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 and time of damage:
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2. Reason we became aware of the damage (Clients Downtime/NOC alert/Influx of cases etc.)
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3. Number of services affected: (Acquired off AEx)
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4. Number of ISPs are affected: (Acquired off AEx)
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5. NOC Report:
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5.1. 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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6. Pin Location of damages:
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7. Actual location of damage (Specify Street name/s (and property number/s where possible))
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8. Provide a diagram of affected network: (AsBuild snapshot clearly identifying the affected network)
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9. Type of Cable:
- FC
- LC
- DC
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9.1. Size of cable: (Provide Images of the cable)
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10. What is the extent of the damage?
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11. Structured details of damage on site: (Provide extensive detail of the damage)
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11.1. Provide footage of the site and damages:
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12. Uploaded witness statements from neighbors, bystanders and/or third parties?
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12.1 Provide copies of witness statements: (A clear picture will suffice)
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13.1. Reason for not obtaining witness statements:
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13. Has a SAPS case been opened?
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13.1. Provide SAPS CAS number and details of investigating officer:
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14.1. Reason for not opening a case with the SAPS:
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14. 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:
