CFH Fibre and integrity testing

• Site conducted

  Select

• 

• OHSF-PR-08-06 Version 1 Revision 1 Dated 21/01/2021
  

• Conducted on

  Date

• (Format:- City - Job Pack / PN Number) E.g Aberdeen S12345 Always insert City name and Job Pack / PN number if known

• Team Leader/ Team name

• CityFibre Holdings Ltd, 15 Bedford St, London, WC2E 9HE

• Location
  Address

• Prepared by

• Who is the principle contractor?

  Select

• What is the name of the principle contractor?

• Please send an email to iAuditor.support@cityfibre.com detailing the contractor name and city.

• If unknown/other have you sent an email to iAuditor.support@cityfibre.com?

  Yes

  No

• Existing team or new team?

  Existing Team

  New Team

• Please answer the following 3 questions based on your dynamic risk assessment on arrival at the site. If you answer 'No' to any of the following questions please explain this in the free text field which appears with a 'No' answer, take the appropriate action and, when safe to do so, continue the audit.

• Is it safe for you to conduct this audit?

  Yes

  No

• Please explain why and what action you have taken as a result.

• Is it safe for the construction workers to continue work?

  Yes

  No

• Please explain why and what action you have taken as a result.

• Is it safe for members of the public, in the areas surrounding the site, that they are able to access?

  Yes

  No

• Please explain why and what action you have taken as a result.

• What type of audit/ Inspection are you conducting today

  Select Drop Tube integrity Testing Splice Joint Internal Install Cable Pulling Cabling Walkoff FEx Post Build UG Straight Joint UG Primary Node Loop Joint Maintenance Loop Intermediate Chamber Secondary Node Hybrid Primary Node

  • Drop Tube integrity Testing
  • Splice Joint
  • Internal Install
  • Cable Pulling
  • Cabling Walkoff
  • FEx Post Build
  • UG Straight Joint
  • UG Primary Node
  • Loop Joint
  • Maintenance Loop
  • Intermediate Chamber
  • Secondary Node
  • Hybrid Primary Node

• Has Subduct been installed on incoming side?

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has incoming cable been installed?

  Yes

  No

  N/A

• Cable size?

  Select 12 24 48 72 96 144 288 432

  • 12
  • 24
  • 48
  • 72
  • 96
  • 144
  • 288
  • 432

• Has correct Subduct been installed for Cable size?

  Yes

  No

  N/A

• Has incoming cable been labelled correctly?

  Yes

  No

  N/A

• Has sufficient cable been left to allow for safe jointing practices?

  Yes

  No

  N/A

• Has Subduct been installed on outgoing side?

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has outgoing cable been installed?

  Yes

  No

  N/A

• Cable size?

  Select 12 24 48 72 96 144 288 432

  • 12
  • 24
  • 48
  • 72
  • 96
  • 144
  • 288
  • 432

• Has correct Subduct been installed for Cable size?

  Yes

  No

  N/A

• Has outgoing cable been labelled correctly?

  Yes

  No

  N/A

• Has sufficient cable been left to allow for safe jointing practices?

  Yes

  No

  N/A

• Has cable been left neatly coiled?

  Yes

  No

  N/A

• Is Cable bend radius ok?

  Yes

  No

  N/A

• Please provide a photo

  Media

• Is there any visible damage that may compromise the integrity of the cable?

  YES

  NO

  N/A

Additional Sub duct/Cable

• Are there any additional subducts?

  Yes

  No

  N/A

• Are all additional subducts correctly capped?

  Yes

  No

  N/A
If additional cables have been installed:

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has sufficient cable been left to allow for safe jointing practices?

  Yes

  No

  N/A

• Is the Asbestos register available and up-to-date?

  Yes

  No

  N/A

• Duct entry point – Is the gas seal fitted?

  Yes

  No

  N/A

• Photograph required

  Media

• Drill hole – Has Fire sealant been used?

  Yes

  No

  N/A

• Photograph required

  Media

• Have holes been drilled correctly with no damage to the surrounding area?

  Yes

  No

  N/A

• Correct cable used i.e. CPR rated LSZH for internal use.

  Yes

  No

  N/A

• Has dust & debris been cleaned up from area?

  Yes

  No

  N/A

• If Breakout Box fitted is it the correct IP rating?

