Title Page

  • Site Name

  • Site ID

  • Site Size

  • Audit type

  • Site Location
  • Connectivity Type

  • Portfolio Name

  • Portfolio name

  • Installation completed by

  • Customer Connection Engineer

  • Site lead Name

  • Contractor Team at time of Installation

  • Contractor name

  • Turnkey provider

  • Other Turnkey provider name

  • RDM for deployment

  • FTM name

  • FTM 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 Retro Customer Build audit procedural document v1.4

Distribution Point

  • Compliance status

  • Failed Samples
  • Location

  • Distribution point Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Cabling

  • Compliance status

  • Failed Samples
  • Location

  • Cabling 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

Containment

  • Compliance status

  • Failed Samples
  • Location

  • Containment Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Fire Stopping

  • Compliance status

  • Failed Samples
  • Location

  • Fire Stopping Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Access panels/Hatches

  • Compliance status

  • Failed Samples
  • Location

  • Access Panel/Hatch Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Invisilight (Discreet Cabling)

  • Compliance status

  • Failed Samples
  • Location

  • Invisilight (Discreet Cabling) Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Housekeeping

  • Compliance status

  • Failed Samples
  • Location

  • Housekeeping Compliance Fail

  • Engineer Remediation Notes

  • Evidence Of Remediation

  • The remediation is completed up to standard

Sign off

  • Audit result

  • Auditing 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. 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 the Remediation

  • Re-Inspecting Compliance Officer

  • Has the re-inspection triggered an escalation process

  • Has this audit recorded any advisories

Distribution Point advisories

  • Inspection advisories

  • Advisory images

C-OLT Advisories

  • Inspection advisories

  • Advisory images

Cabling advisories

  • Inspection advisories

  • Advisory images

Weatherproofing advisories

  • Inspection advisories

  • Advisory images

Containment advisories

  • Inspection advisories

  • Advisory images

Firestopping advisories

  • Inspection advisories

  • Advisory images

Access panel/Hatch advisories

  • Inspection advisories

  • Advisory images

Invisilight (Discreet Cabling)

  • Inspection advisories

  • Advisory images

Site Housekeeping Advisories

  • Inspection 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.