Title Page

  • Location
  • Auditor

  • Installation Engineer

  • Conducted on

Customer Interaction/Route and CSP location.

  • Was the customer on site?

  • Did the customer agree to a route and agree where they would like the CSP to be placed?

  • Did the engineer make customer aware of installation process and what route they would need to take internally and see where they would like their ONT and router ?

Health and Safety on site.

  • Did the engineer do an on site risk assessment on the MOA app before starting any work ?

  • Does the engineer have correct PPE (steel toe cap boots, high vis, safety glasses, mask, ear defenders, safety gloves?

  • Does the engineer have correct climbing harness.

  • Does the engineer have landyard and pole belt 1b

  • Did the enginner carry out a pole check before climbing ?

  • Does the engineer have tap barriers

  • Did the engineer leave 1m clearance for predestines where ever using the barriers ?

  • Did the engineer leave a minimum of 1m clearance for public

  • Did the engineer tie of his ladder whenever using it ? (pole end and customer end) ?

Cable Installation

  • Has the cable been ran It has to be minimum of 5.9m above the road.

  • has the correct clamps been used ?

  • Did the engineer run a power test up the pole and at the end of the cable ?

  • Has the cable been tacked neatly and a coil left ready for csp installation

  • Has kopex been used for any cable ran under 30 cm externally ?

Work areas

  • Have the work areas been suitably cleaned and left tidy?

Sign off

  • Engineer

  • Supervisor/auditor

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.