DRAFT Chorus Colocation Pole Assesment

• Date audit undertaken

  Date

• Company requesting connection

• 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 Pole 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

• Does the pole have multiple distribution aerial cables attached?

  Yes

  No

• Number of distribution aerial cables

• Does the mast have existing copper service drop leads

  Yes

  No

• Number of copper service drop leads

• Does the pole have existing fibre service drop leads

  Yes

  No

• Number of existing fibre service drop leads

• Does the pole have existing power service leads

  Yes

  No

• Number of existing power service 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

• Chorus pole testing process

  

• Visual Condition of Pole

  Good

  Average

  Poor

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

  Media

• Please take photo showing pole testing has been undertaken

  Media

• Does the pole pass pole testing

  Yes

  No

• Faulty pole process

  

• Please enter fault job number

• Name of Person undertaking test (if different from above)

• 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

  Media