Title Page
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Incident Report Number:
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Date and Time Report was compiled:
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Suburb affected:
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Clusters affected:
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MTTR:
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Actual time to diagnose issue:
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RNO/ANO Responsible:
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Line Manager/Exco Member:
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Person/s who reported the damages:
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Date and Time damages were reported:
Details of Damage
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1. Actual date of damage:
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2. Actual time of damage (Time that the network/infrastructure damage occured):
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3. Reason we became aware of the damage (Clients Downtime/NOC alert/Influx of cases etc.)
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4. Number of services affected: (Acquired off AEx)
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5. Number of ISPs are affected: (Acquired off AEx)
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6. NOC Report:
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6.1. Provide a copy of the Active Teams report:
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6.2. Reason for not obtaining the NOC Report from the Active Team:
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7. Pin Location of damages:
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8. Actual location of damage (Specify Street name/s (and property number/s where possible))
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8.1. Actual GPS co-ordinates of damage location/s: (Required to accurately locate position of damages)
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9. Provide a diagram of affected network: (AsBuild snapshot clearly identifying the affected network)
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10. Type of Cable:
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10.1. Size of cable: (Provide Images of the cable)
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11. Cable Label:
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12. What is the extent of the damage?
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12.1. Provide images of the site and damage/s
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13. Structured details of damage on site: (Provide extensive detail of the damage)
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13.1. Provide footage of the site and damages:
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14. Uploaded witness statements from neighbors, bystanders and/or third parties?
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14.1 Provide Copies of witness statements: (A Clear picture will suffice)
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14.2. Reason for not obtaining witness statements:
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15. Has a SAPS case been opened?
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15.1. Provide SAPS CAS number and details of investigating officer:
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15.2. Reason for not opening a Case with the SAPS:
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16. Additional information:
Details of Parties Involved
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Actual time Team arrived on site:
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Who was on site upon arrival? (Contractors / Third Party/ Witnesses)
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Provide images of the above-mentioned Parties on site:
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Contact details and particulars of parties on site: (Provide as much detail as possible)
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Details of party responsible for damages: (Company/Individual name, address, contact details, project manager, subcontractors and contractor details)
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Provide additional information where available (Vehicle details, Images of liable parties and equipment used etc)
Details of Repair
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Scope of Work: (Interim and permanent if applicable)
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Total Cost of Repair: (ZAR)
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Provide copies quotes received:
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Recommendation on mitigating potential further damage:
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Additional information:
