Title Page
XPM Pole Audit
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Document No.
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Prepared by
Audit Information
General Information
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Audit Date
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Location
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What are you reporting?
- Coax/Fiber
- Low Clearance
- Pedestal
- Pole
- Tap
- Other
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What is the severity of the plant fault?
- Level 1 - Critical
- Level 2 - Moderate
- Level 3 - Low
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Photo of plant fault.
Summary of Pole Condition
Audit Summary: Summarize the condition of your findings
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Detail major areas of concern.
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Inspector Signature:
