Title Page

  • Conducted on

  • Prepared by

  • Location
  • Work Order:

  • Crew Foreman:

Overhead

  • Structure#:

  • Poles: Plumb, orientation and depth of set is correct?

  • Backfill: Is backfill to proper level?

  • Hardware: Are all bolts and hardware properly installed/tightened?

  • Anchors: Properly installed and tightened?

  • Guys: Pulled tight and tails cut?

  • Signs: Pole identification installed?

  • Clearances: Are proper clearances maintained above ground, streets and from communications?

  • Clean up: Are old poles and materials removed? Site restoration and clean up is satisfactory?

  • List the specifications sections used to frame pole, install transformers, switches, risers, etc..

ADSS

  • Is all fiber optic hardware installed properly?

  • Is there any damaged to the fiber?

Underground

  • Is the enclosure installed properly?

  • Is the transformer/equipment installed properly?

  • Is trenching to proper depth?

  • Screening and caution tape installed?

  • Termination/elbows installed properly and identified?

  • List the specification sections used to perform the underground work:

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