Information

  • job number / tech number

  • Sub Address

  • Conducted on

  • QC'd by

  • Location
  • Tech Number

Customer

  • Technician professional?

  • Technician knowledgeable?

  • Technician explained services?

  • Technician kept informed?

  • Internal cable routing acceptable?

  • CPE installed correctly and working properly?

Drop

  • Drop clearance maintained?

  • Drop on correct side of house? [ power ]

  • Drop free from damage or messenger separation?

  • Drop free from splices?

  • Bury drop order created?

  • No aerial trespassing?

  • Proper sag? [ 6" per 50' ]

  • Messenger attachment points secured?

  • Proper Sachs hanging hardware used?

  • Proper attachment to the home?

  • Proper drop cable used? [ < 150' RG6, > 150' RG11 ]

Ground Block

  • Proper bond used?

  • Proper bond tag used?

  • Correct bond wire used to applicable cable size?

  • Use of premise box as determined by Regional policy?

  • Ground Block mounted correctly?

  • Correct connectors used and torqued?

Home Cert @ Ground Block

  • 256 QAM within acceptable thresholds?

  • 64 QAM within acceptable thresholds?

  • Upstream Transmit within acceptable thresholds?

Premise

  • Correct connectors used and torqued?

  • Split pipe used?

  • Splitters configured correctly at demark?

  • Outside splitters proper pass band?

  • Splitter used correctly?

  • Proper cable used? (RG6 or Company issue)

  • Proper bending radius used?

  • Outlets are home run?

  • Cables attached properly?

  • Cables routed properly?

  • Securing devices proper size for the cable used?

Tap

  • Climbing space observed?

  • Clear of illegal drops?

  • Correct connectors used and torqued?

  • Ingress tested at tap?

  • Proper tags used to Regional standard?

  • Drop secured using proper straps?

  • No signal leakage present?

  • Tap area clean?

  • Unused ports terminated?

  • Ped secure?

Additional Comment or Pics

  • Additional Notes

  • Additional Pics

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.