VF1008-UCG-FNT Evidence & Claim Form

• Work Packet ID

• Address

• Conducted on

  Date

• Prepared by

• Company

• Technician

• Field Manager

What CSA is the Fault Found in

• Select CSA01 CSA02 CSA03 CSA04 CSA05 CSA06 CSA07 CSA08 CSA09 CSA10 CSA11

  • CSA01
  • CSA02
  • CSA03
  • CSA04
  • CSA05
  • CSA06
  • CSA07
  • CSA08
  • CSA09
  • CSA10
  • CSA11

• Faulty Network Category

  Select OSB Hard Surface Reinstatement Blocked Duct (Fixed Fibre) 4.2.1 Blocked Microduct issues 4.2.2 Re-position / Create Lateral (Drop off / Duct Tee) 4.2.4 Repair Damaged FAT 4.2.3 UFB network fibre - Locate / Repair feeder fibre issues 4.2.5 UFB Splitter - Replace Splitter 4.2.6 PON issue - Inside plant to investigate / repair / reseet and correct PON Connection 4.2.7

  • OSB Hard Surface Reinstatement
  • Blocked Duct (Fixed Fibre) 4.2.1
  • Blocked Microduct issues 4.2.2
  • Re-position / Create Lateral (Drop off / Duct Tee) 4.2.4
  • Repair Damaged FAT 4.2.3
  • UFB network fibre - Locate / Repair feeder fibre issues 4.2.5
  • UFB Splitter - Replace Splitter 4.2.6
  • PON issue - Inside plant to investigate / repair / reseet and correct PON Connection 4.2.7

• Please select Surface Type

  Concrete - Plain Brush

  Concrete - Exposed aggregate

  Tar Seal

  Chip Seal

  Other

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

• Evidence Cam images before reinstatement

  Media

• Evidence Cam Images of Permanent Reinstatement

  Media

• Notes:

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

• Evidence Cam images before reinstatement

  Media

• Evidence Cam Images of Permanent Reinstatement

  Media

• Notes:

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

• Has the Field Manger given permission to excavate

  Yes

  No

• Why have you not obtained FM approval?

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

  Yes

  No

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

What plans did you have on site before excavating?

• Select B4UDigs / Obstruction Plans Underground Plans CPA UFB As-Built (if Available) NetMap Plans

  • B4UDigs / Obstruction Plans
  • Underground Plans
  • CPA
  • UFB As-Built (if Available)
  • NetMap Plans

• Please Select where Fault is located on the Network

  Select From FAT/FFP to Drop off (Communal Network) Existing (Legacy Duct) to Boundary Other

  • From FAT/FFP to Drop off (Communal Network)
  • Existing (Legacy Duct) to Boundary
  • Other

• Please select Network Fault?

  Select 50/100mm MH to boundary 50/100mm MH to BDD 50/100mm MH to HH 50/100mm BDD to BDD 50/100mm MH to Pedestal Duct blocked at Lateral Duct blocked at Manhole Duct Blocked at POE

  • 50/100mm MH to boundary
  • 50/100mm MH to BDD
  • 50/100mm MH to HH
  • 50/100mm BDD to BDD
  • 50/100mm MH to Pedestal
  • Duct blocked at Lateral
  • Duct blocked at Manhole
  • Duct Blocked at POE

• Detailed description of the blockage cause

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

  Media

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

  Media

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

  Media

• Where is fault located on Network?

  Select 15/20mm from Pole to boundary 15/20mm from pillar to boundary 15/20mm from BDD to boundary Other

  • 15/20mm from Pole to boundary
  • 15/20mm from pillar to boundary
  • 15/20mm from BDD to boundary
  • Other

• Detailed description of the blockage cause

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

  Media

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

  Media

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

  Media

• Detailed description of the blockage cause

  • Sediment build up

  • Kinked or crushed tube

  • Unseated connector.

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

  Media

• Detailed description of the issue

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

  Media

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

  Media

What plans did you have on site before excavating?

• Select B4UDigs / Obstruction Plans Underground Plans CPA UFB As-Built (if Available) NetMap Plans

  • B4UDigs / Obstruction Plans
  • Underground Plans
  • CPA
  • UFB As-Built (if Available)
  • NetMap Plans

• Please Select where Fault is located on the Network

  Select Dig and fix at clamshell / Lateral Joint Dig and fix at straight joint Dig and fix kinked / Damaged Ribbonet Dig and fix to locate issue / Excavate mid-point for better blow location Other

  • Dig and fix at clamshell / Lateral Joint
  • Dig and fix at straight joint
  • Dig and fix kinked / Damaged Ribbonet
  • Dig and fix to locate issue / Excavate mid-point for better blow location
  • Other

• Detailed description of the blockage cause

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

  Media

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

  Media

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

  Media

What plans did you have on site before excavating?

• Select B4UDigs / Obstruction Plans Underground Plans CPA UFB As-Built (if Available) NetMap Plans

  • B4UDigs / Obstruction Plans
  • Underground Plans
  • CPA
  • UFB As-Built (if Available)
  • NetMap Plans

• Detailed description of the need for duct access

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

  Media

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

  Media

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

  Media

• Detailed description of the blockage cause

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

  Media

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

  Media

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

  Media

• Dig and fix at straight joint

  Select Sediment build up Dig and fix of kinked tube Unseated connector. Tubes jointed incorrectly

  • Sediment build up
  • Dig and fix of kinked tube
  • Unseated connector.
  • Tubes jointed incorrectly

• Detailed description of the blockage cause

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

  Media

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

  Media

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

  Media

• Dig and fix at clamshell

  Select • Sediment build up • Kinked or crushed tube • Unseated connector.

  • • Sediment build up
  • • Kinked or crushed tube
  • • Unseated connector.

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

  Media

• Detailed description of the blockage cause

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

  Media

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

  Media

• Please Select what plant was damaged / Repaired

  Damaged FAT

  Damaged ABFAT

  Damaged IFDB

  Damaged RAT (Aerial FAT)

• Damaged IFDB

  Trays

  Central Column

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

  Media

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

  Media

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

  Media

What plans did you have on site before excavating?

• Select B4UDigs / Obstruction Plans Underground Plans CPA UFB As-Built (if Available) NetMap Plans

  • B4UDigs / Obstruction Plans
  • Underground Plans
  • CPA
  • UFB As-Built (if Available)
  • NetMap Plans

• Damaged ABFAT

  Trays

  Central Column

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

  Media

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

  Media

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

  Media

• Damaged FAT

  Trays

  Central Column

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

  Media

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

  Media

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

  Media

• Damaged Aerial FAT

  Trays

  Central Column

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

  Media

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

  Media

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

  Media

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

  Creating New Ribbonet Drop off

  Installation of New Lateral

  Other

• Detailed description of why works are required

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

  Media

• Evidence Cam Image of excavation

  Media

• Evidence Cam Image of network extension (Works undertaken)

  Media

What plans did you have on site before excavating?

• Select B4UDigs / Obstruction Plans Underground Plans CPA UFB As-Built (if Available) NetMap Plans

  • B4UDigs / Obstruction Plans
  • Underground Plans
  • CPA
  • UFB As-Built (if Available)
  • NetMap Plans

• Creating new Ribbonet Drop off

  Select Drop added to existing clamshell Drop of created in new location

  • Drop added to existing clamshell
  • Drop of created in new location

• Detailed description of why works are required

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

  Media

• Evidence Cam Image of excavation

  Media

• Evidence Cam Image of network extension (Works undertaken)

  Media

• Installation of New Lateral

  Select Network extension from Pole to boundary Network extension from BDD to boundary Network extension from MH to boundary Network extension from FAT to Pole Network extension from Pole to BDD Other

  • Network extension from Pole to boundary
  • Network extension from BDD to boundary
  • Network extension from MH to boundary
  • Network extension from FAT to Pole
  • Network extension from Pole to BDD
  • Other

• Detailed description of why works are required

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

  Media

• Evidence Cam Image of excavation

  Media

• Evidence Cam Image of network extension (Works undertaken)

  Media

• UFB Network fibre - locate, repair feeder fibre issues

  Select Fibre fault found between Exchange and Fibre fault found between Cabinet and Fibre fault found between FFP and Fibre fault found between FAT and Fibre fault found between OFDC and

  • Fibre fault found between Exchange and
  • Fibre fault found between Cabinet and
  • Fibre fault found between FFP and
  • Fibre fault found between FAT and
  • Fibre fault found between OFDC and

• Fibre fault found between OFDC and

  OFDB and RAT

  OFDC and IFDB

  OFDC and BUDI

  OFDC and Customer

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

  Media

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

  Media

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

  Media

What plans did you have on site before excavating?

