Title Page

  • Site Conducted

  • PIA NOI:

  • Select Gigaclear Region:

  • Gigaclear Community I.D:

  • Location
  • Works Description/GC Plant Reference Location

  • Date & Time

  • In Build/Post Build

  • Gang/Team

  • Supervisor

  • Name(s) of Personnel on site (If Applicable)

  • Do works have a Live Street Works Permit

  • State Permit Number

  • Contractor / Sub Contractor

  • Inspected by

  • Inspection I.D

Inspection Guidance Page.

  • Definitions (For Reference when Scoring an Audit Question)

  • N/A - Not Applicable - Item is not applicable or relevant to the works/project.

  • N/R - Not Reviewed - Item has not been reviewed. The item may exist but during the inspection was not assessed.

  • N/C - Non-Compliant - Item has not been provided, utilised or utilised correctly or does not meet the requirements or standards as determined by the Contractor, Gigaclear, Contract/Order, Asset Owner or Legislative requirements. Breach may have the potential to cause harm or injury or risk of notices or prosecution from Local Authorities, the HSE or OR. Item must be rectified and Inspector informed when complete.

  • I/R - Improvement Required - Item does not meet the required standards as determined by the Contractor, Gigaclear, Contract/Order, Asset Owner or Legislative requirements.

  • C - Compliant - Item meets or exceeds the required standards as determined by the Contractor, Gigaclear, Contract/Order, Asset Owner or Legislative requirements.

  • O - Observation - Where an item may still be in build/not yet complete but is noted as requiring action. Observation may also be positive for good/excellent work practices

HSEQ Underground Inspection

HSEQ Underground Inspection

  • Select Section(s) to Complete

HSEQ Safety

  • H2 - Site induction completed

  • H3 - Site specific risk assessment available/valid

  • H4 - Welfare facilities/arrangements

  • H5 - A&E location map

  • H6 - Training / Accreditation / NOPS cards

  • H7 - CoSHH/control of haz substances

  • H8a - First Aid Kit

  • H9 - Fire Extinguisher

  • H10 - Spill Kit

  • H11 - PPE

  • H12 - Lone Worker controls

  • H13 - Noise/Dust controls

  • H14 - Plant/Equipment/Hand tools - condition

  • H15 - GDU/valid calibration

  • Where the lifting of chamber lids or pit lids is required, or existing cabinets opened, the use of an in calibration date gas detector unit (GDU) must be utilised to determine the presence of harmful gases and/or lack of oxygen.

  • H16 - Manual Handling (i.e., pit lifters, roll bars, LMC's, cable drums)

  • H17 - Work area guarded

  • H18 - CAT and Genny/valid calibration

  • H19 - Evidence of utility surveys completed

  • H20 - Safe digging practices identified

Openreach Inspection Item

  • O22 - NOI (Order/Notice of Intent is valid and acknowledged)

  • O23 - Is there a duct blockage and has it been correctly cleared (OR Duct)

  • O24 - Duct entry in specified location and finished correctly (correct proximity and cut flush)

  • O25 - Duct entry in a safe location

  • O26 - Duct entry by approved method (core drilled and reinstated)

  • O27 - Gifted chamber constructed as per spec (Critical items)

  • O28 - Gifted chamber constructed as per spec (Non-critical items)

  • O29 - Jointbox frame and cover compliant with specification

  • 030 - New jointbox correctly sited in relation to poles and trafficked areas

  • 031 - Cables and equipment adequately protected

  • 032 - Are there any cables/equipment damaged and attributed to our works

  • 033 - Correct support and restraint of cables/joints

  • 034 - Correct tool used for interception of occupied ducts

  • 035 - All materials and reinforcement compliant with specification

  • O36 - All excessive PIA cabling/tubing removed within underground structure

  • O37 - Is the Internal duct to building sealed correctly to prevent ingress of water and gas

  • O38 - High security equipment/covers/locks replaced following cable/jointing work

  • O39 - Any cut cable ties (straps cable fixing) cut flush with no sharp edges

  • O40 - GC Apparatus legibly labelled with PIA NOI number

  • 041 - GC Apparatus legibly labelled as Gigaclear

  • 042 - PIA cables safely routed through underground structure and; will not obstruct access

  • 043 - Hazardous fibre waste cleared from site

  • O44 - Any observed defects not reported via A1024

Gigaclear Cabinet Inspection Item

  • C45 - Has the FW6/FW10 been installed within 15m of the cab?

  • C46 - Is the cabinet free from any external marks or damage and secure on its base?

  • C47 - Have slabs been installed around the cabinet base to provide a safe working area?

