Title Page

  • Site Address:

  • Job Type

  • SIMPRO/JOB/WORK ID:

  • Field Manager:

  • Technicians

  • Conducted on

  • Site Pass or Fail

Quality Assurance

  • Trench in Soft Surface

  • Please Add Photos

  • Notes:

  • Trench in Hard Surface (i.e. concrete, seal)

  • Please Add Photos

  • Notes:

  • Have the Drop off's/Peg marker installed to Standard?

  • Please Add Photos

  • Notes:

Inside Boundary:

  • Trench in Soft Surface

  • Please Add Photos

  • Notes:

  • Hard Surface Micro Slot-Cut

  • Please Add photos

  • Notes:

  • Trench in Hard Surface

  • Please Add photos

  • Notes:

  • Surface Mount/Fence Line/Clipping

  • Please Add photos

  • Notes:

  • Are the Drop off's pegged/fastened/capped

  • Please Add photos

  • Notes:

  • Is the Pedestal/Gator/Manhole installed to Standard

  • Please Add photos

  • Notes:

  • Site Cleanliness:

  • Please Add photos

  • Notes:

  • Is there any Provisioning Tasks?

  • FTP & conduit installation standard?

  • Please upload photos

  • Notes:

  • Gas blocks installed correctly?

  • Please take photos

  • Notes

  • FTP & ITP fibre management standard?

  • Please take photos

  • Notes

  • Spacing of clips at 300mm & saddles at 600mm max?

  • Please take photos

  • Notes:

  • Capping / Mini Trunking Used?

  • Why is back to back or cavity drop (using existing telephone inside the wall as draw) possible?

  • Take photos

  • Correct materials use?

  • Notes:

  • All other reinstatement completed?

  • Take photos

  • Notes

  • Site Cleanliness:

  • Take photos

  • Notes

Customer Service Experience

  • Was the Customer happy with the completed works

  • Customer comments:

Audit Result:

  • Does the Site Pass or Fail the QA

  • Please select responsible parties

Inspected By:

  • Signature:

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.