Title Page

  • Project

  • Site Code and Name

  • Location
  • Select what site type is this

  • Provide details

  • What else is on site

  • Security Onsite?

  • Conducted on

  • Prepared by

  • Name

Untitled page

Overview / Summary

  • What key is required for site access?

  • Provide photos

  • Any special conditions with Land owner noted in Risk Manager / Access Template?

  • Are the notes in Risk Manager / Access Template still valid?

  • Is this site contentious? i.e. neighbours, Iwi, etc

  • Provide details on issues

Site Access

  • Location of first entrance from roadway.

  • Is there an access track?

  • Surface?

  • Details

  • Is the access track suitable for 2WD vehicle

  • Is an alternative access method required?

  • Details

  • Is this a remote site, i.e. 2 people required for integrations

  • Is there any issue with accessing the site

  • Provide details and photos

  • Is an alternative access method required? ATV

  • Is there any potential OH&S risks with accessing the site?

  • Drop pin
  • Please describe in detail how to access the site from the main road. (Especially if there is a long access track, with gates, turns and landmarks to drive by) Add Photos at each junction

Co-site and Co-location

  • Are there any other carriers co-located on this site

  • Vodafone

  • 2 Degrees

  • Other

  • Provide details

  • Is this co-location site owned by another carrier

  • Vodafone

  • Chorus

  • KiwiRail

  • Kordia

  • AJ

Local knowledge

  • Special Conditions

  • Induction required

  • What induction is required

Hazards on site

  • Details of any hazards currently on site

Cabinets / Shelters

  • Is there additional cabinets required?

  • Can a HIAB get close enough to the site to unload the Cableways Cabinet to its final position?

  • How will we position the cabinet?

  • Please provide the foundation footprint

  • Provide a photo of cable entry point

  • Provide photos of internal cable entry to the cabinet

  • Provide photos of external cable entry to the cabinet

  • Are Cabinets indoor or outdoor

  • Type

  • Type

  • Are there any limitations on height for the cabinet

  • Provide details of the limitation

  • What are the cabinet foundation measures of current foundation

  • Is there any space available in the cabinet?

  • Is a new plinth required?

  • Is there any space available in the plinth?

  • Is a transfer plate required?

  • Where is the GPS located?

  • How many GPS units are on site?

  • What is the length of runs from GPS to BBU

  • Is there any damage or corrosion to the equipment?

Power / AC/DC

  • What is the existing power supply, 32A, 63A etc?

  • Provide details

  • ICP Number

  • Photo of Power Cabling and Metre Box

  • Mains Power Circuit Breaker Capacity

  • Provide details

  • What is the power system type

  • Actual AC Mains Current Load - If able to measure.

  • What is the diameter of the Power Cable coming in?

  • Provide details

  • Does the Wavecom AC power supply need upgrading?

  • What type of batteries are existing?

  • How many batteries strings are existing

  • What type of rectifiers

  • Number of rectifiers

  • What is the current loading?

  • Is there space for additional Circuit Breaker?

  • Is there a plug for a genset?

Tower

  • Will the tower need bracing arms to access the head?

  • Tower is

  • Tower height

  • Type of tower

  • Provide details

  • Guy wire connection heights

  • Splice connection heights

  • EWP / Cranes?

  • Height of lift?

  • Suitable location for EWP / Crane

Current Mast Head and Antenna Configuration

  • Headframe type

  • Existing DMR/MW Dishes?

  • How many?

  • What height and who owns the dishes? (Estimate height / ID owner if possible)

  • Existing TMAs/HMAs?

  • How many?

  • Where are they located?

  • Existing combiners?

  • Type of Combiner? (High / Low)

  • How many?

  • Where are they located?

Existing Antennas

Spark antennas on site

  • Spark Antennas (Sector 1)

  • Spark Antennas (Sector 2)

  • Spark Antennas (Sector 3)

Vodafone antennas on site

  • Are Vodafone Antenna onsite?

  • How many?

