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nbn™ Lift Phones
- nbn™ Lift Phones for in-home residential lifts
- nbn™ Lift Phones for commercial and strata lifts
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Lift Phone Site Survey Form

Building name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Strata plan number

Survey date

Number of lifts

Proposed cabinet location

Measured mobile signal level

in dBm

MIMO antenna required *

No
Yes

MIMO extension cable required

No
Yes

Proposed location of MIMO antenna

Length of extension cable required for MIMO

GPO available

Yes
No

Describe work required to install GPO

Power board required

Yes
No

Long power cable required

Yes
No

Length of power cable required

(in metres)

Describe any other requirements to connect mains power to unit

Close to building telecommunication cabling or lift line circuit

Yes
No

Describe work required to connect kit to lift line circuit

Site accessible without assistance

Yes
No

Site accessibility details

Please note any keys, FOBs or remotes required to access building and kit location.

Details of existing circuit(s)

Lift 1 FNN

Lift 1 jumper pair details

Lift 1 service active

Yes
No

Lift 1 result of test call

Lift 2 FNN

Lift 2 jumper pair details

Lift 2 service active

Yes
No

Lift 2 result of test call

Lift 3 FNN

Lift 3 jumper pair details

Lift 3 service active

Yes
No

Lift 3 result of test call

Lift 4 FNN

Lift 4 jumper pair details

Lift 4 service active

Yes
No

Lift 4 result of test call

Additional notes

Message

08 6118 0555
info@thebroadbandbrokers.com.au
Perth WA