Clearvision HSEQ Audit Template V4

• Site Address
  Address

• ROW, SDU, MDU or Other

  ROW

  SDU Civil

  SDU Connect

  MDU

  Other

• What type of work was completed?

• Prepared by

• Conducted on

  Date

• Type of Audit

  Live Audit

  Post Tasks Audit

  Site Support/Training

• Reason for site visit?

  Site Support

  Tech Training

• What work is being completed on site?

  Select Civil Internal OSB work Scope Reinstatement Connection Blowing

  • Civil
  • Internal
  • OSB work
  • Scope
  • Reinstatement
  • Connection
  • Blowing

• Reason for Support?

  Select Technical support Non-Standard Approval Scope Issues Tube Fault Missed connection Customer Resolution Vehicle Issues Allocation Issues Tube Breakout Approval Health and Safety Service Location Other

  • Technical support
  • Non-Standard Approval
  • Scope Issues
  • Tube Fault
  • Missed connection
  • Customer Resolution
  • Vehicle Issues
  • Allocation Issues
  • Tube Breakout Approval
  • Health and Safety
  • Service Location
  • Other

• Scope improvement required?

  Yes

  No

• Please explain other?

• Please explain in details support provided and solution.

• Was Training Required?

  Yes

  No

Technical Training Record

• What type of training was conducted?

  Select Health and Safety Standard Compliance Traffic Management Vehicle Competancy Technical Plant/Equipment Leadership Systems/IT Process/Procedure Field Induction

  • Health and Safety
  • Standard Compliance
  • Traffic Management
  • Vehicle Competancy
  • Technical
  • Plant/Equipment
  • Leadership
  • Systems/IT
  • Process/Procedure
  • Field Induction

• What Health and Safety Training Was Provided

  Select Hazard Id / Risk Assesment Job Start First Aid Understanding Evacuation Planning Fire Extinguisher Fibre Handling Incident Reporting Height Safety Onsite Selecting and using PPE PPE Compliance inspections Safe Blowing Health on site

  • Hazard Id / Risk Assesment
  • Job Start
  • First Aid Understanding
  • Evacuation Planning
  • Fire Extinguisher
  • Fibre Handling
  • Incident Reporting
  • Height Safety Onsite
  • Selecting and using PPE
  • PPE Compliance inspections
  • Safe Blowing
  • Health on site

• Select what PPE training was provided for:

  Select Safety Footwear High Vis Vest/Clothing Long Pants Long Sleeve Shirt Hearing Protection – Ear Muffs Rainwear – Weather Dependent Site Compliant Gloves (task specific type) P2 level Dust Mask Safety Glasses/ Eye Protection (always carried) Hard Hat – Site Compliant Sunhat Dust Coat Nitryl Gloves Disposable Overalls P3 Asbestos Dust Mask Flame Retardant Overalls Waders Fall Restraint Full Face Respirator Fall Arrest Back Support Brace Chaps Face Shield

  • Safety Footwear
  • High Vis Vest/Clothing
  • Long Pants
  • Long Sleeve Shirt
  • Hearing Protection – Ear Muffs
  • Rainwear – Weather Dependent Site Compliant
  • Gloves (task specific type)
  • P2 level Dust Mask
  • Safety Glasses/ Eye Protection (always carried)
  • Hard Hat – Site Compliant
  • Sunhat
  • Dust Coat
  • Nitryl Gloves
  • Disposable Overalls
  • P3 Asbestos Dust Mask
  • Flame Retardant Overalls
  • Waders
  • Fall Restraint
  • Full Face Respirator
  • Fall Arrest
  • Back Support Brace
  • Chaps
  • Face Shield

• Please select Compliance Training Provided?

  Enable Standards

  Building Code

  WAP/NCOP

  Environmental Controls

• Please Select Standards Training was completed on:

  Select IS003 (Enable Networks Limited Standards - General) IS011 (Multiduct Installation Standard) IS017 (Fibre Installation Standards) IS025 (Pedestal Installation Standard) IS033 (Multiduct Jointing Standard) IS034 (Multiduct Breakout Standard) ENOG020 (Webmaps User Guide) ENOP019 Lateral Tube Break-in & Break-out Procedure) IS037 (Service Lead-in Installation Standard) IS038 (Premises (SDU) Installation Standard) IS039 (End-User Connection Scoping Standard) IS041 (Right of Way Distribution Network Installation Standard) IS042 (Ancillary Services Standard) IS045 (Fence-line Lead-in Installation Standard) IS046 (Mini Pedestal Installation Standard) IS057 (End User Fibre Installation Standard)

  • IS003 (Enable Networks Limited Standards - General)
  • IS011 (Multiduct Installation Standard)
  • IS017 (Fibre Installation Standards)
  • IS025 (Pedestal Installation Standard)
  • IS033 (Multiduct Jointing Standard)
  • IS034 (Multiduct Breakout Standard)
  • ENOG020 (Webmaps User Guide)
  • ENOP019 Lateral Tube Break-in & Break-out Procedure)
  • IS037 (Service Lead-in Installation Standard)
  • IS038 (Premises (SDU) Installation Standard)
  • IS039 (End-User Connection Scoping Standard)
  • IS041 (Right of Way Distribution Network Installation Standard)
  • IS042 (Ancillary Services Standard)
  • IS045 (Fence-line Lead-in Installation Standard)
  • IS046 (Mini Pedestal Installation Standard)
  • IS057 (End User Fibre Installation Standard)

• Site setup and compliance to TMP standards.

