Title Page
Site Details
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Date of Inspection:
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Contractor Name
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Please provide an image of the contractor representative on site
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Zoom Fibre Representative
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Please provide an image of the ZF representative
Region
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Suburb
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Cluster
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Block Number/s
Manhole and Joint Inspection
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Manhole Number
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Distance (Meters)
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Number of Fibre Joints
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Are we able to locate the Manhole?
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What is the reason for being unable to locate the Manhole? Provide a detailed description.
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Please Provide the actual location of the Manhole
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Is the Slack Sufficient
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What steps have been taken to Remedy this?
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Is the Fibre work Acceptable?
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Is the Manhole Lock/Pin damaged?
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Is the Manhole damaged?
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Does the 7-way duct need to be trimmed?
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What has been done to rectify this? Provide images please
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Is the Slack bracket broken?
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What has been done to rectify this?
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Does the Manhole required End-Caps, Filla Foam, SM and Housekeeping?
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What has been done to rectify this?
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Does the Manhole require completed Reinstatements / Retaining wall?
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What has been done to rectify this?
Sign-Off's
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FAC Date:
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Submission Date:
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Contractor Sign-Off
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Date
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Company
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Designation
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ZF Representative Sign-Off
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Date
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Company
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Designation
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Witness 1
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Date
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Company
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Designation
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Witness 2
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Date
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Company
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Designation