Information
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Service order number
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Customer Address
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Prepared by
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Pole Inspection Date
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Date of installation (For dispatch purposes)
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Pole Owner
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Electra - Do not continue unless you have completed the Electra induction. Send completed form to poles@visionstream.co.nz. If inducted then continue install after notifying Electra Control Centre on 0800 800 109 prior to climbing pole.
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Trolley Bus Pole - Send completed form to poles@visionstream.co.nz for approval. Do not complete pole work without CAP.
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Power Co - Do not continue unless you have completed the Power Co induction. Send completed form to poles@visionstream.co.nz for approval. If pole passes personal inspection continue with install.
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Vector - Continue with the work and send the completed form to poles@visionstream.co.nz
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WE Pole - Send completed form to poles@visionstream.co.nz for Consent to utilise pole followed by CAP. Do not climb pole without a valid CAP.
Pole visual inspection for Provisioning services
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Pole type
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Vierendeel pole?
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V1 - Less than 395mm on the wide face. Do not climb this pole, scope for underground solution. V2 - between 395mm and 415mm. Continue with form to apply for use, access will be from EWP only. V3- 6 - Greater than 415mm. Continue with form to apply for use.
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Pole Tagged?
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Special Purpose Pole? (Is it a stub pole, brace pole, or pole with jockey arms)
- Yes > Unsuitable pole
- No
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Accessibility
Assessment for Provisioning services
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Does the pole support electrical conductors crossing elevated motorways, overpasses or navigable waterways?
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Does the pole support electrical conductors crossing limited access motorways, overpasses, waterways or railways?
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Is the pole located inside boundary on a ROW, shared driveway, long driveway or any private land?
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Is the pole, a double or H-frame pole, supporting transformers, switches (air break switch) or supporting spans longer than 100m?
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Is there/will there be Chorus UFB/NGA connection from the top to bottom of the pole?
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Does the pole have multiple aerial cables attached ? (only 3rd Party distribution cables like VF)
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Number of services
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Does the pole have an 11kV or higher electricity underground cable riser attached to the pole or does it have electricity earthing conductors installed?
Testing
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Will testing beyond normal standards (hammer, probe or visual inspection) be required?
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If yes please explain briefly why testing is required
Photos
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Photo of pole showing pole ID
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Photo showing the full pole including the top of the pole
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Photo of full aerial fibre route annotating the ownership of each pole
Location details
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Pole ID
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Pole address
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Pole GPS Co-ordinates