Openreach Pole Equipment Check

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

City conducted:

• PN Number:

• Principle contractor:

• Sub contractor (if applicable):

• Please remember to provide photo evidence for all applicable questions

Pole Inspection

• What is the Pole ID?

Pole Check/Test

• Is there any sign of damage to the pole? (Damage caused by hedge trimming, vehicle damage, Vandalism etc.)

  No

  Yes

  N/A

• D = Defective (Decay) DO NOT CLIMB
  SC= Shallow climbable SD= Shallow depth (THESE POLES SHOULD NOT BE CLIMBED)
  H + Z = Hazard near the pole, if an engineer can safely position their ladder in such a way to reduce the hazard then the pole can be climbed.

• Is there a D, SC, SD, H or Z tag?

  Yes

  No

  N/A

• Is there any decay or rot suspected on the pole?

  Yes

  No

  N/A

• Is there any bleeding apparent on the pole

  Yes

  No

  N/A

ASN Checks

• Is there CityFibre equipment attached to the pole?

  Yes

  No

  N/A

Good Practice & Sign Off

• Please give a description of the practice you have observed and would like recognised

• Sign Off

  Sign

• Auditor Signature

  Sign