Title Page

  • Site Name

  • Customer ID

  • Site Location
  • Premise Type

  • Installation completed by

  • installation completed by

  • Engineer Name

  • Contractor Team at time of Installation

  • Contractor name

  • FTM name

  • FTM's Name

  • Auditing Compliance Officer

  • Conducted on

  • Compliance Region

Audit Log

Audit Information

  • All categories and items marked within in this report have been carried out in accordance with the Customer Connection Installation Post Audit, audit procedural document v1.0

Cabling

  • Photo evidence must be attached for ASN (label & Clamp), Eye bolt, cable clips, cable route from pole to premise - Minimum 5 photos required in this section for pass or fail result, regardless.

  • Compliance status

  • Failed Samples
  • Location

  • Cabling Compliance fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Distribution Point (Covers CSP'S & Wall-boxes)

  • Compliance status

  • Failed Samples
  • Location

  • Distribution point Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Weatherproofing

  • Compliance status

  • Failed Samples
  • Location

  • Weatherproofing Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Housekeeping

  • Compliance Status

  • Failed Sample
  • Location

  • Node ID

  • Houskeeping Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

  • Supporting Evidence & Notes

Fire Stopping (Only applicable internally to the premise)

  • Compliance status

  • Failed Samples
  • Location

  • Fire Stopping Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Audit Sign Off

  • Audit Result

  • Field Compliance Officer Sign Off

  • Audit Closure Date

  • Audit Closure Date is the date that the audit is passed over to the relevant stakeholder, and all investigations into auditory items are completed. Note: This is not necessarily the date of the site/engineer visit

  • Has this audIt triggered remedial action(s)

  • As a result of non-compliance, a separate supplementary failed items report has been issued to the corresponding Infrastructure remediation owner for corrective action and closure via the documented JIRA process.

  • Remeditaion Owner (i.e. ADM/FTM/AFIM)

  • Site Lead for Remedial Work

  • Re-Inspecting Compliance Officer

  • Has the re-inspection triggered an escalation process

  • Has this audit recorded any advisories

Cabling

  • Recored Advisories

  • Advisory Images

Distribution Points (Covers CSP'S & Wall-boxes)

  • Recored Advisories

  • Advisory Images

Weatherproofing

  • Recored Advisories

  • Advisory Images

Housekeeping

  • Recorded Advisories

  • Advisory Images

Fire Stopping (Only applicable internally to the premise)

  • Recored Advisories

  • Advisory Images

Site Documentation

  • Recorded Advisories

  • Advisory Images

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.