• Select What was tech shown:

  Select Complete Vehicle Checklist Reversing on site Towing of Trailers Safe Driving Practices Load Securing Security Traffic Management Use of Hose Ramps Maintenance

  • Complete Vehicle Checklist
  • Reversing on site
  • Towing of Trailers
  • Safe Driving Practices
  • Load Securing
  • Security
  • Traffic Management
  • Use of Hose Ramps
  • Maintenance

• Tick the following

• Oil and dipstick

• Water and Radiator condition

• Tyre Pressure including Spare Tyre

• Visibility (e.g. Windscreen/Mirrors)

• Compliance (WOF/Rego/RUC/COF)

• Brakes/ Handbrake

• Lights (Front/Rear/Indicators/Number Plate)

• Trailer Maintance

• Technical training included:

  Select Trenching/Excavation Duct Jointing Fibre Jointing Service Location Cable Installation Blowing Fault Finding Copper Jointing Tube Breakout Reinstatement Compaction AsBuilt Reading/Understanding Plans Other

  • Trenching/Excavation
  • Duct Jointing
  • Fibre Jointing
  • Service Location
  • Cable Installation
  • Blowing
  • Fault Finding
  • Copper Jointing
  • Tube Breakout
  • Reinstatement
  • Compaction
  • AsBuilt
  • Reading/Understanding Plans
  • Other

• Please list Other?

• List Plant/Equipment trained on:

  Select Concrete Saw Terra Saw Chain Trencher Excavator/Digger Compressor Generator BOF Gun Tools (Hand tools) Drills Grinder/Multi Tool Ladder Splicer Grundomat Stud Finder/ Wall Scanner EWP Cable Locator

  • Concrete Saw
  • Terra Saw
  • Chain Trencher
  • Excavator/Digger
  • Compressor
  • Generator
  • BOF Gun
  • Tools (Hand tools)
  • Drills
  • Grinder/Multi Tool
  • Ladder
  • Splicer
  • Grundomat
  • Stud Finder/ Wall Scanner
  • EWP
  • Cable Locator

• What Systems training was done on:

  Select SimPRO Connect App WebMaps Office 365 iAuditor IMS Team Up CamScan Share Point

  • SimPRO
  • Connect App
  • WebMaps
  • Office 365
  • iAuditor
  • IMS Team Up
  • CamScan
  • Share Point

Technical Training Record

• What type of training was conducted?

  Select Health and Safety Standards Compliance Site and Traffic Management Onsite Documentation Vehicle/Driving Competency Technical/Standards Plant/Equipment Technician Responsibility Systems/IT Process and Procedure Field Induction Other

  • Health and Safety Standards Compliance
  • Site and Traffic Management
  • Onsite Documentation
  • Vehicle/Driving Competency
  • Technical/Standards
  • Plant/Equipment
  • Technician Responsibility
  • Systems/IT
  • Process and Procedure
  • Field Induction
  • Other

• What Health and Safety Training Was Provided

  Select Hazard Id / Risk Assesment Job Start First Aid Understanding Evacuation Planning Fire Extinguisher Fibre Handling Incident Reporting Height Safety Onsite Selecting and using PPE PPE Compliance inspections Safe Blowing Health on site

  • Hazard Id / Risk Assesment
  • Job Start
  • First Aid Understanding
  • Evacuation Planning
  • Fire Extinguisher
  • Fibre Handling
  • Incident Reporting
  • Height Safety Onsite
  • Selecting and using PPE
  • PPE Compliance inspections
  • Safe Blowing
  • Health on site

• Select what PPE training was provided for:

  Select Safety Footwear High Vis Vest/Clothing Long Pants Long Sleeve Shirt Hearing Protection – Ear Muffs Rainwear – Weather Dependent Site Compliant Gloves (task specific type) P2 level Dust Mask Safety Glasses/ Eye Protection (always carried) Hard Hat – Site Compliant Sunhat Dust Coat Nitryl Gloves Disposable Overalls P3 Asbestos Dust Mask Flame Retardant Overalls Waders Fall Restraint Full Face Respirator Fall Arrest Back Support Brace Chaps Face Shield

  • Safety Footwear
  • High Vis Vest/Clothing
  • Long Pants
  • Long Sleeve Shirt
  • Hearing Protection – Ear Muffs
  • Rainwear – Weather Dependent Site Compliant
  • Gloves (task specific type)
  • P2 level Dust Mask
  • Safety Glasses/ Eye Protection (always carried)
  • Hard Hat – Site Compliant
  • Sunhat
  • Dust Coat
  • Nitryl Gloves
  • Disposable Overalls
  • P3 Asbestos Dust Mask
  • Flame Retardant Overalls
  • Waders
  • Fall Restraint
  • Full Face Respirator
  • Fall Arrest
  • Back Support Brace
  • Chaps
  • Face Shield

• Please select Compliance Training Provided?

