Virgin Media Cable Condition Walk Off - SCCI V1.7

• Site

• Postcode:

• VM Reference

• Completed by:

• Date of completion :

  Date

• 5.1 Summary Section (Please copy from survey)

• Install/re-fix trunking

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Please provide location of works.

• Please provide photos of works

  Media

• Install/re-fix main feed cables

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Please provide location of works.

• Please provide photos of works

  Media

• Install/re-fix sub cables

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Please provide location of works.

• Please provide photos of works

  Media

• Install/re-fix Lockbox/DP

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Please provide location of lock-box works.

• Please provide photos of the lock-box/DP works

  Media

• Install/re-fix cat wires

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Please provide location of the cat wire works.

• Please provide photos of cat wire works.

  Media

• Installation of cable tray and feet

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Please provide location of the cable tray works.

• Please provide photos of the cable tray works.

  Media

• Was Fire Stopping work carried out as part of the agreed instructed works?

  Yes

  No

  N/A

• Materials used where fire stopping remediation has been identified under the CC&NA survey programme are as follows:

  Select Where an external cable hole, up to 50mm, has been fire stopped with instamatic HP manufactured by Firetherm LTD has been use. (Product may slao have been used in internal holes where existing firebreaks have been compromised.). Where an internal cable hole, up to 50mm, has been fire stopped Parasilico manufactured by DL Chemicals has been used. Where large holes/ voids have been sealed with fire stopping material SCCI have completed a FIRS Certificate in line with Company Certificaton Policy. Main cable entry points has been sealed with T.DUX.

  • Where an external cable hole, up to 50mm, has been fire stopped with instamatic HP manufactured by Firetherm LTD has been use. (Product may slao have been used in internal holes where existing firebreaks have been compromised.).
  • Where an internal cable hole, up to 50mm, has been fire stopped Parasilico manufactured by DL Chemicals has been used.
  • Where large holes/ voids have been sealed with fire stopping material SCCI have completed a FIRS Certificate in line with Company Certificaton Policy.
  • Main cable entry points has been sealed with T.DUX.

• Notes

• Fire stopping

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Please provide location of the fire stopping works.

• Please provide photos of the fire stopping works.

  Media

• During the walk-off did you identify any potencial H&S issues unrelated to the Virgin Media works or Networks?

  Yes

  No

• Notes

• I have reviewed the original CCNA survey, SCCI (SOR) Quote and survey feedback and do not belive there to be any outstanding H&S issues in relation to Virgin Media's Network on this building.

• In signing this walk off to the best of my knowledge all works completed are to a satisfactory standard as instructed by Virgin Media.

Sign Off

• Additional Notes / Information

• Name

  Sign

• Completed Sign Off

  Date