Construction QC

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• REF NO:

• JOB NO

• DISP. OFFICE

  Yes

  No

  N/A

• ADDRESS

• COMPANY CREW ID

  Yes

  No

  N/A

• Construction Verification Form: Strand, Fiber & Expansion at Pole

  Yes

  No

  N/A

• Inspection Date

  Date

• Pole No

• Enclosure Type

  Yes

  No

  N/A

• Strand

  Yes

  No

  N/A

• Fiber

  Yes

  No

  N/A

• Documentation

  Yes

  No

  N/A

• Slack

  Yes

  No

  N/A

• Light Levels

  Yes

  No

  N/A

• OTDR Snapshot

  Yes

  No

  N/A

Issue

• Resolution

  Yes

  No

  N/A

• Resolution Date

  Date

ADDITIONAL INFORMATION/EXPLANATIONS:

• Date:

  Date

• Inpected By:

• Superviosr: