Fault Repair Report

1 Start 2 Complete

Customer Information

Contact First Name *

Contact Last Name *

Mobile Contact Number *

Account Number *

Ticket Details

Service Type *

Fault Type *

Ticket Name *

Ticket Number *

Ticket Create Date *

Month

Day

Year

Service Information

ONT Serial Number *

ONT FSAN *

ONT Model Number

BBU Serial Number *

Resolution /Technical Details

Service Restored *

Start Time *

Hour

:

Minute

Official Use Only

Exchange Name *

Cabinet ID # *

Splitter # *

Distribution Port # *

NAP/MST # *

NAP/MST Port # *

Power Level at Splitter *

Power Level at NAP

Power Level at Tap Box

Power Level at ONT

Speed test D/U

WiFi Connection

Battery Change *

Connector Change *

Connector Cleaned *

Fibre Drop Change *

Port Cleaned *

Reconfiguration *

Tap Box Change *

User PW Change *

Wi-Fi PW Change *

Voice Calls Incoming *

Voice Calls Outgoing *

Drop Length *

Resolution Code *