Information

  • Service Order Number/Site Name

  • Address

  • Conducted on

  • Prepared by

  • Tech/Company

  • Please confirm which area type the FNT is identified?

  • Faulty Network Category

  • Soft surface

  • existing 50mm duct

  • Please Select what plant was damaged / Repaired

  • Re-position lateral / drop off / Install duct tee or install new lateral / Network Extension

  • UFB Network fibre - locate, repair feeder fibre issues

  • 4.2.6 - UFB Splitter - replace splitter

  • Evidence Cam Image of location before excavation to give perspective of where fault was,

  • Evidence Cam Image of network fault (What have you found)

  • Evidence Cam Image of network repair (What did you repair)

  • 4.2.7 - PON Issue - inside plant to investigate, repair, reset and correct PON connection

  • Evidence Cam Image of location before excavation to give perspective of where fault was,

  • Evidence Cam Image of network fault (What have you found)

  • Evidence Cam Image of network repair (What did you repair)

  • Faulty Network Code

  • Please Select where Fault is located on the Network

Breakdown of Time 'in hours' & Materials

  • Number of Technicians on site

  • Total time for testing, locating, excavation & repair per technician in hours

  • Total time for closure of excavations, & soft / temp reinstatement per technician in hours

  • Total time for quality control, iAuditor, FPA, RONS, Asbuilts, CNA & HSE per technician in hours

  • Total time on site claimed per technician in hours

  • Total hours to be invoiced in hours

  • Breakdown of materials used, e.g. 100m ruggedize, 2x bags top soil

  • Total cost of materials used

  • Sub Contractor/Equipment Hire invoice if applicable

  • Please provide cost (mark-up incl.)

  • Please upload copy of Invoice

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.