  • C48 - Has an electricity meter and earthing been installed

  • C49 - Have ducts been sealed with Filoform Filoseal+ to prevent gas and water entry?

  • C50 - Are all the fibre tails securely fastened to the cable entry rack with cable ties?

  • C51 - Has equipment been installed in the correct positions as per the designed layout?

  • C52 - Have red patch leads been used for all backhaul and aggregation connections and kept separate from customer cables?

  • C53 - Are there identifying labels on each piece of equipment and patch leads?

  • C54 - Is there sufficient Milegate airflow?

  • C55 - Have cables been bundled where appropriate, supported and lightly restrained on the cable management systems?

  • C56 - Is an identifying label with the full cabinet name (including cabinet area code and emergency contact details) fitted?

  • C57 - Are all patch cables used in the cabinet of the correct length (Large cab: 3 metres, Small cab: 2 metres)?

Gigaclear Closure Inspection Item (Commscope FIST-MSC/Tenio B6/OTE200/OTE300)

  • CL58 - Is the cable slack neatly wrapped around the chamber and free from entanglement with other cables/ducts?

  • CL59 - Is the closure in good condition, securely clamped shut and unused ports sealed?

  • CL60 - Are all cables labelled with appropriate UG labels and securely fastened to the closure bracket?

  • CL61 - Have the cables been properly anchored in the CTUs (no tubes wrapped around strength member)?

  • CL62 - Are spare buffer tubes neatly coiled inside the storage area?

  • CL63 - Have buffer tubes been stripped to the correct position in the routing block?

  • CL64 - (FIST/Tenio only) Are buffer tubes held in position with orange silicone tubing?

  • CL65 - Has the fibre been routed to the splice tray stack and entered the splice trays correctly?

  • CL66 - Has fibre been routed correctly around the splice tray?

  • CL67 - Is there 2-3 wraps of spare fibre in the splice tray?

  • CL68 - Are the fibres slack at entry/exit points or either side of splice protectors (no excessive tension on fibres)?

Chambers Inspection Item: Footway (FW2,4,6,10) Carriageway (CW1,2,3)

  • CH01 - Is the chamber lid identified with Gigaclear branding?

  • CH02 - Is the frame bedded on mortar and correctly secured (riser hole fixing VE only)

  • CH03 - Is the frame bedded on mortar and secured with a concrete surround (non riser hole fixing VE only)

  • CH04 - Is the chamber flush with the surrounding ground (not sunken or raised)?

  • CH05 - Is the chamber the right size for its designed purpose (not overpopulated)?

  • CH06 - Is the chamber the right type for its location

  • CH07 - Is the chamber built from Gigaclear approved materials?

  • CH08 - Are cable bearers fitted inside the chamber?

  • CH09 - Are steps fitted inside large chambers if required? (FW6,10/CW3 only)

  • CH10 - Is the cross member bar in place to support lids being opened from the sides of the chamber? (FW6,10 only)

  • CH11 - Is the surrounding ground free from any scratch marks or damage? (FW only)

  • CH12 - Are all pins inserted into double lids and in good condition (not rusting)? (CW only)

  • CH13 - Are the (54.9mm/96.5mm) ducts entering/exiting the chamber correctly sealed to prevent ingress?

  • CH14 - Are stubbed multiduct assemblies capped/cold shrink sealed?

  • CH15 - Are all ducts in good condition (no kinks)?

  • CH16 - Are ducts/cables secured to cable hangers with cable ties?

  • CH17 - Are mobra brackets and arms installed? (PIA areas only)

  • CH18 - Have the correct closure brackets been installed? (PIA areas only)

  • CH19 - Are the cable bearers at the correct height so that there is clearance from closures? (PIA areas only)

  • CH20 - Are cables coiled to the correct length for closures situated on mobra arms? (PIA areas only)

  • CH21 - Is the mobra arm pin fitted and chain long enough to reposition closure to working height? (PIA areas only)

  • CH22 - Is cable slack neatly wrapped around the chamber and free from entanglement with other cables/ducts?

  • CH23 - Is the chamber clean and tidy and free from any damage?

  • CH24 - Is the chamber clear of silt or dirt buildup?

  • CH25 - Is the chamber dry (not filled with water)?

  • CH26 - Has a 150mm layer of concrete screed been provided for a chamber base? (CW only)

  • CH27 - Has a soakaway gully grate been provided to enable water to leave the chamber? (CW only)

  • CH28 - Has a MOT type 1 material been provided and correctly compacted for a chamber base? (FW, VE only)

Gigaclear Ducting/Cabling, Sub-duct/Microduct, Emtelle/Hexatronic - Inspection Item

  • DC01 - Are there any sharp edges on the microduct?

  • DC02 - Has the microduct been kinked?

  • DC03 - Has any burring occurred to the microduct?

  • GC23 - Is there a duct blockage and has it been correctly cleared (GC Duct)

  • DC04 - Are there any sharp bends that could impact on blowing cables?

  • DC05 - Has a sponge been used to test the ducts?

  • DC06 - Are empty microducts sealed with appropriate end caps (not tape)?

  • DC07 - Are the microducts laid as continuous lengths between structures (cuts should not be made unless required)?

  • DC08 - Has 5 metres of duct been left at each end after installation (to allow for stretch recovery)?

  • DC09 - Are microducts cut square (flush) and deburred where coupled?

  • DC10 - Are microducts fully pushed into couplers to create a proper seal?

  • DC11 - Have multiduct assemblies had couplers staggered to avoid bulging?

  • DC12 - Microduct ordering and usage sequence consistent with GC fibre cable colour coding standards. Ducts should be used in ascending order, e.g. blue, orange, green, brown?

  • DC13 - Have all couplers been installed on straight sections of duct (not on bends or curves)?

  • DC14 - Have drop microduct ends been labelled?

Direct buried cable

  • DC15 - Is the cable surrounded by a 3-5cm layer of fine sand on all sides?

  • DC16 - Is the cable avoiding contact with any rocks or other hard materials?

  • DC17 - Are armoured metallic cables grounded in at least one splice closure along the length (1 closure per km of cable)?

Signing, Lighting and Guarding

  • SW1 - Permit Conditions

  • SW2 - Permit Information Board

  • SW3 - Footway boards/Road Plates

  • SW4 - Pedestrian Provisions (Kerb Ramp etc.)

  • SW5 - Barriers

  • SW6 - Signs

  • SW7 - Cones

  • SW8 - Safety Zone

  • SW9 - Distances/widths

  • SW10 - Diversion

  • SW11 - Existing Provisions (bus stops, pedestrian crossings etc)

Reinstatement

  • RE13 - Materials

  • RE14 - Edge Sealant

  • RE15 - Insufficient Width for compaction

  • RE16 - Reinstatement Edge

  • RE17 - Proximity i.e. (150mm FW, 250mm CW, 300mm concrete)

  • RE18 - Modular

  • RE19 - Concrete Specification

  • RE20 - Surface Profile

  • RE21 - As Laid Profile of Fixed Feature (ironwork/structures)

  • RE22 - Kerbing

  • RE23 - Verge Specification

  • RE24 - Pre-coated chippings

  • RE25 - Overbanding Specification

  • RE26 - Road Markings Specification

  • RE27 - Anti-Skid

GC Customer Drop Cabinets

  • CDC 1 - Is the CDC clean and tidy free from any external damage or markings with no rubbish/fibre offcuts left within the working area?

  • CDC 2 - Is the CDC secure on its base with all bolts correctly fitted using the supplied Neoprene seal?

  • CDC 3 - Is the CDC correctly identified either on the back panel or the label inside the door?

Build Quality, Interior and Base Checks

  • CDC 4 - Are the 110mm/53.9mm ducts correctly positioned in the base & between 10 - 20mm proud of the base?

  • CDC 5 - Is the top of the concrete base between 20 and 50mm down from the lip of the base?

  • CDC 6 - Are all microducts anchored into the rack using a cable tie?

  • CDC 7 - Are all microducts labelled and capped or fitted with gas blockers?

  • CDC 8 - Is the CDC free of all unused multi duct bundles (only tubes required should enter the CDC)

  • CDC 9 - Have the tubes been cut to the correct length using correct tool and secured correctly?(As per the label)

  • CDC 10 - Is the bag of spare racks (if not all racks are fitted) left in the base of the CDC?

Cable Management, Fibre, and Routing Checks

  • CDC 11 - Are all microducts, tubes and cables free of sharp bends or kinks?

  • CDC 12 - Are the tubes entering the CDC the correct colour?

  • CDC 13 - Are dust caps fitted to all unused ports in the patch panel?

  • CDC 14 - Are incoming/outgoing fibres correctly secured to left side panel?

  • CDC 15 - Are strength members secure and in correct position?

  • CDC 16 - Are all cables and ducts correctly labelled?

  • CDC 17 - Are the tubes between the cable tray and splice trays protected with spiral wrap?

  • CDC 18 - Has foam tape been used to protect the spiral wrap from cable ties?

  • CDC 19 - Are velcro cable ties used to secure the fibre in the cable tray?

  • CDC 20 - Are fibres in all splice trays neatly routed and single-splice stacked?