  Enable Standards

  Building Code

  WAP/NCOP

  Environmental Controls

• Please Select Standards Training was completed on:

  Select IS003 (Enable Networks Limited Standards - General) IS011 (Multiduct Installation Standard) IS017 (Fibre Installation Standards) IS025 (Pedestal Installation Standard) IS033 (Multiduct Jointing Standard) IS034 (Multiduct Breakout Standard) ENOG020 (Webmaps User Guide) ENOP019 Lateral Tube Break-in & Break-out Procedure) IS037 (Service Lead-in Installation Standard) IS038 (Premises (SDU) Installation Standard) IS039 (End-User Connection Scoping Standard) IS041 (Right of Way Distribution Network Installation Standard) IS042 (Ancillary Services Standard) IS045 (Fence-line Lead-in Installation Standard) IS046 (Mini Pedestal Installation Standard) IS057 (End User Fibre Installation Standard)

  • IS003 (Enable Networks Limited Standards - General)
  • IS011 (Multiduct Installation Standard)
  • IS017 (Fibre Installation Standards)
  • IS025 (Pedestal Installation Standard)
  • IS033 (Multiduct Jointing Standard)
  • IS034 (Multiduct Breakout Standard)
  • ENOG020 (Webmaps User Guide)
  • ENOP019 Lateral Tube Break-in & Break-out Procedure)
  • IS037 (Service Lead-in Installation Standard)
  • IS038 (Premises (SDU) Installation Standard)
  • IS039 (End-User Connection Scoping Standard)
  • IS041 (Right of Way Distribution Network Installation Standard)
  • IS042 (Ancillary Services Standard)
  • IS045 (Fence-line Lead-in Installation Standard)
  • IS046 (Mini Pedestal Installation Standard)
  • IS057 (End User Fibre Installation Standard)

• Site setup and compliance to TMP standards.

• Select What was tech shown:

  Select Complete Vehicle Checklist Reversing on site Towing of Trailers Safe Driving Practices Load Securing Security Traffic Management Use of Hose Ramps Maintenance

  • Complete Vehicle Checklist
  • Reversing on site
  • Towing of Trailers
  • Safe Driving Practices
  • Load Securing
  • Security
  • Traffic Management
  • Use of Hose Ramps
  • Maintenance

• Tick the following

• Oil and dipstick

• Water and Radiator condition

• Tyre Pressure including Spare Tyre

• Visibility (e.g. Windscreen/Mirrors)

• Compliance (WOF/Rego/RUC/COF)

• Brakes/ Handbrake

• Lights (Front/Rear/Indicators/Number Plate)

• Trailer Maintance

• Technical training included:

  Select Trenching/Excavation Duct Jointing Fibre Jointing Service Location Cable Installation Blowing Fault Finding Copper Jointing Tube Breakout Reinstatement Compaction AsBuilt Reading/Understanding Plans Other

  • Trenching/Excavation
  • Duct Jointing
  • Fibre Jointing
  • Service Location
  • Cable Installation
  • Blowing
  • Fault Finding
  • Copper Jointing
  • Tube Breakout
  • Reinstatement
  • Compaction
  • AsBuilt
  • Reading/Understanding Plans
  • Other

• Please list Other?

• List Plant/Equipment trained on:

  Select Concrete Saw Terra Saw Chain Trencher Excavator/Digger Compressor Generator BOF Gun Tools (Hand tools) Drills Grinder/Multi Tool Ladder Splicer Grundomat Stud Finder/ Wall Scanner EWP Cable Locator

  • Concrete Saw
  • Terra Saw
  • Chain Trencher
  • Excavator/Digger
  • Compressor
  • Generator
  • BOF Gun
  • Tools (Hand tools)
  • Drills
  • Grinder/Multi Tool
  • Ladder
  • Splicer
  • Grundomat
  • Stud Finder/ Wall Scanner
  • EWP
  • Cable Locator

• What Systems training was done on:

  Select SimPRO Connect App WebMaps Office 365 iAuditor IMS Team Up CamScan Share Point

  • SimPRO
  • Connect App
  • WebMaps
  • Office 365
  • iAuditor
  • IMS Team Up
  • CamScan
  • Share Point

• Please provide brief description of the training

• Please select competency after training

• Were you (the auditor) inducted properly before entering the site in the following information?<br>1. Tasks to be performed, the risks associated & the controls in place.<br>2. Checked your PPE if complete<br>3. First aiders on site, first aid kit and fire extinguisher location (rego if in vehicle).<br>4. Exact location of evacuation point, nearest emergency center address.

  Confident and Competent

  Competent but needs practice

  Needs additional Training

• Provide details of the coaching onsite and/or additional training required.

• Do you believe the crew can perform their tasks for this job and have all appropriate training.

  Confident and Competent

  Competent but needs practice

  Needs additional Training

• Provide details of the coaching onsite and/or additional training required.

