Non-Locatable Scabs
Aex Ref Number
*
Contractor Name
*
Phone
*
Email
*
Address
Street Address
City
State
Country
Country
Postal Code
Technician
*
Day Start
*
Time Start
*
Time End
*
Total Working Hours
*
Technicians Assisting
*
Total Technicians Assisting
Nature Of Fault
Blocked/Damaged/Kinked Duct
If YES
Resolved
Air Leak
If YES
Resolved
3rd Party Damage
If YES
Resolved
Faulty Connection
If YES
Resolved
Incorrect DAP Location
IF YES
Resolved
Water in Duct
IF YES
Resolved
Conduit issue
If YES
Resolved
ARC GIS Issue
IF YES
Resolved
Floating Completed
IF YES
Resolved
Other (Explain)
IF YES
Resolved
Findings & Comments
*
Is A Bore Required?
Distance Of Bore
Feet
Locates Required?
Distance Of Floating
Feet
Blockage repairs photo 1
PNG, JPEG or JPG
Blockage repairs photo 2
JPEG or JPG
Blockage repairs photo 3
PNG, JPEG or JPG
Blockage repairs photo 4
PNG, JPEG or JPG
Blockage repairs photo 5
PNG, JPEG or JPG
Fibre lit (Pon meter reading)
PNG, JPEG or JPG
Fibre Floated (Toby/Nid)
PNG, JPEG or JPG
Civils During
PNG, JPEG or JPG
Civils Before
PNG, JPEG or JPG
Civils After
PNG, JPEG or JPG
Additional photos
PNG, JPEG or JPG ( max 10 Files )
How was the service you received today?
Bad
Good
Customer Signature
Clear
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