• Select B4UDigs / Obstruction Plans Underground Plans CPA UFB As-Built (if Available) NetMap Plans

  • B4UDigs / Obstruction Plans
  • Underground Plans
  • CPA
  • UFB As-Built (if Available)
  • NetMap Plans

• Fibre fault found between FAT and

  FAT and IFDB

  FAT and BUDI

  FAT and Customer

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

  Media

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

  Media

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

  Media

• Fibre fault found between FFP and

  FFP and FAT

  FFP and OFDC

  FFP and IFDB

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

  Media

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

  Media

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

  Media

• Fibre fault found between Cabinet and

  Cabinet and FAT

  Cabinet and ABFAT

  Cabinet and GPX

  Cabinet and Budi

  Cabinet and IFDB

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

  Media

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

  Media

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

  Media

• Fibre fault found between Exchange and

  Exchange and FFP

  Exchange and Cabinet

  Exchange and Customer

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

  Media

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

  Media

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

  Media

• 4.2.6 - UFB Splitter - replace splitter

  Replaced

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

  Media

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

  Media

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

  Media

What plans did you have on site before excavating?

• Select B4UDigs / Obstruction Plans Underground Plans CPA UFB As-Built (if Available) NetMap Plans

  • B4UDigs / Obstruction Plans
  • Underground Plans
  • CPA
  • UFB As-Built (if Available)
  • NetMap Plans

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

  Faulty Jumper in the exchange

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

  Media

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

  Media

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

  Media

What plans did you have on site before excavating?

• Select B4UDigs / Obstruction Plans Underground Plans CPA UFB As-Built (if Available) NetMap Plans

  • B4UDigs / Obstruction Plans
  • Underground Plans
  • CPA
  • UFB As-Built (if Available)
  • NetMap Plans

• Did you have network plans on site before excavating?

  Yes

  No

• Please upload Netmap and UFB Asbuilds used

  Media

• Why have you worked without network plans?

• Faulty Network Type

  Faulty Network, no excavation

  Faulty Network, soft surface

  Faulty Network, hard surface

• Evidence Cam Image of Permanent reinstatement

  Media

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

  Media

• Faulty Network Code

  Select FO3 - Faulty Network, hard surface

  • FO3 - Faulty Network, hard surface

• Number of Technicians on site

  1 Technician

  2 Technicians

  3 Technicians

  4 Technicians

• List the Field Activity Applicable codes (Refer to FNT coded activity list), Once selected add the required quantity into the free text box under each code.

