Title Page

  • Prepared by

  • Site Name (Facility ID / Name)

  • Location/Address
  • Work Order (if applicable)

  • Conducted on

  • Install Staff

Safety/Risk

  • If Site Crew is onsite working; ensure JSEA/JHA and Permit to Work are being used

  • are all risks being controlled as specified in JSEA/JHA

  • Identify the level of traffic risk involved by accessing this chamber

  • Are you aware of the manual handling risks involved

  • Is there a possible exposure to sharps

  • Is there a sharps removal kit / disposal container accessible onsite

  • Is chamber lid(s) / cabinet easily lifted without causing strain?

Audit Scope

  • Inspection covers Full Install; Civil Install Only; IoT/Sensor/Comms Install Only

  • Pole Install concreted in place / bolted adequately

  • Conduits installed correctly; sealed; backfilled; draw wire; shielded above ground

  • Include photo of Solar Panel serial # and make/model

  • Solar panel fixed to top of pole and set to approx 33degrees

  • Include Photo of IoT comms device, including serial # and make/model

  • IoT comms installed neatly within cabinent (photo)

  • Include photo of Pressure Sensor showing closeup of make/model and serial #

  • Pressure Sensor is installed with no leaks visible; cable management/neat

  • Aerial is installed neatly and connected to grounded structure

Communications (IoT)

  • Is the communications being commissioned, or tested for connectivity?

  • Is the pressure and battery readings feeding through to comms gateway?

  • Is the pressure scaled correctly?

  • Is the battery voltage scaled correctly?

  • Are the internal settings correct<br>e.g Firmware, Clock, Battery

  • Pole Install concreted in place / bolted adequately

  • Conduits installed correctly; sealed; backfilled; draw wire; shielded above ground

  • Solar panel fixed to top of pole and set to approx 33degrees

  • Include Photo of solar panel serial # and make/model

  • IoT comms installed neatly within cabinent (photo)

  • Include Photo of IoT comms device, including serial # and make/model

  • Pressure Sensor is installed with no leaks visible; cable management/neat

  • Include photo showing closeup of make/model and serial #

  • Aerial is installed neatly and connected to grounded structure

Communications (IoT)

  • Is the communications being commissioned, or tested for connectivity?

  • Is the pressure and battery readings feeding through to comms gateway?

  • Is the pressure scaled correctly?

  • Is the battery voltage scaled correctly?

  • Are the internal settings correct<br>e.g Firmware, Clock, Battery

  • Any other final comments / photos - INSERT HERE

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