Title Page
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MDU REF:
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Priority:
- P1
- P2
- P3
- P4
- P5
- P minor
- Converted House
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Is this small works?
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Prepared by
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Conducted on
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Building Name
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Address
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Post Code
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Floor Count?
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Building Owner/MA?
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Have you completed your site specific Rick Assessment?
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Please attach photo
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Is this a non-intrusive Survey? (No ceiling tiles to be lifted and ONLY VMO2 containment to be inspected)
- Yes
- No
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Asbestos Register Required?
General Building Information
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Total Premise Count?
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Number of Floors?
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Please provide photo
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Are keys required to gain access to the building and lockbox/DP location/s?
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Provide Details of Access Keys
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Provide Photo Evidence of the Block showing the name plaque, the Street Name Sign and the block in the background, and the Estate Map (If applicable)
External Build Details
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Is there external VMO2 cabling to the building?
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Select the Cabling Type
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Provide Evidence of the selected Cabling Type - (Clipped/Containment/Catenary/Mixed)
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How is the cable presented at the Block?
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Do you require access to the roof to survey the Network Equipment/Cabling?
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Is it safe to access the roof? (IE by approved VMo2 methods - fixed stair case only and the roof has edge protection / Guardrails / Parapet Walls of the correct height)
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Are the external VMo2 cable/VMo2 Cable containment/Tray work adequately secured?
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Are there access/egress routed affected?
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Are the point of entry holes sealed, where external VMO2 drop cables run along and/or above walkways and enter into properties? (All entry holes into premises need to be inspected to ensure they are adequately filled)
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For VMo2 Cabling entering the building, is the external hole adequately fire sealed?
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Is there an Integrated Reception System [IRS] in this building that is compatible for VMO2 upgrade/use?
Internal Building Details
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Is there internal VM02 cabling to the building?
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How does the network cable enter the building?
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Is the Internal UG Duct adequately sealed? (I.E Gas Sealed)
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Are the Internal VMO2 Cables/ Internal VMO2 Trunking in the Access/Egress Routes throughout the building adequately supported? (I.E by plastic cable clips/cable ties)
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Are there any locations where the VMO2 Cabling/Containment is affected?
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Where Internal VMO2 cables enter into properties (typically through door frames/walls), has the hole around the cable been adequately filled?
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Where VMO2 cables pass through a floor, has the hole around the cable been adequately filled? (No cracks, holes or missing sections in filling)
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Are there cables passing through the floors that are used by VMO2, or shared with other providers?
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Is there evidence that there has been any unauthorised works on the Internal VMO2 cabling? (3rd party cabling inside VMO2 trunking, damaged by 3rd party installations)
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Where are the Cabinet/s located?
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What condition is the cabinet in?
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Attach Building Schematic (Show photos of building layout)
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Rate the priority of remedial work required for this building
- P1
- P2
- P3
- P4
- P5
- P minor
- Converted House
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Provide Detail of the works required.
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Please provide any access arrangements required.
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Have you seen any Non-Virgin Media related Health and Safety advisories that should be reported to the building owner under a duty of care?
SOR
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Does this site require works?
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Are these minor works?
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Labour rate 1 Man
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Labour rate 2 Man
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Labour rate abseilors - per day
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Abseil RAMS - per site.
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Install rubber matt edge protection - per site
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Access equipment Cherry picker or scaffolding (quote required)
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Replace tray (per metre)
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Provide blocks for cable tray (big Feet)
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Replace cat wire (per meter)
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Provide metal trunking (size, length)
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Provide PVC trunking (size, length)
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Replace External cab ( X-Small - Small - Mid - Large)
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Replace internal cab ( Small - Mid - Large)
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Replace taps in cab, state values (11db, 14db, 17db, 23db)
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Replace Krone Strips - State quantities & colour
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Replace Krone strip bracket
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Replace OMNI boxes - State colour & quantities.
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Telco Jumper Wire - Blue/Yellow
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Install T duct seal - 60mm/100mm
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