• Select additional Training Required

  Select TC1 Working at Heights Operating an EWP First Aid Confined/Restricted Space Concrete Saw Competency Terrasaw Competency Use of a Locator Trencher Competency Splicing Digger Blowing Asbestos Awareness Other

  • TC1
  • Working at Heights
  • Operating an EWP
  • First Aid
  • Confined/Restricted Space
  • Concrete Saw Competency
  • Terrasaw Competency
  • Use of a Locator
  • Trencher Competency
  • Splicing
  • Digger
  • Blowing
  • Asbestos Awareness
  • Other

• Please Specify Other

• Has the site management and setup been observed to be... <br>Consider the following: <br>1. Work Isolation <br>2. Traffic and pedestrian management <br>3. Safe and efficient site layout

  Safe

  At Risk

  Significant at Risk

• Stop work and ensure site is made safe!

• Provide Details of the risk, coaching on site and additional training required.

• Have the crew reviewed/signed the JSA, relating to their work, and are the appropriate risk control methods being put in place?

  Confident and Competent

  Competent but needs practice

  Needs additional Training

• Provide details of the coaching onsite and additional training required.

• Has the Site Risk Assessment document (Site Plan) been correctly completed relative to the specific job?

  Confident and Competent

  Competent but needs practice

  Needs additional Training

• Provide details of the coaching onsite and additional training required.

• Is the crew compliant with current Health, Safety & Environmental procedures & policies?

  Safe

  At Risk

  Significant at Risk

• Provide Details of the risk, coaching on site and additional training required.

• Attach Health, Safety & Environmental non-compliance photos

  Media

• Stop work and ensure site is made safe!

• Is all required PPE available, in good condition and being used correctly.

  Safe

  At Risk

  Significant at Risk

• Stop work and ensure site is made safe!

• Provide details of the coaching onsite and additional training and/or remedial action required for PPE.

• Do the crew have all the tools and equipment they need to perform their task safely.

  Safe

  At Risk

  Significant at Risk

• Please list tools required or in need of replacement or repair?

• Observe the vehicles on site for the following: 1. Safe to operate including WOF/COF and Rego 2. Presentable and Tidy 3. Equipment is secure and secured properly 4. Parked appropriate and safely

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and training and/or remedial action required.

• Have you observed exceptional behavior that warrants recognition? (Please note the behavior)

• Photos of the behavior.

  Media

• Are there any High Risk activities taking place onsite?

• Concrete Saw Cutting.

  Yes

• Is Concrete Cutting activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Terrasaw Cutting

  Yes

• Is Terrasaw Cutting activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Is Mechanical Trenching activity:

  Yes

• Is Mechanical Trenching activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Digger Operation

  Yes

• Is Digger Operation activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Working in the vicinity of services while trenching Manually or Mechanically

  Yes

• Is the Working in the vicinity of services while trenching activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Location of Services (Cat/Genny)

  Yes

• Is the Location of Services (Cat/Genny) activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Use of Compactor

  Yes

• Is Compacting activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Use of Drill

  Yes

• Is Drilling activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Fibre Blowing and/or use of compressor

  Yes

• Is Fibre Blowing and/or use of compressor activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Is Working at height activity:

  Yes

• Is Working at height activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Working with suspected Asbestos

  Yes

• Is Working with suspected Asbestos activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Is Working in a confined/restricted space activity:

  Yes

• Is Working in a confined/restricted space activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Is Working in High Traffic areas activity:

  Yes

• Is Working in High Traffic areas activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Is Working on a sloping site activity:

  Yes

• Is Working on a sloping site activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Any other potentially high risk activities

  Yes
Activity:

• What is the activity?

• Is Activity:

  Safe

  At Risk

  Significant at Risk

• Provide details of the coaching onsite and additional training and/or remedial action required.

• Provide Photos of at risk or significant at risk activity.

  Media

• Would you like to complete a live Quality Assessment

  Yes

  No

Audit Type

• What part of the work is the Audit completed for?

  Select Civil ISB Civil OSB Reinstament Fibre Blowing External Building Cabling Internal Building Cabling Fibre Splicing and Managment Connection

  • Civil ISB
  • Civil OSB
  • Reinstament
  • Fibre Blowing
  • External Building Cabling
  • Internal Building Cabling
  • Fibre Splicing and Managment
  • Connection

Inside Boundary Civil

• Please select all methods completed

  Select Trench in Soft Surfce Trench in Hard Surface Slot Trench Fenceline Conduit Running Thrusting Undermining Ped Installation Drop installation

  • Trench in Soft Surfce
  • Trench in Hard Surface
  • Slot Trench
  • Fenceline
  • Conduit Running
  • Thrusting
  • Undermining
  • Ped Installation
  • Drop installation

• Soft Trench Depth to Standard?

  Pass

  Fail

• Soft Surface Reinstatement to Standard? (Grass seed and Topsoil)

  Pass

  Fail

• Hard Trench Depth to Standard?

  Pass

  Fail

• Hard Trench Cut Straight?

  Pass

  Fail

• Hard Trench Temp Reinstatement?

