<br>
-
Vierendeel pole?<br><br>V1 - Less than 395mm on the wide face. Do not climb this pole, scope for underground solution. <br>V2 - between 395mm and 415mm. Continue with form to apply for use, access will be from EWP only.<br>V3- 6 - Greater than 415mm. Continue with form to apply for use.<br>
-
Special Purpose Pole? (Is it a stub pole, brace pole, or pole with jockey arms - if YES is selected then tech is not able to climb and UG solution will be required)
-
Accessibility?
Assessment for Provisioning services
-
Does the pole support electrical conductors crossing elevated motorways, overpasses or navigable waterways?
-
Does the pole support electrical conductors crossing limited access motorways, overpasses, waterways or railways?
-
Is the pole located inside boundary on a ROW, shared driveway, long driveway or any private land?
-
Is the pole, a double or H-frame pole, supporting transformers, switches (air break switch) or supporting spans longer than 100m?
-
Is there/will there be Chorus UFB/NGA connection from the top to bottom of the pole? (Please ensure when selecting your category that, if you are required to attach the service lead up or down a WELL pole this will be UG-OH. Please ensure your photos show the route up or down a pole if UG-OH is selected).
-
Does the pole have multiple aerial cables attached ? (only 3rd Party distribution cables like VF)
-
Does the pole have an 11kV or higher electricity underground cable riser attached to the pole or does it have electricity earthing conductors installed?
Photos
-
Photo of pole showing pole ID
-
Photo showing the full pole including the top of the pole
-
Photo of full aerial fibre route annotating the ownership of each pole
Location details
-
Pole ID
-
Pole address
-
Pole GPS Co-ordinates
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Number of services feeding from pole
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CHORUS - Please complete a Visual Inspection of the Chorus pole for record purposes. This is a mandatory requirement for any Chorus poles in your provisioning route. Please send completed form to pole@ucg.co.nz
Location details
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Pole ID
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Pole address
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Number of service leads
Photos
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Photo of pole showing pole ID
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Photo showing the full pole including the top of the pole
