Information

  • Document No.

  • Audit Type

  • Audit Type

  • Site Number

  • Site Name

  • Location
  • Height above Sea Level (m)

  • Height AGL (m)

  • Candidate Name

  • Surveyed by

  • Conducted on

  • Survey Sign-off

Building Details

BUILDING DETAILS

Building Tenant List

  • Enter Tenant Details

  • Tenant
  • Suite/Unit/Level No.

  • Tenant Name

  • Tenant Contact Number

Building Owner - Specific Requirements

  • Details

Access Summary

  • Pedestrian Access

  • Details

  • Show Photos of Issues

  • Vehicular Access

  • Details

  • Show Photos of Access issues

  • Security

  • Details

Functional Requirements

FUNCTIONAL REQUIREMENTS

Security Access

  • Site Characteristics

  • Area (sqm)

  • Photos of Proposed Equipment Area

  • Sketch Floor Plan

  • Vandalism

  • Enter Details

  • Take photos of Vandalism

Access: Pedestrian Stairs, Door Width, Floor Loading, Lift Capacity

  • Pedestrian Stairs?

  • Door Width (mm)

  • Lift Capacity (Kg)

  • Floor Loading (Kg)

  • Take photos

Access: Vehicular, Driveway, Bridges, All weather

  • Vehicular Access?

  • Driveway Access?

  • Bridges?

  • All weather access?

  • Fencing (if required or available)

  • Take Photos

  • Bush Fire Risk

Physical

  • Water Ingress, Proofing, Any Risks?

  • Photos of Ingress/Proofing issues

  • Site Level?

  • Details

  • Take Photos

Electricity

  • Location of Mains Supply

  • Location of 3 Phase Power

  • Site has separate Distribution Board?

  • Suggested External generator connect points (only for FAN Sites)

Air Conditioning

  • Existing?

  • Capacity adequate?

  • Details

  • Photo of Air Conditioning

Construction Requirements

CONSTRUCTION REQUIREMENTS

Site Type

  • Roof Top/Existing Structure

  • Greenfield - Fit-out required?

  • Co-Locate Private Owner?

  • Co-Locate other Telco?

  • Other Telco

  • Name Other Telco

  • Photos of Proposed Space

  • Sketch of Floor Plan

Construction Access

  • Access Restrictions

  • Access Restrictions/Details

  • Photos of Access Issues

Cable Ladder Run

  • Cable Ladder Details

  • Length of Cable Ladder Run

  • Photos of Existing Cable Ladder

Steel Work

  • Steel work required?

  • Details

Sky Lift

  • Sky-Lift required?

  • Details

Site Condition

  • Needs Rectification?

  • Details

  • Photos of Site Condition

WHS

  • Acceptable?

  • Details

DA/BCC Permitting

  • Permitting Body

  • Permitting Body

Access Road

  • Access Road required?

  • Distance Required?

  • Photos of Access Road

Environmental

ENVIRONMENTAL

Heritage Listings

  • Heritage / Conservation Area?

Sensitive Area

  • Close to sensitive land use?

  • Details

Zoning

  • Zoning Type?

Vegetation Clearing

  • Vegetation Clearing required?

  • Details

  • Photo of Vegetation Issues

Design

DESIGN

Optus Network Requirements

  • Distance to Optus Fibre Cable

  • Distance to Optus Fibre Joint/Splice

Obstructions/Difficulties

  • Conduit/Route Issues

  • Details

  • Heritage Issues?

  • Details

  • Traffic Management Requirements?

  • Details

Building Entry

  • Type

  • Distance from Street Pit

  • Runway required?

Building Riser

  • Number of Floors (distance)

  • Riser / Runway

Commercial

COMMERCIAL

Initial Discussions

  • Statement of Owner / Manager Interest

  • Additional Comments

Unnaceptable Internal "No-Go" Locations

UNACCEPTABLE INTERNAL "NO-GO" LOCATIONS

Internal

Important Notes Relating to Strata Owned Buildings and Adjacent Buildings

Unacceptable External "No-Go" Locations

Contact Details

Contact Details

  • RE Consultant

  • Survey Company Contact

  • Telephone

  • Mobile

  • Optus AE Planner

  • Optus CD Engineer

Optus Site Inspection

  • Optus Site Inspection required?

  • Optus Customer Delivery required?

Site Details

SITE DETAILS

Contacts

Site Manager

  • Contact Name

  • Position

  • Add location
  • Phone

  • e-mail

  • Mobile

  • Fax

Site Owner

  • Contact Name

  • Position

  • Add location
  • e-mail

  • Phone

  • Mobile

  • Fax

Type of Site

  • Details

  • Details

EQUIPMENT DETAILS

Equipment Racks

  • Rack/Equipment Details

  • Equipment Rack
  • Rack Location Code

  • Installation Status?

  • Rack Width

  • Rack Depth?

  • Rack Height

  • No Rack Units?

  • Floor Level

  • Suite Number

  • Rack Number

  • Subrack Equipment

  • Subrack
  • Equipment Type

  • Height (RU)

  • Position (RU)

  • Installation Status

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.