  Pass

  Fail

• Hard Trench Permanent Reinstatement Completed?

  Yes

  No

• Hard Trench Permanent Reinstatement To Standard?

  Pass

  Fail

• Is the Slot Trench to Standard?

  Pass

  Fail

• Is the Slot Trench Straight?

  Pass

  Fail

• Slot Trench Depth to Standard?

  Pass

  Fail

• Is the Slot Trench Reinstatement to Standard? (If not reinstated please Fail)

  Pass

  Fail

• Has the Fenceline been installed to Standard?

  Pass

  Fail

• Is Fenceline at correct height?

  Pass

  Fail

• Correct spacing between P-Clips? (300mm)

  Pass

  Fail

• Has stainless steel screws been used?

  Pass

  Fail

• Is the transition completed to standard?

  Pass

  Fail

• Have the use of conduit been approved?

  Yes

  No

• Is the conduit on fence installed to Standard?

  Pass

  Fail

• Correct spacing between saddles? (600mm)

  Pass

  Fail

• Stainless Steel Saddles and Screws used?

  Pass

  Fail

• All connections on ISB conduit properly connected?

  Pass

  Fail

• Is the Thrust at correct depth? (450mm)

  Pass

  Fail

• Is the reinstatement for entry and exit holes to Standard?

  Pass

  Fail

• Is the Undermine completed to standard?

  Pass

  Fail

• Is the Undermine at correct depth?

  Pass

  Fail

• Is there evidence of Service Location?

  Pass

  Fail

• Is the Ped installed to standard

  Pass

  Fail

• Have the Ped been labeled?

  Pass

  Fail

• Is drop off's installed to standard?

  Pass

  Fail
Drop Off

• Have Drop been installed to Standard?

  Pass

  Fail

• Is the Marker Post/ Pave-stone installed to standard?

  Pass

  Fail

Outside Boundary Civil

• Please select all methods completed

  Select Trench in Hard Surface Trench in Soft Surface Direct Transition to Fencline Undermine Conduit Connection Wall/Fence Tube Breakout

  • Trench in Hard Surface
  • Trench in Soft Surface
  • Direct Transition to Fencline
  • Undermine
  • Conduit Connection Wall/Fence
  • Tube Breakout

• Soft Trench Depth to Standard?

  Pass

  Fail

• Soft Surface Reinstatement to Standard? (Grass seed and Topsoil)

  Pass

  Fail

• Is the Marker Post/ Pave-stone left to Standard?

  Pass

  Fail

• Hard Trench Depth to Standard?

  Pass

  Fail

• Hard Trench Cut Straight?

  Pass

  Fail

• Hard Trench Temp Reinstatement?

  Pass

  Fail

• Hard Trench Permanent Reinstatement Completed?

  Yes

  No

• Hard Trench Permanent Reinstatement To Standard?

  Pass

  Fail

• Is the Marker Post/ Pave-stone left to Standard?

  Pass

  Fail

• Has the Fenceline been installed to Standard?

  Pass

  Fail

• Is the transition completed to standard?

  Pass

  Fail

• Is the Marker Post left to Standard?

  Pass

  Fail

• Have the use of conduit been approved?

  Yes

  No

• Is the conduit on retaining wall installed to Standard?

  Pass

  Fail

• Correct spacing between saddles? (600mm)

  Pass

  Fail

• Stainless Steel Saddles and Screws used?

  Pass

  Fail

• All connections OSB conduit properly connected?

  Pass

  Fail

• Is the Undermine completed to standard?

  Pass

  Fail

• Is the Undermine at correct depth?

  Pass

  Fail

Reinstatement

• Has the permanent Reinstatement been completed to Standard?

  Pass

  Fail

• Has council Standards been adhered to?

  Pass

  Fail

• All cones removed from site

  Pass

  Fail

• Is the marker post/ pave-stone been left to standard?

  Pass

  Fail

Fibre Blowing

• Have fibre blowing standards been followed?

  Pass

  Fail

• Is the slack managed and sufficient?

  Pass

  Fail

• Gas block installation?

  Pass

  Fail

• ETP Installation and secure on house side?

  Pass

  Fail

External Building Cabling

• Please select all methods completed

  Select ETP Installation Conduit Installation Exposed Cable Run

  • ETP Installation
  • Conduit Installation
  • Exposed Cable Run

• Is ETP Installation Completed to standard?

  Pass

  Fail

• It the ETP secured appropriately

  Pass

  Fail

• Is fibre Management as per standard?

  Pass

  Fail

• Are all screws present and fitted?

  Pass

  Fail

• Is the conduit on building installed to standard?

  Pass

  Fail

• Correct spacing for saddles used on building? (600mm)

  Pass

  Fail

• Stainless Steel Saddles and Screws used?

  Pass

  Fail

• All connections on External conduit properly connected?

  Pass

  Fail

• Is the External Exposed Cable installed to standard?

  Pass

  Fail

• Has the exposed cable P-clip spacing been adhered to?

  Pass

  Fail

• Has stainless steel screws been used?

  Pass

  Fail

• Have all penetrations into property been completed to standards?