  Yes

  No

  N/A

• Is cable in correct trunking as shown in job pack, both external & internal?

  Yes

  No

  N/A

• Please comment

• Is cable routed as shown in job pack & on wayleave?

  Yes

  No

  N/A

• please comment

• Is tray in the correct position in cabinet as shown in job pack?

  Yes

  No

  N/A

• Has the cable tray been correctly ID’d?

  Yes

  No

  N/A

• Are the ports clear & easily accessible

  Yes

  No

  N/A

• Are the ort protectors in correctly fitted in the ports.

  Yes

  No

  N/A

• Are all sharps & debris removed from the works area & hoovered?

  Yes

  No

  N/A

• Please provide a photo

  Media

• Additional Comments

Cable Pulling Process

• Has correct Subduct been installed for cable size?

  Yes

  No

  N/A

• Has Subduct been coupled through correctly and in accordance with the specification?

  Yes

  No

  N/A

• Has the back rope been installed?

  Yes

  No

  N/A

• Are the cables, tubes, sub-ducts correctly labelled?

  Yes

  No

  N/A

• Is the appropriate/ specified cable being installed?

  Yes

  No

  N/A

• What is the cable size?

  Select 12 24 36 36(overhead) 48 72 96 144 288 432 Other

  • 12
  • 24
  • 36
  • 36(overhead)
  • 48
  • 72
  • 96
  • 144
  • 288
  • 432
  • Other

• Has sufficient cable been left in accordance with the build plan?

  Yes

  No

  N/A

• Are all cable ties cut flush with no sharp edges?

  Yes

  No

  N/A

• Has the cable been left neatly coiled and where applicable attached to bearers?

  Yes

  No

  N/A

• Is there any visible damage that may compromise the integrity of the cable?

  Yes

  No

  N/A

• Photograph required

  Media

• Please refer to the Quality Procedure Manual here - https://cityfibreholdings.sharepoint.com/:b:/r/IMS/QMS/Shared%20Documents/Build%20Assurance/QMSF-PR-08-08-05-02%20Drop%20tube%20witness%20check.pdf?csf=1&web=1&e=XC07bJ

Equipment check list

• Air compressor capable of achieving 7 - 15 bar pressure

  Yes

  No

• IS the calibration and Inspection within date?

  Yes

  No

• Photograph required

  Media

• Air pressure gauge / air flow meter

  Yes

  No

• Air test tool

  Yes

  No

• Approved end caps

  Yes

  No

• Approved indicator caps

  Yes

  No

• Approved couplers

  Yes

  No

• Length of micro duct for connecting flexi hose

  Yes

  No

• Correct size sponges available

  Yes

  No

• Correct size calibration darts available

  Yes

  No

• Sponge / dart catcher on site

  Yes

  No

• Correct tube cutters

  Yes

  No

• Correct deburring tool

  Yes

  No

Testing Stage

• How many customer tubes are present within the cabinet

Check one
• Record House number/name and street/road
  Address

• Was the pressure integrity test compliant

  Yes

  No

• Was the sponge test compliant

  Yes

  No

• Was the calibration dart test compliant

  Yes

  No

This Audit template is to be used for Cabling Sign off during final walkthrough

• Is there any Plant, Tools and equipment left on-site?

  YES

  NO

  N/A

• Photograph required

  Media

• Please contact the contractor to get this removed

• Confirm that you are conducting a Cabling Audit?

  Civils

  Cabling

• FEx Site

  Yes

  No

  N/A

• FEx ODF Designation?

• ODF Presentation Correct

  Yes

  No

  N/A

• Are all ODF Ports Labelled Correctly?

  Yes

  No

  N/A

• Are all Incoming and Outgoing Fibre's Labelled?

  Yes

  No

  N/A

• Are Dust Covers Fitted on all unused ports?

  Yes

  No

  N/A

• General Quality at ODF?

  Yes

  No

  N/A

Primary Node

• Primary Node

  Yes

  No

  N/A
• Primary Node Location?
  Address

• Is cabinet stenciled?

  Yes

  No

• Has resin been installed in cab base?

  Yes

  No

• Trunk Fibre Label (East / West)

  Yes

  No

  N/A

• Are all gas seals installed correctly?