  Select FN-577NGA PROV (Provisioner/Fibre technician) Labour FN-707 Install Fibre Lead-in Through Communal Network to Boundary FN-760 Standard lateral - Excavation FN-760A Standard lateral - No Excavation FN-761 Standard Fibre Lateral – Extra Rate for Additional Tubes (>2tubes) FN-A16 Install PON Splitter (Connectorised) FN-A16A Install PON Splitter (fusion spliced) FN-A16AS Subsequent Install PON Splitter (fusion spliced) FN-A16B PON Splitter Rehoming (same POLT site) FN-A16BS Subsequent PON Splitter Rehoming (same POLT site) FN-A16C PON Splitter Rehoming (different POLT site) FN-A16CS Subsequent PON Splitter Rehoming (different POLT site) FN-A16D PON ONT Rehoming FN-A16DS Subsequent PON ONT Rehoming FN-A16E PON Splitter and Bearer RQ FN-A16ES Subsequent PON Splitter and Bearer RQ FN-A16S Subsequent Install PON Splitter (Connectorised) FN-A17 Fibre Transmission connection FN-A17C Fibre Transmission Relinquishment (RQ) Per bearer per site FN-A17S Subsequent Fibre Transmission connection FN-B22 L2 Traffic Management (Berm) On A L2 Road FN-B22a L2 traffic management - road, on a L2 Road FN-C13.1 Joint 1-way Microduct (1 tube) FN-C13.2 Joint 4-way Microduct (1-4 tubes) FN-C13.3 Joint 7-way Microduct (1-7 tubes) FN-C13.4 Joint 12-way Microduct (1-12 tubes) or 10+1-way (1-11 tubes) FN-C13.5 Joint 12+3-way Microduct (1-15 tubes) FN-C13.6 Joint 26-way Microduct (1-27 tubes) FN-C14.1 Joint Fibre Cable (1-12 Splices) FN-C14.2 Joint Fibre Cable (13-24 Splices) - from 1 to 24 splices but greater than 12 splices FN-C14.3 Joint Fibre Cable (25-48 Splices) - from 1 to 48 splices but greater than 24 splices FN-C14.4 Joint Fibre Cable (49-96 Splices) - from 1 to 96 splices but greater than 48 splices FN-C14.5 Joint Fibre Cable (97-144 Splices) - from 1 to 144 splices but greater than 96 splices FN-C14.6 Joint Fibre Cable (145-216 Splices) - from 1 to 216 splices but greater than 144 splices FN-C14.7 Joint Fibre Cable (217-312 Splices) - from 1 to 312 splices but greater than 216 splices FN-D01a Outside Boundary Trenching Base Rate. Per trench metre FN-G01 Seal & Chip Seal Reinstatement: · footpath (standard up to 40mm) · residential driveway (up to 60mm)· commercial driveways (60mm and over)· roadways (60mm and over). FN-G02 Concrete Reinstatement:· footpath (standard up to 100mm) /·residential driveway (standard up to 150mm). FN-G02a Concrete Reinstatement: - commercial driveway (standard up to 200mm) - roadways (standard 200mm and over). FN-G03 Concrete aggregate (up to 100mm) Reinstatement, includes all aggregate/pebble types. FN-G03a Concrete aggregate (up to 200mm) Reinstatement, includes all aggregate/pebble types. FN-G04 Gravel Reinstatement. FN-G05 Rock (incl Loose Rock & Hard Rock) extra/over for trenching, drilling & thrusting. FN-G05a Rocksaw extra/over for trenching, drilling & thrusting. FN-G06 Gardens & Decorative Areas Reinstatement:· bark· pebbles· other decorative surface covering. FN-G06a Cobbles Reinstatement (where sand or metal base installation is appropriate) FN-G08 Outside Boundary only:Extra depth (per 100mm of depth) for trenching to a maximum of 1.5m depth. FN-I03.1 Install Fibre Access Terminal - Small / Medium MDU FN-I03.2 Install Fibre Access Terminal - Large MDU (48+ DP) FN-I03.3 Install Fibre Access Terminal (FAT) -External FN-I03.4 Install Fibre Access Terminal (FAT) -Aerial FN-I03.5 Install Fibre Access Terminal (FAT) -Feeder joint / BCJ FN-I03.6 Install Fibre Access Terminal (FAT) -In-line Closure FN-MBREAK1 Access known duct break for hauling of cable or ducting (no repair required) FN-MBREAK2 Access unknown duct break OR unknown blocked or damaged FN-R01a Civil Mobilisation - Up to 50m FN-R01b Civil Mobilisation - 51m to 250m FN-R01c Civil Mobilisation - 251m to 500m FN-R01d Civil Mobilisation - 500m to 1000m FN-R01e Reinstatement Mobilisation N-MEWP2 - Mobile Elevated Work Platform FN-E01B Outside Boundary Drilling & Thrusting - 110mm FN-E01A Outside Boundary Drilling & Thrusting - up to 63mm FN-N01 Network Extension -Excavation with Soft Surface Reinstatement FN-N02 Network Extension -Excavation with Hard Surface Reinstatement

