Title Page
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Conducted on
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Prepared by
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Location
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Cluster ID
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Hand hole number ?
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Type of work?
- Final testing dark fiber
- FDH splicing
- MST (FDT) splicing
- Panel splicing
- Testing for damage
- Mst testing
- Hoffman panel install
- 432 butt splice
- 432 ring tap adding drop
- 864 butt splice
- 864 ring tap adding drop
- 48 count butt splice
- 48 count ring tap adding drop
- 72 count butt splice
- 72 count ring tap adding drop
- 144 butt splice
- 144 ring tap adding drop
- 576 butt splice
- 576 ring tap adding drop
- 288 butt splice
- 288 ring tap adding drop
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Type of trays ?
- Tyco A tray single
- Tyco A tray single
- Tyco A tray single
- Tyco B tray single
- Tyco B tray single
- Tyco B tray single
- Tyco C tray single
- Tyco C tray single
- Tyco C tray single
- Tyco C tray ribbon
- Tyco C tray ribbon
- Tyco C tray ribbon
- Tyco D tray single
- Tyco D tray single
- Tyco D tray single
- Tyco D tray single
- Tyco D tray single
- Tyco D tray ribbon
- Tyco D tray ribbon
- Tyco D tray ribbon
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Type of case being used?
- Tyco 450 A
- Tyco 450 B dielectric
- Tyco 450 B grounded
- Tyco 450 C dielectric
- Tyco 450 C grounded
- Tyco 450 D dielectric
- Tyco 450 D grounded
- Tyco 600 D dielectric
- Tyco 600 D grounded
Cable info
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Case footage
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Hand hole footage
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Direction of cable
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Cable ID and Date
Cable info
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Case footage
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Hand hole footage
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Direction
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Cable ID and Date
Cable info
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Case footage
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Hand hole footage
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Direction
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Cable ID and Date
Cable info
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Case footage
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Hand hole footage
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Direction
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Cable ID and date
Pictures
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Basket
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Trays latched down
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Case inside hand hole
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Hand hole lid closed
Comments or missing information type below
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Comments ? ( such as missing duct or missing cable, needs ground rod? Etc ? )