  Yes

  No

• Are Dust Covers Fitted on all unused ports?

  Yes

  No

  N/A

• Are end caps fitted on unused tubes?

  Yes

  No

  N/A

• Outgoing Fibre labelled?

  Yes

  No

  N/A

• General Quality of Node?

  Acceptable

  Not Acceptable

  Not Applicable

• Fibre Bend Radius OK

  Yes

  No

  N/A
Secondary Node

• Secondary Node

  Yes

  No

  N/A
• Secondary Node Location?
  Address

• Is cabinet stenciled?

  Yes

  No

• Has resin been installed in cab base?

  Yes

  No

• Are all gas seals installed correctly?

  Yes

  No

• Node Presentation Correct

  Yes

  No

  N/A

• Are Dust Covers Fitted on all unused ports?

  Yes

  No

  N/A

• Are end caps fitted on unused tubes?

  Yes

  No

  N/A

• Incoming Fibre's Labelled?

  Yes

  No

  N/A

• Customer Fibres Labelled?

  Yes

  No

  N/A

• Fibre Bend Radius OK

  Yes

  No

  N/A

• IOLM testing conducted on active splitters

  Yes

  No

  N/A

• Remarks

• Has Straight Joint been installed in correct size chamber, as per plan?

  Yes

  No

  N/A

• If no Inform local Civils Manager

• Has sufficient cable been installed into joint to allow safe working on joint?

  Yes

  No

  N/A

• Has feeder Cable (Incoming) Cable been labelled?

  Yes

  No

  N/A

• Has feeder Cable (outgoing) been labelled?

  Yes

  No

  N/A

• Have all outgoing been labelled?

  Yes

  No

  N/A

• Have correct Cablelocks been fitted?

  Yes

  No

  N/A

• Have all cables been stripped back correctly?

  Yes

  No

  N/A

• Has strength member been cut to correct size? 150mm

  Yes

  No

  N/A

• Has Strength Member been secured correctly?

  Yes

  No

  N/A

• Has correct Tube (Element) been installed?

  Yes

  No

  N/A

• Have all spare Tubes (Elements) been stored correctly in the fibre basket?

  Yes

  No

  N/A

• Has Fibre been routed to the trays through fibre management correctly?

  Yes

  No

  N/A

• Has Tube (Element) protector been used between strength member?

  Yes

  No

  N/A

• Have the fibre slot retaining blocks been fitted?

  Yes

  No

  N/A

• Has the Tube (element) been stripped correctly?

  Yes

  No

  N/A

• Have the Feeder Tubes (Elements) been routed to correct Feeder Trays?

  Yes

  No

  N/A

• Have the Tubes (Elements) been routed to correct trays?

  Yes

  No

  N/A

• Have all splice protectors been position in the splice bridges correctly?

  Yes

  No

  N/A

• Have Trays been Labelled?

  Yes

  No

  N/A

• Has Primary Node been Positioned in correct location?

  Yes

  No

  N/A

• Has Primary Node been installed in correct size chamber, as per plan?

  Yes

  No

  N/A

• If no inform local Civils manager

• Has sufficient cable been installed into joint to allow safe working on joint?

  Yes

  No

  N/A

• Has Incoming Cable been labelled?

  Yes

  No

  N/A

• Has outgoing been labelled?

  Yes

  No

  N/A

• Have correct Cablelocks been fitted?

  Yes

  No

  N/A

• Have all cables been stripped back correctly?

  Yes

  No

  N/A

• Has strength member been cut to correct size? 150mm

  Yes

  No

  N/A

• Has Strength Member been secured correctly?

  Yes

  No

  N/A

• Has correct Tube (Element) been installed?

  Yes

  No

  N/A

• Have all spare Tubes (Elements) been stored correctly in the fibre basket?

  Yes

  No

  N/A

• Has Fibre been routed to the trays through fibre management correctly?

  Yes

  No

  N/A

• Has Tube (Element) protector been used between strength member?

  Yes

  No

  N/A

• Have the fibre slot retaining blocks been fitted?

  Yes

  No

  N/A

• Has the Tube (element) been stripped correctly?

  Yes

  No

  N/A

• Have the Feeder Tubes (Elements) been routed to correct Feeder Trays?

  Yes

  No

  N/A

• Have the Tubes (Elements) been routed to correct distribution trays?