  • CDC 21 - Are the incoming/outgoing cable fibres entering and leaving the splice tray stack on the lower left port?

  • CDC 22 - Are the 110mm/53.9mm ducts correctly sealed?

  • CDC 23 - All all cable ties cut flush with no sharp edges?

Customer Connection Points (Verge & FW/CW)

  • CCP01 - Has the pot been installed adjacent to the property boundary and does not exceed 150mm? (Verge/footway only)

  • CCP02 - Has the pot been installed perpendicular to the property boundary line/serving trench?

  • CCP03 - Is the pot positioned with open access to the front of the property (not in front of a wall or any obstruction)?

  • CCP04 - Is the pot flush with the surrounding ground (maximum 5mm protrusion allowed)?

  • CCP05 - Has the correct type of pot been installed for the location (e.g. load bearing carriageway pot for vehicular traffic)?

  • CCP06 - Does the lid have Gigaclear identification on it?

  • CCP07 - Is the pot in good condition and free of any damage?

  • CCP08 - Has approximately 1 metre of slack been left on the drop duct inside the pot?

  • CCP09 - Are empty microducts sealed with appropriate end caps (not tape)?

GC Trenches - Hard/Soft Surfaces - Carriageway (CW) Type 1/2/3/4, Rough Track (RT) Agricultural Land (AL) Verge (V) Footway (FW)

  • TR01 - Is the depth of cover a minimum of 300mm? (FW, V and RT only)

  • TR02 - Is the depth of cover a minimum of 600mm? (CW1 and 2 only)

  • TR03 - Is the depth of cover a minimum of 450mm? (CW3 and 4 only)

  • TR04 - Is the depth of cover a minimum of 900mm? (AL only)

  • TR05 - Has sand backfill been used?

  • TR06 - Has marker tape been installed 50mm above sand in soft trenches (on top of sand when class 1A backfill material used)?

  • TR07 - Is the trench more than 600mm from the road (V only) (to avoid extra SROH requirements)?

  • TR08 - Is the trench close to the perimeter of the field (to avoid ploughing interference) (AL only)

  • TR09 - Is the backfill Type 1 Class A graded granular material? (FW and CW only)

  • TR10 - Are temperature sensitive reinstatement materials such as bitumen heated to the correct temperature?

  • TR11 - Have 96.5mm ducts been installed at road crossings to protect cables/ducts?

  • TR12 - Has the a minimum bend radius of 50cm been adhered to (wider radius preferred)?

  • TR13 - Have the correct size ducts been installed for the intended design?

  • TR14 - Are microducts installed above main multiduct assemblies with 25mm of sand in between (in same trench)?

Multi Dwelling Units (MDU) BUDI-2S/Mini RDT

  • MDU01 - Is the MDU securely attached to the wall?

  • MDU02 -Is the MDU in good condition and free of any damage?

  • MDU03 -Has the MDU been installed in a suitable location (e.g. in a riser cupboard or at height on wall)?

  • MDU04 -Do all unused ports have dust caps fitted?

  • MDU05 -Has the spool lock screw been tightened and cover fitted to keep spool in place? (Mini-RDT only)

  • MDU06 -Has circuit information been recorded on label inside cover? (Mini-RDT only)

  • MDU07 - Have cable entries been deburred to leave smooth edges? (BUDI only)

  • MDU08 - Have the correct size inserts been used for the installed cable sizes? (BUDI only)

  • MDU09 -Has the aramid yarn been wrapped around the lips of the insert for secure anchoring? (BUDI only)

  • MDU10 - Have the correct size grommets been used at cable entry? (BUDI only)

  • MDU11 - Have fibres been routed through the box to the splice tray in the correct way? (BUDI only)

  • MDU12 - Are pigtails routed correctly from the inlines to the splice tray? (BUDI only)

  • MDU13 - Is there 2-3 wraps of fibre spare in the splice tray? (BUDI only)

  • MDU14 - Are the pigtails stripped at the correct location before entering the splice tray? (BUDI only)

  • MDU15 - Has the splice tray cover been fitted? (BUDI only)

  • MDU16 - Are all drop cables secured to the strain relief bracket with cable ties? (BUDI only)

  • MDU17 - Is fibre slack at entry/exit points, connectors and either side of splice protectors (no excessive tension on fibres)? (BUDI only)

Please Note:

  • Unsafe activities or situations that pose a significant risk of harm to workers or members of the public are to be ceased, rectified or made safe immediately. Any good actions or behaviours that should be recognised please report them via Intelex as a Good Observation. Sites that are Permitted should also be audited under Symology where access to this system is available. Please contact Gigaclear HSEQ for advice or support.

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.