Chorus Colocation Pole Assesment - Trial version

• Date audit undertaken

  Date

• Company requesting Connection

  Unison

  UFF

  Vodafone

• Customer order #

• Street address of premise to be provisioned
  Address

• Connection types

  

• Type of connection requested

  Select Overhead to Overhead Underground to Overhead Overhead to underground Overhead to Overhead/Underground

  • Overhead to Overhead
  • Underground to Overhead
  • Overhead to underground
  • Overhead to Overhead/Underground

• First and Last name of person undertaking the audit

Visual inspection

• Location of Pole
  Address

• Where is the pole located

  Berm/Roadside

  Inside property boundary

  Down a Right of Way

  Inside shared driveway

  Down a long driveway

• Pole type

  Softwood

  Hardwood

  Concrete

  Other

• State Pole type if identified above as "Other"

• Is it a special purpose pole?

  No

  Stub pole

  Brace Pole

  Pole with Jockey arms

• Approximate height in metres

• Approximate diameter (in cms)

• Does the pole have a "Caution do not climb" tag on?

  Yes

  No

• Do NOT carry out work on this asset

• Ground restraint

  Concrete

  Grass

  Tarseal

  other

• Chorus pole tag colour

• Chorus tag number

• Power tag number

• Please take adequate photos of existing connections on mast to show clearly all connections

  Media

• Does the pole support spans of more than 100m or street lighting

  Yes

  No

• Number of distribution cables on pole (All cabling)

• Number of copper service drop leads on pole

• Number of existing power service leads

• Number of existing fibre service drop leads

• Can Service separation standards be maintained

  Yes

  No

• Can ground clearance standards be maintained

  Yes

  No

Installation

• Is the proposed installation to be installed in the Telco plane or power plane

  Telecommunications plane

  Power plane

• The minimum qualification is line mechanic

• Has the line mechanic been inducted onto the network by Chorus?

  Yes

  No

• Do NOT carry out work on this asset

• Do ALL people undertaking this work have the required WTC/Qualifications to carry out work on these assets

  Yes

  No

• Do NOT carry out work on this asset

Pole testing

• Are you familiar with Chorus pole testing process

  Yes

  No

• Visual checks

  

• Hammer test

  

• Probe test

  

• Visual Condition of Pole

  Good

  Average

  Poor

• Please take photos of any visible cracks or weaknesses in pole

  Media

• Please take photo showing hammer and probe testing has been undertaken

  Media

• Does the pole pass pole testing

  Yes

  No

• Faulty pole process

  

• Please enter fault job number

• Signature of person who undertook testing

  Sign

Photos

• Please provide photos of The entire pole in relation to nearby boundaries, any additional points of interest relating to the poles use, mark up the provisioning path along the Chorus poles

  Media