Title Page

  • Conducted on

  • Prepared by

  • Location
  • Cluster ID

  • Hand hole number ?

  • Type of work?

  • Type of trays ?

  • Type of case being used?

Cable info

  • Case footage

  • Hand hole footage

  • Direction of cable

  • Cable ID and Date

Cable info

  • Case footage

  • Hand hole footage

  • Direction

  • Cable ID and Date

Cable info

  • Case footage

  • Hand hole footage

  • Direction

  • Cable ID and Date

Cable info

  • Case footage

  • Hand hole footage

  • Direction

  • Cable ID and date

Pictures

  • Basket

  • Trays latched down

  • Case inside hand hole

  • Hand hole lid closed

Comments or missing information type below

  • Comments ? ( such as missing duct or missing cable, needs ground rod? Etc ? )

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