VM CCNA Survey Tool

• MDU REF:

• Priority:

  Select P1 P2 P3 P4 P5 P minor Converted House

  • P1
  • P2
  • P3
  • P4
  • P5
  • P minor
  • Converted House

• Prepared by

  SCCI

• Conducted on

  Date

• Building Name

• Address

• Post Code

• Floor Count?

• Building Owner/MA?

• Have you completed your site specific Rick Assessment?

  Yes

  No

• Please attach photo

  Media

• Is this a non-intrusive Survey? (No ceiling tiles to be lifted and ONLY VMO2 containment to be inspected)

  Select Yes No

  • Yes
  • No

• Asbestos Register Required?

  Yes

  No

• Total Premise Count?

• Number of Floors?

• Please provide photo

  Media

• Are keys required to gain access to the building and lockbox/DP location/s?

  Yes

  No

• Provide Details of Access Keys

  FB's

  Gerda Keys

  Other

• 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)

  Media

External Build Details

• Is there external VMO2 cabling to the building?

  Yes

  No

• Select the Cabling Type

  RG6

  TX10

  Telco

• Provide Evidence of the selected Cabling Type - (Clipped/Containment/Catenary/Mixed)

  Clipped

  Contained

  Catenary

  Mixed

• How is the cable presented at the Block?

  Upturn

  PIA

  Other

• Do you require access to the roof to survey the Network Equipment/Cabling?

  Yes

  No

• 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)

  Yes

  No

• Are any external VMo2 cable/VMo2 Cable containment/Tray work adequately secured?

  Yes

  No

• Are there access/egress routed affected?

  Yes

  No

• Are there any external VMO2 drop cables running along and/or above walkways and enter into properties? (All entry holes into premises need to be inspected to ensure they are adequately filled)

  Yes

  No

• For VMo2 Cabling entering the building, is the hole adequately fire sealed?

  Yes

  No

• Is there an Integrated Reception System [IRS] in this building that is compatible for VMO2 upgrade/use?

  Yes

  No

• Yes

  No

  N/A

• Is there internal VM02 cabling to the building?

  Yes

  No

• How does the network cable enter the building?

  Upturn

  PIA

  Other

• Is the Internal UG Duct adequately sealed? (I.E Gas Sealed)

  Yes

  No

• 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)

  Good

  Fair

  Poor

  N/A

• Are there any locations where the VMO2 Cabling/Containment is affected?

  Yes

  No

• Where Internal VMO2 cables enter into properties (typically through door frames/walls), has the hole around the cable been adequately filled?

  Yes

  No

• Where VMO2 cables pass through a floor, has the hole around the cable been adequately filled? (No cracks, holes or missing sections in filling)

  Yes

  No

• Are there cables passing through the floors that are used by VMO2, or shared with other providers?

  Yes

  No

• 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)

  Yes

  No

• Where are the Cabinet/s located?

• What condition is the cabinet in?

  Good

  Fair

  Poor

  N/A

• Attach Building Schematic (photo of Building layout)

  Media

• Rate the priority of remedial work required for this building

  Select P1 P2 P3 P4 P5 P minor Converted House

  • P1
  • P2
  • P3
  • P4
  • P5
  • P minor
  • Converted House

• Provide Detail of the works required.

• Please provide any access arrangements required.

• 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?

  Yes

  No