Information

  • Service Order Number/Site Name

  • Address

  • Conducted on

  • Prepared by

  • Tech/Company

  • Faulty Network Category

  • Please select Surface Type

  • Panel dimensions of area reinstated e.g. 2.0m x 3.5m = 7msq

  • Evidence Cam images before reinstatement

  • Evidence Cam Images of Permanent Reinstatement

  • Notes:

  • Area of reinstatement p/msq e.g. 2.0m x 3.5m = 7msq

  • Evidence Cam images before reinstatement

  • Evidence Cam Images of Permanent Reinstatement

  • Notes:

  • Terminal ID / Service enclosure ID where Faulty Network claim has originated from

  • Has the Field Manger given permission to excavate

  • Why have you not obtained FM approval?

  • Has all trouble shooting been completed as per ND0563 v2.4 before excavating?

  • Why hasn't trouble shooting been completed before excavating?

  • Please Select where Fault is located on the Network

  • Please select Network Fault?

  • Detailed description of the blockage cause

  • 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)

  • Where is fault located on Network?

  • Detailed description of the blockage cause

  • 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)

  • Detailed description of the blockage cause

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

  • Detailed description of the issue

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

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

  • Please Select where Fault is located on the Network

  • Detailed description of the blockage cause

  • 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)

  • Detailed description of the need for duct access

  • 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)

  • Detailed description of the blockage cause

  • 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)

  • Dig and fix at straight joint

  • Detailed description of the blockage cause

  • 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)

  • Dig and fix at clamshell

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

  • Detailed description of the blockage cause

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

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

  • Please Select what plant was damaged / Repaired

  • Damaged IFDB

  • 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)

  • Damaged ABFAT

  • 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)

  • Damaged FAT

  • 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)

  • Damaged Aerial FAT

  • 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)

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

  • Detailed description of why works are required

  • Evidence Cam Image of location before excavation to give perspective of location of works

  • Evidence Cam Image of excavation

  • Evidence Cam Image of network extension (Works undertaken)

  • Creating new Ribbonet Drop off

  • Detailed description of why works are required

  • Evidence Cam Image of location before excavation to give perspective of location of works

  • Evidence Cam Image of excavation

  • Evidence Cam Image of network extension (Works undertaken)

  • Installation of New Lateral

  • Detailed description of why works are required

  • Evidence Cam Image of location before excavation to give perspective of location of works

  • Evidence Cam Image of excavation

  • Evidence Cam Image of network extension (Works undertaken)

  • UFB Network fibre - locate, repair feeder fibre issues

  • Fibre fault found between OFDC and

  • 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)

  • Fibre fault found between FAT and

  • 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)

  • Fibre fault found between FFP and

  • 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)

  • Fibre fault found between Cabinet and

  • 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)

  • Fibre fault found between Exchange and

  • 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)

  • 4.2.6 - 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)

  • Did you have network plans on site before excavating?

  • Please upload Netmap and UFB Asbuilds used

  • Why have you worked without network plans?

  • Faulty Network Code

  • Evidence Cam Image of Permanent reinstatement

  • Evidence Cam Image of reinstatement showing site left in a temporary safe state

  • Faulty Network Code

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.