  Yes

  No

  N/A

• Have all splice protectors been position in the splice bridges correctly?

  Yes

  No

  N/A

• Have Trays been Labelled?

  Yes

  No

  N/A

• Is Optical Fibre Testing equipment in use?

  Yes

  No

• Is testing equipment fit for purpose and within approved calibration date?

  Yes

  No

• What Type of Sign off are you completing?

  Select FEx PN & SN Cabling Civils

  • FEx
  • PN & SN
  • Cabling
  • Civils

• Are duct entries secure?

  Yes

  No

  N/A

• Have Duct Seals been Fitted?

  Yes

  No

  N/A

• Has cable been routed correctly?

  Yes

  No

  N/A

• If LSZH unavailable has steel copex been used?

  Yes

  No

  N/A

• Have cables been secured correctly (Cable ties cut flush)?

  Yes

  No

  N/A

• Are cables labelled at the duct entry to the FEx?

  Yes

  No

  N/A

ODF Presentation Correct

• Are cables labelled at the ODF?

  Yes

  No

  N/A

• Are cables secured in cable break out box correctly?

  Yes

  No

  N/A

• Have fibre elements been routed through correct numbered tubes to cassettes?

  Yes

  No

  N/A

• Have all test leads been left tidily?

  Yes

  No

  N/A

• Is the transport tube secured correctly in the tray and at the restraint?

  Yes

  No

  N/A

• Are Fibre elements laid out in correct trays?

  Yes

  No

  N/A

• Fibre Bend Radius OK?

  Yes

  No

  N/A

• Have Cassettes been labelled correctly?

  Yes

  No

  N/A

• Has all Fibre waste been removed from site?

  Yes

  No

  N/A

• Have the ODF doors been left secure?

  Yes

  No

  N/A

• Have contractors closed down work order through the NOC?

  Yes

  No

  N/A

Meet Me Chambers

• Has the joint been secured correctly to the bearer?

  Yes

  No

  N/A

• Has the cable been coiled and secured?

  Yes

  No

  N/A

• Cable bend radius ok?

  Yes

  No

  N/A

• Has subduct been installed correctly?

  Yes

  No

  N/A

• Has enough cable been left to allow for safe jointing practices?

  Yes

  No

  N/A

• Has the ring cable been labelled correctly?

  Yes

  No

  N/A

• Has the ODF – Joint cable been labelled correctly?

  Yes

  No

  N/A

• Have the cables been installed into the joint using correct size cable locks?

  Yes

  No

  N/A

• Has the Cable strength member been secured correctly?

  Yes

  No

  N/A

• Have the cables been stripped correctly?

  Yes

  No

  N/A

• Has the element been stripped correctly?

  Yes

  No

  N/A

• Has the fibre been routed to the tray correctly?

  Yes

  No

  N/A

• Has the fibre been laid out in the tray correctly?

  Yes

  No

  N/A

• Fibre Bend Radius ok?

  Yes

  No

  N/A

• Have the splices been position and secured within the tray correctly?

  Yes

  No

  N/A

• Have the trays been labelled?

  Yes

  No

  N/A

• Have all ports been tested for cleanliness?

  Yes

  No

  N/A

• Is Optical Fibre Testing equipment in use?

  Yes

  No

• Is testing equipment fit for purpose and within approved calibration date?

  Yes

  No

• Has Subduct been installed on incoming side?

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has Cable been installed?

  Yes

  No

  N/A

• Cable size?

  Select 12 24 48 72 96 144 288 432

  • 12
  • 24
  • 48
  • 72
  • 96
  • 144
  • 288
  • 432

• Has correct Subduct been installed for Cable size?

  Yes

  No

  N/A

• Has cable been labelled correctly?

  Yes

  No

  N/A

• Has sufficient cable been left as per build plan

  Yes

  No

  N/A

• Has Subduct been installed on outgoing side?

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has the cable been left neatly coiled and where applicable attached to bearers?

  Yes

  No

  N/A

• Is there any visible damage that may compromise the integrity of the cable?

  YES

  NO

  N/A

Additional sub duct/ cable

• Are there any additional subducts?

  Yes

  No

  N/A

• Are all additional subducts correctly capped?

