Title Page

  • Ticket number

  • NOI reference number

  • Conducted on

  • Prepared by

  • Location

Maps

  • Annotated maps including box ref number ( multiple maps may be used)

Evidence

  • Box Ref number

  • Photo of box including equipment/ cable showing label

  • Box type

  • Grid ref, eastings and northings (x&y)

  • Is there equipment?

  • type of equipment

  • Is there any additional boxes?

  • Additional evidence
  • Box Ref number

  • Photo of box including equipment/ cable showing label

  • Box type

  • Grid ref, eastings and northings (x&y)

  • Is there equipment?

  • Type of equipment

  • Signature

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.