  • FN-577NGA PROV (Provisioner/Fibre technician) Labour
  • FN-707 Install Fibre Lead-in Through Communal Network to Boundary
  • FN-760 Standard lateral - Excavation
  • FN-760A Standard lateral - No Excavation
  • FN-761 Standard Fibre Lateral – Extra Rate for Additional Tubes (>2tubes)
  • FN-A16 Install PON Splitter (Connectorised)
  • FN-A16A Install PON Splitter (fusion spliced)
  • FN-A16AS Subsequent Install PON Splitter (fusion spliced)
  • FN-A16B PON Splitter Rehoming (same POLT site)
  • FN-A16BS Subsequent PON Splitter Rehoming (same POLT site)
  • FN-A16C PON Splitter Rehoming (different POLT site)
  • FN-A16CS Subsequent PON Splitter Rehoming (different POLT site)
  • FN-A16D PON ONT Rehoming
  • FN-A16DS Subsequent PON ONT Rehoming
  • FN-A16E PON Splitter and Bearer RQ
  • FN-A16ES Subsequent PON Splitter and Bearer RQ
  • FN-A16S Subsequent Install PON Splitter (Connectorised)
  • FN-A17 Fibre Transmission connection
  • FN-A17C Fibre Transmission Relinquishment (RQ) Per bearer per site
  • FN-A17S Subsequent Fibre Transmission connection
  • FN-B22 L2 Traffic Management (Berm) On A L2 Road
  • FN-B22a L2 traffic management - road, on a L2 Road
  • FN-C13.1 Joint 1-way Microduct (1 tube)
  • FN-C13.2 Joint 4-way Microduct (1-4 tubes)
  • FN-C13.3 Joint 7-way Microduct (1-7 tubes)
  • FN-C13.4 Joint 12-way Microduct (1-12 tubes) or 10+1-way (1-11 tubes)
  • FN-C13.5 Joint 12+3-way Microduct (1-15 tubes)
  • FN-C13.6 Joint 26-way Microduct (1-27 tubes)
  • FN-C14.1 Joint Fibre Cable (1-12 Splices)
  • FN-C14.2 Joint Fibre Cable (13-24 Splices) - from 1 to 24 splices but greater than 12 splices
  • FN-C14.3 Joint Fibre Cable (25-48 Splices) - from 1 to 48 splices but greater than 24 splices
  • FN-C14.4 Joint Fibre Cable (49-96 Splices) - from 1 to 96 splices but greater than 48 splices
  • FN-C14.5 Joint Fibre Cable (97-144 Splices) - from 1 to 144 splices but greater than 96 splices
  • FN-C14.6 Joint Fibre Cable (145-216 Splices) - from 1 to 216 splices but greater than 144 splices
  • FN-C14.7 Joint Fibre Cable (217-312 Splices) - from 1 to 312 splices but greater than 216 splices
  • FN-D01a Outside Boundary Trenching Base Rate. Per trench metre
  • FN-G01 Seal & Chip Seal Reinstatement: · footpath (standard up to 40mm) · residential driveway (up to 60mm)· commercial driveways (60mm and over)· roadways (60mm and over).
  • FN-G02 Concrete Reinstatement:· footpath (standard up to 100mm) /·residential driveway (standard up to 150mm).
  • FN-G02a Concrete Reinstatement: - commercial driveway (standard up to 200mm) - roadways (standard 200mm and over).
  • FN-G03 Concrete aggregate (up to 100mm) Reinstatement, includes all aggregate/pebble types.
  • FN-G03a Concrete aggregate (up to 200mm) Reinstatement, includes all aggregate/pebble types.
  • FN-G04 Gravel Reinstatement.
  • FN-G05 Rock (incl Loose Rock & Hard Rock) extra/over for trenching, drilling & thrusting.
  • FN-G05a Rocksaw extra/over for trenching, drilling & thrusting.
  • FN-G06 Gardens & Decorative Areas Reinstatement:· bark· pebbles· other decorative surface covering.
  • FN-G06a Cobbles Reinstatement (where sand or metal base installation is appropriate)
  • FN-G08 Outside Boundary only:Extra depth (per 100mm of depth) for trenching to a maximum of 1.5m depth.
  • FN-I03.1 Install Fibre Access Terminal - Small / Medium MDU
  • FN-I03.2 Install Fibre Access Terminal - Large MDU (48+ DP)
  • FN-I03.3 Install Fibre Access Terminal (FAT) -External
  • FN-I03.4 Install Fibre Access Terminal (FAT) -Aerial
  • FN-I03.5 Install Fibre Access Terminal (FAT) -Feeder joint / BCJ
  • FN-I03.6 Install Fibre Access Terminal (FAT) -In-line Closure
  • FN-MBREAK1 Access known duct break for hauling of cable or ducting (no repair required)
  • FN-MBREAK2 Access unknown duct break OR unknown blocked or damaged
  • FN-R01a Civil Mobilisation - Up to 50m
  • FN-R01b Civil Mobilisation - 51m to 250m
  • FN-R01c Civil Mobilisation - 251m to 500m
  • FN-R01d Civil Mobilisation - 500m to 1000m
  • FN-R01e Reinstatement Mobilisation
  • N-MEWP2 - Mobile Elevated Work Platform
  • FN-E01B Outside Boundary Drilling & Thrusting - 110mm
  • FN-E01A Outside Boundary Drilling & Thrusting - up to 63mm
  • FN-N01 Network Extension -Excavation with Soft Surface Reinstatement
  • FN-N02 Network Extension -Excavation with Hard Surface Reinstatement