  Yes

  No

  N/A

• If additional cables have been installed:

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has sufficient cable been left to allow for safe jointing practices?

  Yes

  No

  N/A

• Has Subduct been installed on incoming side?

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has Cable been installed?

  Yes

  No

  N/A

• Cable size?

  Select 12 24 48 72 96 144 288 432

  • 12
  • 24
  • 48
  • 72
  • 96
  • 144
  • 288
  • 432

• Has correct Subduct been installed for Cable size?

  Yes

  No

  N/A

• Has cable been labelled correctly?

  Yes

  No

  N/A

• Has sufficient cable been left as per build plan

  Yes

  No

  N/A

• Has Subduct been installed on outgoing side?

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has the cable been left neatly coiled and where applicable attached to bearers?

  Yes

  No

  N/A

• Is there any visible damage that may compromise the integrity of the cable?

  Yes

  No

  N/A

Additional sub duct/ cable

• Are there any additional subducts?

  Yes

  No

  N/A

• Are all additional subducts correctly capped?

  Yes

  No

  N/A

• If additional cables have been installed:

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has sufficient cable been left to allow for safe jointing practices?

  Yes

  No

  N/A

• Has chamber been cabled straight through?

  Yes

  No

  N/A

• Has connector used, has subduct been joined correctly

  Yes

  No

  N/A

• Has subduct been labelled correctly

  Yes

  No

  N/A

• Is there any visible damage that may compromise the integrity of the cable?

  Yes

  No

  N/A

Additional Sub duct/ cable

• Are there any additional subducts?

  Yes

  No

  N/A

• Are all additional subducts correctly capped?

  Yes

  No

  N/A

• If additional cables have been installed:

  Yes

  No

  N/A

• Has Subduct been cut to 1/3 of the length/width of chamber?

  Yes

  No

  N/A

• Has sufficient cable been left to allow for safe jointing practices?

  Yes

  No

  N/A

• What is the status of work?

  Post Build

Post Build SN Check

• PN Number

Secondary Node

• SN Number

• SN Location
  Address

• Has the cabinet been installed as per civils specification?

  Yes

  No

  N/A

• Is the cabinet damaged or scratched?

  YES

  NO

  N/A

• Has the cabinet top been fitted correctly?

  Yes

  No

  N/A

• Have the bolts been fitted and tightened correctly?

  Yes

  No

  N/A

• Has sealant tape been installed between the base and cabinet top?

  Yes

  No

  N/A

• Is the cabinet ID visible/stencilled?

  Yes

  No

  N/A

• Has the cabinet base been resin sealed?

  Yes

  No

  N/A

• Is the cabinet base free of water/Sand

  Yes

  No

  N/A

• Is the cab secure? Have the locking bars been fitted correctly?

  Yes

  No

  N/A

• Has the door seal been fitted?

  Yes

  No

  N/A

• Has the reinstatement around the cabinet base been completed?

  Yes

  No

  N/A

• Are all cables labelled correctly?

  Yes

  No

  N/A

• Has velcro Been used to secure all spare fibre elements?

  Yes

  No

  N/A

• Has sub duct been installed?

  Yes

  No

  N/A

• Have the 7/3.5mm drops to customer been capped?

  Yes

  No

  N/A

• Have the 20/16 & 14/10 subducts been capped?

  Yes

  No

  N/A

• Have the 20/16 &14/10 subducts been cut to length?

  Yes

  No

  N/A

• Have all 7/3.5mm been cut to correct length?

  Yes

  No

  N/A

• Have all 7/3.5mm drops been secured correctly?

  Yes

  No

  N/A

• Have all drop tubes connectors been installed?

  Yes

  No

  N/A

• Are all cables in the correct duct?

  Yes

  No

  N/A

• Are all fibres correctly laid out in splice trays?

  Yes

  No

  N/A

• Have the 110 ducts been cut to the correct height?

  Yes

  No

  N/A

• Are all plugs in splitter ports?

  Yes

  No

  N/A

• Has the backboard been installed correctly?

  Yes

  No

  N/A

• Have all ports been inspected for cleanliness?

  Yes

  No

  N/A

• Have all CMAX and PDF files been uploaded to Sharepoint or Testflow?

  Yes

  No

  N/A

• Have all available splitters been Tested using IOLM?