  Pass

  Fail

Internal Building Cabling

• Please select Internal cabling methods?

  Select Back to back Capping Underfloor Ceiling Conduit

  • Back to back
  • Capping
  • Underfloor
  • Ceiling
  • Conduit

• Has the installation Standards been adhered to?

  Pass

  Fail

• Is the cable covered according to standard?

  Pass

  Fail

• Is the capping installed to standard?

  Pass

  Fail

• Is the capping secured securely?

  Pass

  Fail

• Are all bends/corners and ends capped with covers?

  Pass

  Fail

• Is the capping cover securely fitted?

  Pass

  Fail

• Is the capping clean and tidy?

  Pass

  Fail

• Is the cable run in the underfloor per standard?

  Pass

  Fail

• Is the cable securely fastened and not hanging on the floor?

  Pass

  Fail

• Is securing clips installed max 600mm apart?

  Pass

  Fail

• Is the cable run in the ceiling per standard?

  Pass

  Fail

• Is the cable securely fastened and not hanging loose?

  Pass

  Fail

• Is securing clips installed max 600mm apart?

  Pass

  Fail

• Has the internal conduit run been approved?

  Pass

  Fail

• Is the internal conduit installed to standard?

  Pass

  Fail

• Correct spacing of the saddles on internal conduit?

  Pass

  Fail

• All connections on Internal conduit properly connected?

  Pass

  Fail

• Has the penetration been sealed appropriately?

  Pass

  Fail

Fibre Splicing and Management

• Please select Splicing and Management locations?

  Select Ericsson Cabinet Shape Cabinet Pedestal CDP ETP ITP ONT Back Plate

  • Ericsson Cabinet
  • Shape Cabinet
  • Pedestal
  • CDP
  • ETP
  • ITP
  • ONT Back Plate

• Is cable routing standard in Ericsson cabinet followed?

  Pass

  Fail

• Is the splice to standard with pictail in Ericsson cabinet?

  Pass

  Fail

• Is the management of the fibre in the tray in the Ericsson cabinet to standard?

  Pass

  Fail

• Is cable routing standard in Shape cabinet followed?

  Pass

  Fail

• Is the splice to standard in Shape cabinet?

  Pass

  Fail

• Is the correct tray used in Shape cabinet?

  Pass

  Fail

• Is the management of the fibre in the tray in the Shape cabinet to standard?

  Pass

  Fail

• Is the Ped lid secured?

  Pass

  Fail

• Is the tube for the fibre installed in the correct position?

  Pass

  Fail

• Is cable routing standard in Ped been followed?

  Pass

  Fail

• Have the correct Tray been used in Ped?

  Pass

  Fail

• Is the splicing standard in Ped adhered to?

  Pass

  Fail

• Is the management of the fibre in the Ped tray to standard?

  Pass

  Fail

• Is the cable routing standard in CDP followed?

  Pass

  Fail

• Is the fibre management standard for the CDP followed?

  Pass

  Fail

• Is the splicing in CDP standard adhered to?

  Pass

  Fail

• Is the fibre management standard for the ETP followed?

  Pass

  Fail

• Is the splicing in ETP standard adhered to?

  Pass

  Fail

• Is a gas block installed?

  Pass

  Fail

• Is the fibre management standard for the ITP followed?

  Pass

  Fail

• Is the splicing in ITP standard adhered to?

  Pass

  Fail

• Is connector installed in the ITP to standard?

  Pass

  Fail

• Is the fibre management standard for the back plate followed?

  Pass

  Fail

• Is the splicing in back plate standard adhered to?

  Pass

  Fail

• Is All areas clear of fibre waste?

  Pass

  Fail

Connection

• Is the Customer or End user present?

  Yes

  No

• Is the customer happy with the installation?

  Pass

  Fail

• Is the location of ONT and cabling installed to customers expectations?

  Pass

  Fail

• Was the crew friendly and helpful?

  Pass

  Fail

• Did the customer understand the crew and did they use plain English?

  Pass

  Fail

• Feed back from the customer?

• Is the ONT installed to standard?

  Pass

  Fail

• Is the Connection standing up and working correctly?

  Pass

  Fail

• Did the tech complete all the correct documentation?

  Pass

  Fail

• All photos uploaded to simPRO?

  Pass

  Fail

• Is the phone integration completed as per standard?

  Pass

  Fail

• Have the site been left in a clean and tidy manor?

  Pass

  Fail

• In General the site Health and Safety, and actions/behaviors were

  Good

  Satisfactory

  Requires Improvement

  Site Was Shutdown

Audit Type

• What part of the work is the Audit completed for?

  Select Civil ISB Civil OSB Reinstament Fibre Blowing External Building Cabling Internal Building Cabling Fibre Splicing and Managment Connection

  • Civil ISB
  • Civil OSB
  • Reinstament
  • Fibre Blowing
  • External Building Cabling
  • Internal Building Cabling
  • Fibre Splicing and Managment
  • Connection

Inside Boundary Civil

• Please select all methods completed

  Select Trench in Soft Surfce Trench in Hard Surface Slot Trench Fenceline Conduit Running Thrusting Undermining Ped Installation Drop installation

  • Trench in Soft Surfce
  • Trench in Hard Surface
  • Slot Trench
  • Fenceline
  • Conduit Running
  • Thrusting
  • Undermining
  • Ped Installation
  • Drop installation

• Soft Trench Depth to Standard?

