Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Site survey for user worked crossings in preparation for refurbishments and renewals.
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Location?
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Enter ELR & Mileage;-
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Please take a photo of the crossing from DN side access point
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ELR & mileage;-
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New telephone posts required?
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Pictures of existing telephone instruments and local DPs are required;-
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Please take a photo of the crossing from UP side access point
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UP side telephone instrument and post (Door closed)
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UP side telephone instrument (close up, door closed)
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UP side telephone instrument (close up, door open)
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DN side telephone instrument and post (Door closed)
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DN side telephone instrument (close up, door closed)
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DN side telephone instrument (close up, door open)
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Existing 'Local cable termination / DP (cover on)
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Existing 'Local cable termination' (cover off)
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Rough schematic of the existing crossing layout
Refurbishment, renew or leave? Please check each asset and tick the recommended response;-
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UP side telephone post?
- Renew
- Keep existing
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UP side telephone instrument?
- Renew
- Keep existing
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UP side tail cable?
- Renew
- Keep existing
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UP side signage
- Renew
- Keep existing
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DN side telephone post?
- Renew
- Keep existing
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DN side telephone instrument?
- Renew
- Keep existing
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DN side tail cable?
- Renew
- Keep existing
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DN side signage?
- Renew
- Keep existing
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DP or NTP?
- Renew
- Keep existing
Additional information relevant to site
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Is there sufficient parking on-site?
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Further pictures or info that may be of use?