  Yes

  No

  N/A

• Have all iOLM and PDF files been uploaded to Sharepoint/ Testflow?

  Yes

  No

  N/A

• Have the contractors provided a summary sheet of all testing for the Secondary Node?

  Yes

  No

  N/A

• Is Optical Fibre Testing equipment in use?

  Yes

  No

• Is testing equipment fit for purpose and within approved calibration date?

  Yes

  No

Additional Subduct

• Are there any additional subducts?

  Yes

  No

  N/A

• Are all additional subducts correctly capped?

  Yes

  No

  N/A

• Are all additional Subducts capped

  Yes

  No

  N/A

• Is there any visible damage that may compromise the integrity of the Subduct?

  YES

  NO

  N/A

Post Build PN Check

• PN Number

• PN Location
  Address

• Has the cabinet been installed as per civils specification?

  Yes

  No

  N/A

• Is the cabinet damaged or scratched?

  YES

  NO

  N/A

• Has the cabinet top been fitted correctly?

  Yes

  No

  N/A

• Have the bolts been fitted and tightened correctly?

  Yes

  No

  N/A

• Has sealant tape been installed between the base and cabinet top?

  Yes

  No

  N/A

• Is the cabinet ID visible/stencilled?

  Yes

  No

  N/A

• Has the cabinet base been resin sealed?

  Yes

  No

  N/A

• Is the cabinet base free of water/Sand

  Yes

  No

  N/A

• Is the cab secure? Have the locking bars been fitted correctly?

  Yes

  No

  N/A

• Has the door seal been fitted?

  Yes

  No

  N/A

• Has the reinstatement around the cabinet base been completed?

  Yes

  No

  N/A

• Are all cables labelled correctly?

  Yes

  No

  N/A

• Has velcro Been used to secure all spare fibre elements?

  Yes

  No

  N/A

• Has sub duct been installed?

  Yes

  No

  N/A

• Have the 7/3.5mm drops to customer been capped?

  Yes

  No

  N/A

• Have the 20/16 & 14/10 subducts been capped?

  Yes

  No

  N/A

• Have the 20/16 &14/10 subducts been cut to length?

  Yes

  No

  N/A

• Have all 7/3.5mm been cut to correct length?

  Yes

  No

  N/A

• Have all 7/3.5mm drops been secured correctly?

  Yes

  No

  N/A

• Have all drop tubes connectors been installed?

  Yes

  No

  N/A

• Are all cables in the correct duct?

  Yes

  No

  N/A

• Are all fibres correctly laid out in splice trays?

  Yes

  No

  N/A

• Have the 110 ducts been cut to the correct height?

  Yes

  No

  N/A

• Are all plugs in splitter ports?

  Yes

  No

  N/A

• Has the backboard been installed correctly?

  Yes

  No

  N/A

• Have all ports been inspected for cleanliness?

  Yes

  No

  N/A

• Have all CMAX and PDF files been uploaded to Sharepoint or Testflow?

  Yes

  No

  N/A

• Have all available splitters been Tested using IOLM?

  Yes

  No

  N/A

• Have all iOLM and PDF files been uploaded to Sharepoint/ Testflow?

  Yes

  No

  N/A

• Have the contractors provided a summary sheet of all testing for the Secondary Node?

  Yes

  No

  N/A

• Is Optical Fibre Testing equipment in use?

  Yes

  No

• Is testing equipment fit for purpose and within approved calibration date?

  Yes

  No

Additional Subduct

• Are there any additional subducts?

  Yes

  No

  N/A

• Are all additional subducts correctly capped?

  Yes

  No

  N/A

• Are all additional Subducts capped

  Yes

  No

  N/A

• Is there any visible damage that may compromise the integrity of the Subduct?

  YES

  NO

  N/A

• Would you like to highlight any good practice?

  Yes

  No

• Who would you like to highlight?

  Contractor / Gang

  Individual

  Other

• If answer is other, please specify.

• Please name the group / individual you would like to highlight

• Which category best describes the good practice? Categories TBC

  Select

• Please describe the category of the work being recognised.

• Please give a description of the practice you have observed and would like recognised.

• Please provide the name of the Supervisor or Sub-Contractor.

• Please provide the name of the Gang Leader.

• Auditor Signature

  Sign