Title Page

  • Site conducted

  • FTTx Engineer Name

  • CMP

  • JC

  • SAP ID

  • FSA

  • Conducted on

  • OLT images like chasis, patchcords, fans, hinges, power cables

  • Fat box left opened

  • Fat box evidence photo with lat & long

  • Cable ties used in fat

  • Evidence Photo of no cable ties used

  • Sealant used at entry point of drop cable

  • Evidence Photo of no sealant used

  • Drop cable sags

  • Drop cable sag evidence photo

  • Drop cable turned around fat box

  • Evidence photo of routing Drop cable loop inside fat

  • Fat condition

  • Any alarm triggered on fats

  • Pigtail secured safely

  • Evidence photo of Pigtail

  • Remarks

  • Prepared by

  • Signature

  • Location
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.