  Pass

  Fail

• Soft Surface Reinstatement to Standard? (Grass seed and Topsoil)

  Pass

  Fail

• Hard Trench Depth to Standard?

  Pass

  Fail

• Hard Trench Cut Straight?

  Pass

  Fail

• Hard Trench Temp Reinstatement?

  Pass

  Fail

• Hard Trench Permanent Reinstatement Completed?

  Yes

  No

• Hard Trench Permanent Reinstatement To Standard?

  Pass

  Fail

• Is the Slot Trench to Standard?

  Pass

  Fail

• Is the Slot Trench Straight?

  Pass

  Fail

• Slot Trench Depth to Standard?

  Pass

  Fail

• Is the Slot Trench Reinstatement to Standard? (If not reinstated please Fail)

  Pass

  Fail

• Has the Fenceline been installed to Standard?

  Pass

  Fail

• Is Fenceline at correct height?

  Pass

  Fail

• Correct spacing between P-Clips? (300mm)

  Pass

  Fail

• Has stainless steel screws been used?

  Pass

  Fail

• Is the transition completed to standard?

  Pass

  Fail

• Have the use of conduit been approved?

  Yes

  No

• Is the conduit on fence installed to Standard?

  Pass

  Fail

• Correct spacing between saddles? (600mm)

  Pass

  Fail

• Stainless Steel Saddles and Screws used?

  Pass

  Fail

• All connections on ISB conduit properly connected?

  Pass

  Fail

• Is the Thrust at correct depth? (450mm)

  Pass

  Fail

• Is the reinstatement for entry and exit holes to Standard?

  Pass

  Fail

• Is the Undermine completed to standard?

  Pass

  Fail

• Is the Undermine at correct depth?

  Pass

  Fail

• Is there evidence of Service Location?

  Pass

  Fail

• Is the Ped installed to standard

  Pass

  Fail

• Have the Ped been labeled?

  Pass

  Fail

• Is drop off's installed to standard?

  Pass

  Fail
Drop Off

• Have Drop been installed to Standard?

  Pass

  Fail

• Is the Marker Post/ Pave-stone installed to standard?

  Pass

  Fail

Outside Boundary Civil

• Please select all methods completed

  Select Trench in Hard Surface Trench in Soft Surface Direct Transition to Fencline Undermine Conduit Connection Wall/Fence Tube Breakout

  • Trench in Hard Surface
  • Trench in Soft Surface
  • Direct Transition to Fencline
  • Undermine
  • Conduit Connection Wall/Fence
  • Tube Breakout

• Soft Trench Depth to Standard?

  Pass

  Fail

• Soft Surface Reinstatement to Standard? (Grass seed and Topsoil)

  Pass

  Fail

• Is the Marker Post/ Pave-stone left to Standard?

  Pass

  Fail

• Hard Trench Depth to Standard?

  Pass

  Fail

• Hard Trench Cut Straight?

  Pass

  Fail

• Hard Trench Temp Reinstatement?

  Pass

  Fail

• Hard Trench Permanent Reinstatement Completed?

  Yes

  No

• Hard Trench Permanent Reinstatement To Standard?

  Pass

  Fail

• Is the Marker Post/ Pave-stone left to Standard?

  Pass

  Fail

• Has the Fenceline been installed to Standard?

  Pass

  Fail

• Is the transition completed to standard?

  Pass

  Fail

• Is the Marker Post left to Standard?

  Pass

  Fail

• Have the use of conduit been approved?

  Yes

  No

• Is the conduit on retaining wall installed to Standard?

  Pass

  Fail

• Correct spacing between saddles? (600mm)

  Pass

  Fail

• Stainless Steel Saddles and Screws used?

  Pass

  Fail

• All connections OSB conduit properly connected?

  Pass

  Fail

• Is the Undermine completed to standard?

  Pass

  Fail

• Is the Undermine at correct depth?

  Pass

  Fail

Reinstatement

• Has the permanent Reinstatement been completed to Standard?

  Pass

  Fail

• Has council Standards been adhered to?

  Pass

  Fail

• All cones removed from site

  Pass

  Fail

• Is the marker post/ pave-stone been left to standard?

  Pass

  Fail

Fibre Blowing

• Have fibre blowing standards been followed?

  Pass

  Fail

• Is the slack managed and sufficient?

  Pass

  Fail

• Gas block installation?

  Pass

  Fail

• ETP Installation and secure on house side?

  Pass

  Fail

External Building Cabling

• Please select all methods completed

  Select ETP Installation Conduit Installation Exposed Cable Run

  • ETP Installation
  • Conduit Installation
  • Exposed Cable Run

• Is ETP Installation Completed to standard?

  Pass

  Fail

• It the ETP secured appropriately

  Pass

  Fail

• Is fibre Management as per standard?

