Information
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NBN Wireless Installations Post Inspection
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Conducted on
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Prepared by
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Document No.
Inspectors Risk Assessment
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Hazards
- Work at Height
- Work from ladder
- Enclosed space
- Working in poor weather
- Working in public
- Work Indoors
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Controls
- Ladder Secured
- Harness Secured
- Anchor point Used
- Safety rope used
- Wet weather equipment used
- Use Due Care
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Residual Risk Level
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Add signature
Post Inspection
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Fault Description
- ODU
- Mount
- Cable Run
- IDU
- Patch Lead
- RJ45 Connector
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Was the Fault caused by the Installation
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How was Fault caused
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Provide Photos of the Fault (Mandatory)
Customer Details
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Work Order
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Ericsson Client ID
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Customer Name
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Type Address or Press Locate
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State
- QLD
- NSW
- VIC
- WA
- SA
- NT
- TAS
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Inspection Date
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NTD ID
General Safety
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Was a Risk Assessment carried out before you started the Inspection
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Do you have a copy of the SWMS and MSDS forms available on your tablet or a hard copy in your vehicle
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Is the SWMS reflected in the work practice
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Were all safety procedures followed
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First Aid Kit carried in your vehicle
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Fire Extinguisher carried in your vehicle
Height Safety
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Did you wear a Harness
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Select Response why Harness not used
- Did Not Access Roof
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Was an Anchor point used
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Was a Safety Rope used
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Is your Harness in good condition
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Has your Harness been inspected in the last 6 months
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Photo of Anchor point
Ladder Safety
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Was your Ladder secured
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Select response why Ladder not used
- Did Not Access Roof
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Did your Ladder extend 900mm past the landing
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Did you have 3 points of contact while using the Ladder
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Was the Ladder appropriate for the task
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Is your Ladder in good condition
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Photo of Ladder secured
ODU and Mount
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Mount Type
- Flexi Tin
- Flexi Tile
- Gutter Mount
- Vertical Surface Mount
- Ground Mount
- Next G Mount
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Metal batten kit used
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Metal Batten Used
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Does the ODU have a clear LOS over the roof even though the RSRP reading is a pass?
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The ODU needs to have a clear LOS over the roof to maximise the signal, if this has not been achieved then state the reason why not
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Is the mount in a good location
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Is the mount secured and the roof sealed
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Is the mount fitted to the Manufactures specifications
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Is the S Bend Drip Loop correct
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Is the weather boot fitted
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Is the cable secured to the mount with Black Cable Ties and Electrical Tape
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Is the cable penetration sealed with silicon
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Is the Cable mechanically protected
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List your comments below ( Mandatory )
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Photo of ODU and Mount
Cable run and IDU
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Estimated cable length
- 5M
- 10M
- 15M
- 20M
- 30m
- 40M
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Was external Cat5 flooded cable used
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Was conduit used with the correct amount of saddles
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How was conduit secured?
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Does the Cat5 cable have 100mm separation from power cables
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Does the wall plate have 150mm separation from a power point ( centre to centre of each plate )
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Was an NBN labeled wall plate used
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Is the IDU in a good location
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Has the IDU been secured to the wall with proper fixings
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Is the IDU 300mm from the floor
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Has the security lock been fitted
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Are the cables tidy ( patch lead & power lead )
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Has internal Cat 5E been used for the patch lead
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What colour is the patch lead
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List your comments below ( Mandatory )
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Photo of IDU and wall plate
HCS compliance
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Do you have an ID badge with Risk calculator
Photos of Post Inspection
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Photos of Fault
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ODU and Mount
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IDU-Wall Plate
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Have you checked all photos
Inspection Results
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Is any rework required
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List reworks required
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Who is responsible for the Rework
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Date rework to be completed
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List your comments below ( Mandatory )
Sign-Off
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Subcontractor Signature