Title Page
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Conducted on
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Prepared by
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Location
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Work Order:
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Crew Foreman:
Overhead
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Structure#:
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Poles: Plumb, orientation and depth of set is correct?
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Backfill: Is backfill to proper level?
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Hardware: Are all bolts and hardware properly installed/tightened?
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Anchors: Properly installed and tightened?
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Guys: Pulled tight and tails cut?
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Signs: Pole identification installed?
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Clearances: Are proper clearances maintained above ground, streets and from communications?
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Clean up: Are old poles and materials removed? Site restoration and clean up is satisfactory?
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List the specifications sections used to frame pole, install transformers, switches, risers, etc..
ADSS
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Is all fiber optic hardware installed properly?
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Is there any damaged to the fiber?
Underground
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Is the enclosure installed properly?
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Is the transformer/equipment installed properly?
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Is trenching to proper depth?
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Screening and caution tape installed?
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Termination/elbows installed properly and identified?
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List the specification sections used to perform the underground work: