Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Earthwork

  • EA501 - Exposed Trenching - Establishes trench depth, contents (Sand, etc.), Separation to others, grounding

  • EA502 - Boring Pit - Image of conduit extending from boring pit

  • EA503 - Asphalt - Image of the final asphalt product

  • EA504 - Fill - Image of the fill before covering

  • EA505 - Road - Image of constructed road

  • EA506 Sod - Image of sod installed

  • EA507 Seed/Straw - Image of seed/straw installed

  • EA508 Asphalt De-install - Pre asphalt removed

  • EA509 Asphalt De-install - Post-asphalt removed

  • EA510 Gravel De-Install - Pre gravel removed

  • EA511 Gravel De-Install - Post gravel removed

  • EA512 Wall De-install - Pre wall removed

  • EA513 Wall De-install - Post-wall removed

  • EA599 Misc. Earthwork Photo - Captures any photo not captured in the current list

Generator

  • GE501 - Generator - Full View

  • GE502 - Generator Receptacle

  • GE503 - Generator Data Plate - Data Plate of the Generator

  • GE509 - Misc. Generator Photo

Grounding

  • GR501 - Ground Ring - Image of the NSB ground ring before it is buried

  • GR502 - Ground Round - (1) For each installed rod

  • GR503 - Rod Well - (1) For each inspection well. This is from overhead to show it's placement

  • GR504 - Interior Grounds - Image of ground to water main, building steel. Used for interior sites.

  • GR506 - Ground bar-INT master - Mounted master interior ground bar including carflex/seal-tight

  • GR507 - Ground bar - INT non-master - (1) For each mounted nonmaster interior ground bar including carflex/seal-tight

  • GR508 - Groundbar-EXT equipment - Mounted master exterior groundbar (equipment-hatch plate) Including carflex/seal tight

  • GR509 - Ground bar - mid-tower - Mounted ground bar - mid-tower

  • GR510 - Ground bar - ANT - Elevation - Mounted ground bar - antenna elevation

  • GR511 - Interior cabinet - Leads - Image of cabinet ground to lead or master ground bar

  • GR599 - Misc. Grounding - Captures any photo not captured in 298 checklist

Hardware

  • HW501 - SIAD - Image SIAD installed

  • HW502 - CSU/DSU - Image of CSU/DSU

  • HW503 - PSAX- Images PSAX installed

  • HW504 - DSX - Image of DSX installed

  • HW505 - RET Controller - Image of RET Controller installed

  • HW506 - Surgebox - Image of surge box installed

  • HW507 - BBU - Image of base band unit (BBU, LTE) installed

  • HW508 - Dehydrator - Image of dehydrator system installed

  • HW509 - Telco surge - Image of telco surge arrestor installed

  • HW510 - MCPA - (1) For each unit installed

  • HW511 - SCPA - (1) for each unit installed

  • HW512 - RxAIT - (1) for each unit installed - Photo needs to highlight jumper connection

  • HW513 - Hardware Deinstall - Pre - Pre-equipment de-install

  • HW514 - Hardware De-Installed - Post - Post-equipment de-installed

  • HW515 - Low Loss Combiner - Image of Low Loss Combiner 1st Sector and/or Each Additional Sector

  • HW599 - Misc. Hardware Photo - Captures any photo not captured in the current 298 checklist by type

PM Manage

  • ER501 - Equipment Layout - North - Equipment ready paypoint; Directions indoor - Direction is from center of room, Outdoor is toward equipment

  • ER502 - Equipment Layout - East - Equipment ready paypoint; Directions indoor - Direction is from center of room, Outdoor is toward equipment

  • ER503 - Equipment Layout - South - Equipment ready paypoint; Directions indoor - Direction is from center of room, Outdoor is toward equipment

  • ER504 - Equipment Layout - West - Equipment ready paypoint; Directions indoor - Direction is from center of room, Outdoor is toward equipment

  • ER599 - Misc. PM Management Photo - Captures any photo not captured in the current 298 checklist by type

Cabinet

  • CA501 - Cabinet- to Telco - Description is (1) photo for every cabinet installed each project

  • CA502 - Cabinet- to Climate Control - Description is (1) photo for every cabinet installed each project

  • CA503 - Cabinet- to RF Indoor - Description is (1) photo for every cabinet installed each project

  • CA504 - Cabinet- to RF outdoor - Description is (1) photo for every cabinet installed each project

  • CA505 - Cabinet- to DC Cabinet - Description is (1) photo for every cabinet installed each project

  • CA506 - Cabinet De-install - Pre - Description is (1) photo for every cabinet de-installed each project

  • CA507 - Cabinet De-install - Post - Description is (1) photo for every cabinet de-installed each project

  • CA599 - Misc. Cabinet Photo - Captures any photo not captured in the current 298 checklist

Compound

  • CM501 - Regulatory Signage

  • CM502 - H-Frame

  • CM503 - Mounted Cabinet - EG. Hoffman box, etc.

  • CM504 Compound Overview - General compound photos depicting: Fencing, gates, lighting, etc.

  • CM505 - Fence De-install - Pre - Pre-fence removed

  • CM506 - Fence De-install - Post - Post-fence removed

  • CM599 - Misc. Compound Photo - Any photo not captured in the 298 checklist by type

Delivery

  • DL501 Cabinet Delivered - Establishes on site and no physical damage

  • DL502 Sub-cabinet Delivered- Establishes on site and no physical damage

  • DL503 Equipment Delivered- Establishes on site and no physical damage

  • DL504 String Batteries Delivered- Establishes on site and no physical damage

  • DL505 Cabinet Batteries Delivered- Establishes on site and no physical damage

  • DL599 - Misc. Delivery Photo - Captures any photo not captures in the current 298 checklist by type

Power

  • PW501 - AT&T Meter - Image of the AT&T meter at the site clearly showing meter number, etc.

  • PW502 - Cable Tray (Power) - General view of interior shelter cable tray establishing quantity and clean install of power cables

  • PW503 - Power Distribution Panel - Including AC breakers

  • PW504 - Transfer Switch - Power Transfer Switch

  • PW505 - DC Power Plant

  • PW506 - DC Breakers

  • PW507 - DC Rectifiers

  • PW508 - Convertor/Inverter

  • PW509 - Battery Strings - (1) photo for each string

  • PW510 - Power Plant De-install- Pre - Pre-power plant removed

  • PW511 - Power Plant De-install- Post - Post-power plant removed

  • PW512 - Battery String De-install- Pre - Pre-Battery String removed, (1) Photo for each string

  • PW513 - Battery String De-install- Post - Post-Battery String removed, (1) Photo for each string

  • PW514 - Convertor/Rectifier Shelf - Capture Converter/Rectifier Shelf Add

  • PW599 - Misc. Power Photo - Capture any photo not captured in the current 298 checklist by type

Conduit

  • CN501 - Conduit Placement - Establishes conduit size, depth of burial, to/from locations

  • CN502 - Conduit Pull strings - Establishes pull string placed when original did not contain

  • CN599 - Misc. Conduit Photo - Captures any photo not captured in the current 298 checklist

Ice Bridge

  • TW502 - Platform - Full picture of platform; can be used for rooftop 'steel dunnage,' as needed

  • TW506 - Icebridge - Full length of icebridge capturing: trapeeze, grounding, and vertical pipes.

  • TW507 - Icebridge - Grounding Detail - Icebridge pipe grounding detail

  • TW513 - Icebridge De-install - Pre-ice bridge removed

  • TW514 - Icebridge De-install - Post-Icebridge Removed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.