• FN -577 Quantity

• FN-707 Quantity

• FN-760 Quantity

• FN760A Quantity

• FN-761 Quantity

• FN-A16 Quantity

• FN-A16A Quantity

• FN-A16AS Quantity

• FN-A16B Quantity

• FN-A16BS Quantity

• FN-A16C Quantity

• FN-A16CS Quantity

• FN-A16D Quantity

• FN-A16DS Quantity

• FN-A16E Quantity

• FN-A16ES Quantity

• FN-A16S Quantity

• FN-A17 Quantity

• FN-A17C Quantity

• FN-A17S Quantity

• FN-B22 Quantity

• FN-B22a Quantity

• FN-C13.1 Quantity

• FN-C13.2 Quantity

• FN-C13.3 Quantity

• FN-C13.4 Quantity

• FN-C13.5 Quantity

• FN-C13.6 Quantity

• FN-C14.1 Quantity

• FN-C14.2 Quantity

• FN-C14.3 Quantity

• FN-C14.4 Quantity

• FN-C14.5 Quantity

• FN-C14.6 Quantity

• FN-C14.7 Quantity

• FN-DO1a Quantity

• FN-G01 Quantity

• FN-G02 Quantity

• FN-G02a Quantity

• FN-G03 Quantity

• FN-G03a Quantity

• FN-G04 Quantity

• FN-G05 Quantity

• FN-G05a Quantity

• FN-G06 Quantity

• FN-G06a Quantity

• FN-G08 Quantity

• FN-I03.1 Quantity

• FN-I03.2 Quantity

• FN-I03.3 Quantity

• FN-I03.4 Quantity

• FN-I03.5 Quantity

• FN-I03.6 Quantity

• FN-MBREAK1 Quantity

• FN-MBREAK2 Quantity

• FN-MDUCT1 Quantity

• FN-MDUCT2 Quantity

• FN-MDUCT3 Quantity

• FN-R01a Quantity

• FN-R01b Quantity

• FN-R01c Quantity

• FN-R01d Quantity

• FN-R01e Quantity

• N-MEWP2 Quantity

• FN-E01B Quantity

• FN-E01A Quantity

• FN-N01 Quantity

• FN-N02 Quantity

• List the Material applicable codes (refer to FNT coded activity list).

  Select MDUCT1 Supply 20mm Duct glued MDUCT2 Supply 50mm Duct - rubber ring joined MDUCT3 Supply 100mm Duct - rubber ring joined MDUCT4 Supply 32mm Duct subduct MDUCT5 Supply 63mm Duct - continuous MDUCT6 Supply 110mm Duct - continuous MDUCT7 Supply 16mm HDPE Duct (surfaced mounted) MDUCT8 Supply 32mm HDPE Duct (surfaced mounted) MDUCT9 Supply Marley 32mm uPVC Duct (surfaced mounted) MB01B.1 Supply 100mm to 50mm tee

  • MDUCT1 Supply 20mm Duct glued
  • MDUCT2 Supply 50mm Duct - rubber ring joined
  • MDUCT3 Supply 100mm Duct - rubber ring joined
  • MDUCT4 Supply 32mm Duct subduct
  • MDUCT5 Supply 63mm Duct - continuous
  • MDUCT6 Supply 110mm Duct - continuous
  • MDUCT7 Supply 16mm HDPE Duct (surfaced mounted)
  • MDUCT8 Supply 32mm HDPE Duct (surfaced mounted)
  • MDUCT9 Supply Marley 32mm uPVC Duct (surfaced mounted)
  • MB01B.1 Supply 100mm to 50mm tee

• MDUCT1 Quantity

• MDUCT2 Quantity

• MDUCT3 Quantity

• MDUCT4 Quantity

• MDUCT5 Quantity

• MDUCT6 Quantity

• MDUCT7 Quantity

• MDUCT8 Quantity

• MDUCT9 Quantity

• MB01B.1 Quantity

• Breakdown of materials used (Not included at Coded Material List)

• Total cost of materials used (Not Included at Coded Material List)

• Sub Contractor/Equipment Hire invoice if applicable

  Yes

  No

• Please provide cost (mark-up incl.)

• Please upload copy of Invoice

  Media

• List the admin activity as applicable (refer to FNT coded activity list >30min claims require additional approval for why)

  FN-577

• Additional adhoc pre-approval high costs claim. (Please detail what this claim is and attach a copy of pre-approval from your FM)

• FM Approval

  Media

• FM Approval

  Media