  • VF Sector 1

  • VF Sector 2

  • VF Sector 3

2 Degrees antennas on site

  • Are 2degrees Antennas onsite?

  • 2D Sector 1

  • 2D Sector 2

  • 2D Sector 3

  • Is there an antenna paging on site?

  • Is there an LORA antenna on site?

  • Are there any other RF Hazard ?

Steelwork and Mounts

  • Are there spare antenna mounts?

  • Photos for three angles / Per Sector

  • Spare antenna mount location

  • Is there any special mount requirements to assure clearance?

  • Provide details

  • What type of mount is required for new install of sector 1

  • Quantity

  • What type of mount is required for new install of sector 2

  • Quantity

  • What type of mount is required for new install of sector 3

  • Quantity

  • Is there any damage or corrosion to equipment

Cabling / Feeders

  • Number to Hybrid Cables Present

  • Type of Hybrid

  • Provide details (Discreet etc)

  • Size of DC Cables (In Hybrid)

  • Type of Hybrid

  • Provide details (Discreet etc)

  • Type of Hybrid

  • Provide details (Discreet etc)

  • Type of Hybrid

  • Provide details (Discreet etc)

  • Type of Hybrid

  • Provide details (Discreet etc)

  • Type of Hybrid

  • Provide details (Discreet etc)

  • Is there room for additional hybrid cable?

  • Is the hybrid cable room accessible

  • Is a discreet fibre room required

  • How many feeders are existing?

  • Are there any feeders spare?

  • How many

  • Are the spare feeders servicable?

  • Is there spare capacity in cable entry gland?

  • Are there any spare ducts onsite?

  • Is there room to run new feeders through ducts etc?

  • Do the ducts appear serviceable/ are they blocked?

  • Are the cables direct buried

  • Are the cables in concrete / wooded troughs instead of ducts?

Jumpers

  • Estimated tail length - tower top (Longest Jumper Length)

  • Quantity

  • Provide details

  • Quantity

  • Estimated tail length - shelter end (Longest Jumper Length)

  • Quantity

  • Provide details

  • Quantity

Maintenance Works

  • Is there any maintenance works that we could potentially do?

  • Grass cutting

  • Overgrown trees

  • Fencing or gate damage

  • Latchway Certification

  • Blocked Ducts need clearing

  • Are Anchor points certified if applicable

  • Is there an alternative structure to the anchor points?

  • Tower Appears Rusty

  • Other

Removal of Equipment

  • Is there any un-used antenna or mount that COULD be removed on the structure?

  • Is there any un-used cabinets that could be removed in the shelter/building?

Build Methodology - Consider the build requirements

  • Traffic Management required?

  • What Type of Traffic Management

  • Are the cabinets under the tower / Is overhead protection scaffold required?

Outages / Cutover

  • Is the site Projected to be a HOT or COLD swap?

  • Do you believe a temporary site will be required for cover?

  • Restricted outage times?

  • Special SMR/Cutover requirements?

Photo List

  • Site Access

  • Site Compound (Wide angle / multiple photos)

  • Tower

  • Internal tower

  • Headframe

  • Sec1

  • Sec2

  • Sec3

  • Cabinet/Shelter (EXTERNAL) 4 sides

  • Cabinet/Shelter (INTERNAL) 4 angles

  • Cabinet Plinth (front)

  • Cabinet Plinth (back)

  • Rack Layouts

  • Internal RRU's/Other

  • Airconditioning Units

  • DC Fans

  • Power System

  • Rectifiers

  • Current Loading

  • Circuit Breakers

  • Current CB layout diagram

  • Batteries and Battery Cabinet

  • Fibre/TX Rack

  • Distribution Board

  • Internal Cable tray

  • Current racks

  • Feeders in tower shaft

  • Cable entry gland (external)

  • Cable entry gland (internal)

  • Earthing - Internal

  • Earthing - External

  • Site Signage

  • Entry Signage to site

  • Any hazard signs on tower

  • Any hazard signs on antenna/sectors (i.e. building sites)

  • Any restricted EME zones/ chain areas

Sign off

  • Name

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.