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Wiring Guidelines for Warm Home- Single Family Dwellings Version V3.0WH
9. Appendix A: Sample Test Summary Report
Home Network Certification – Verification Check Sheet and Install Record
Installation date: ___
/__ / Crew: __________________
Service contact Ph.: (____) __
_______________
Installation #:
Development Name:
Address:
Lot/Block:
City:
Province : Postal Code:
Installer Company Name:
Address:
City:
Prov: Post Code:
Phone:
Email:
Example is shown on first line with number of drops per cable type.
Note C3 = category 3 C5= category 5 C5e= category 5e C6 = category 6
Test – V = Verified for continuity, wiremap, and length, C = Certified to cabling performance specified per the ANSI/TIA/EIA-570-A Standard
Outlet / Drop
Voice Data Coax Other / Note
Location
C3
C5
C5e
C6
Test
C3
C5
C5e
C6
Test
RG-6
RG-11
Test
Example: MBR01
1 V 1 C
primary TELUS outlet
TELUS Communications Inc. (c) 2006-9-22 Page 25