  Pass

  Fail

• Are all screws present and fitted?

  Pass

  Fail

• Is the conduit on building installed to standard?

  Pass

  Fail

• Correct spacing for saddles used on building? (600mm)

  Pass

  Fail

• Stainless Steel Saddles and Screws used?

  Pass

  Fail

• All connections on External conduit properly connected?

  Pass

  Fail

• Is the External Exposed Cable installed to standard?

  Pass

  Fail

• Has the exposed cable P-clip spacing been adhered to?

  Pass

  Fail

• Has stainless steel screws been used?

  Pass

  Fail

• Have all penetrations into property been completed to standards?

  Pass

  Fail

Internal Building Cabling

• Please select Internal cabling methods?

  Select Back to back Capping Underfloor Ceiling Conduit

  • Back to back
  • Capping
  • Underfloor
  • Ceiling
  • Conduit

• Has the installation Standards been adhered to?

  Pass

  Fail

• Is the cable covered according to standard?

  Pass

  Fail

• Is the capping installed to standard?

  Pass

  Fail

• Is the capping secured securely?

  Pass

  Fail

• Are all bends/corners and ends capped with covers?

  Pass

  Fail

• Is the capping cover securely fitted?

  Pass

  Fail

• Is the capping clean and tidy?

  Pass

  Fail

• Is the cable run in the underfloor per standard?

  Pass

  Fail

• Is the cable securely fastened and not hanging on the floor?

  Pass

  Fail

• Is securing clips installed max 600mm apart?

  Pass

  Fail

• Is the cable run in the ceiling per standard?

  Pass

  Fail

• Is the cable securely fastened and not hanging loose?

  Pass

  Fail

• Is securing clips installed max 600mm apart?

  Pass

  Fail

• Has the internal conduit run been approved?

  Pass

  Fail

• Is the internal conduit installed to standard?

  Pass

  Fail

• Correct spacing of the saddles on internal conduit?

  Pass

  Fail

• All connections on Internal conduit properly connected?

  Pass

  Fail

• Has the penetration been sealed appropriately?

  Pass

  Fail

Fibre Splicing and Management

• Please select Splicing and Management locations?

  Select Ericsson Cabinet Shape Cabinet Pedestal CDP ETP ITP ONT Back Plate

  • Ericsson Cabinet
  • Shape Cabinet
  • Pedestal
  • CDP
  • ETP
  • ITP
  • ONT Back Plate

• Is cable routing standard in Ericsson cabinet followed?

  Pass

  Fail

• Is the splice to standard with pictail in Ericsson cabinet?

  Pass

  Fail

• Is the management of the fibre in the tray in the Ericsson cabinet to standard?

  Pass

  Fail

• Is cable routing standard in Shape cabinet followed?

  Pass

  Fail

• Is the splice to standard in Shape cabinet?

  Pass

  Fail

• Is the correct tray used in Shape cabinet?

  Pass

  Fail

• Is the management of the fibre in the tray in the Shape cabinet to standard?

  Pass

  Fail

• Is the Ped lid secured?

  Pass

  Fail

• Is the tube for the fibre installed in the correct position?

  Pass

  Fail

• Is cable routing standard in Ped been followed?

  Pass

  Fail

• Have the correct Tray been used in Ped?

  Pass

  Fail

• Is the splicing standard in Ped adhered to?

  Pass

  Fail

• Is the management of the fibre in the Ped tray to standard?

  Pass

  Fail

• Is the cable routing standard in CDP followed?

  Pass

  Fail

• Is the fibre management standard for the CDP followed?

  Pass

  Fail

• Is the splicing in CDP standard adhered to?

  Pass

  Fail

• Is the fibre management standard for the ETP followed?

  Pass

  Fail

• Is the splicing in ETP standard adhered to?

  Pass

  Fail

• Is a gas block installed?

  Pass

  Fail

• Is the fibre management standard for the ITP followed?

  Pass

  Fail

• Is the splicing in ITP standard adhered to?

  Pass

  Fail

• Is connector installed in the ITP to standard?

  Pass

  Fail

• Is the fibre management standard for the back plate followed?

  Pass

  Fail

• Is the splicing in back plate standard adhered to?

  Pass

  Fail

• Is All areas clear of fibre waste?

  Pass

  Fail

Connection

• Is the Customer or End user present?

  Yes

  No

• Is the customer happy with the installation?

  Pass

  Fail

• Is the location of ONT and cabling installed to customers expectations?

  Pass

  Fail

• Was the crew friendly and helpful?

  Pass

  Fail

• Did the customer understand the crew and did they use plain English?

  Pass

  Fail

• Feed back from the customer?

• Is the ONT installed to standard?

  Pass

  Fail

• Is the Connection standing up and working correctly?

  Pass

  Fail

• Did the tech complete all the correct documentation?

  Pass

  Fail

• All photos uploaded to simPRO?

  Pass

  Fail

• Is the phone integration completed as per standard?

  Pass

  Fail

• Have the site been left in a clean and tidy manor?

  Pass

  Fail
Personnel

• Personnel

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• Comments on the Audit

• Audited By:

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