Title Page
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Location
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Prepared by
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Conducted on
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Site contact name
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Does the site have an existing Sky dish and service?
- Yes
- No
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Proposed site for new dish location
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Photograph of proposed dish location
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Downlead type to be installed
- Fibre
- RF
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Approximate downlead length in metres
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Describe cable route for downlead
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Photograph proposed downlead route
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Number of men to install downlead
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Approximation of time required to install
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Current distribution type
- Fibre
- RF
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Existing Launch amp location
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Photograph of existing Launch amp and Headend
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Location for new cabinet
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Photograph location new cabinet.
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Is there adequate power provision within 10 mtrs of the new cabinet?
- Yes
- No
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Ask customer to provide adequate power
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Photographs of power positions
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What type and qty of Sky boxes are currently on site? i.e. Sky HD, Sky Mini
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Photograph current Sky boxes/system
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What Sky channels are currently available? i.e. Sky 1, 2 sports etc
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What RF channel No's are used for each channel?
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Is terrestrial TV available?
- Yes
- No
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List RF channel No's for Terrestrial TV in use.
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What TV's are currently on site? Make and model No. Qty.
Sign off
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Customer happy with proposed position of new cabinet?
- Yes
- No
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Customer aware that upon install, existing Sky channels will be temporarily lost until TV's retuned?
- Yes
- No
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Customer agrees to install continuing when date agreed and confirmed?
- Yes
- No
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Customer name
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Customer signature
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Survey completion date and time