Header Sheet

  • Inspection Date :

  • Inspection By (Full Name) :

  • Document Number :

  • FSAM / FDA Code :

  • Inspection / Job I.D. :

  • Staff / Sub-Contractor Name :

  • Project Number (VPL use only) :

  • Field Manager Responsible :

  • Location

1. GENERAL / MANDATORY REQUIREMENTS

  • 1. OH&S Risks identified and addressed.<br>

  • 2. Environmental Risks Identified.

  • 3. Emergency contacts known.

  • 4. Dial Before You Dig (DYBD) Plans on site.

  • 5. Employees inducted & competent (VPL ID).

  • 6. Dedicated waste / disposal area allocated.

  • 7. Environmental controls have been forwarded to the field.

  • 8. Guards / Barriers / Signs positioned in correct locations.

  • 9. Traffic / Pedestrian Management in place.

  • 10. Traffic Management Plan completed.

  • 11. Temporary reinstatement completed.<br>

  • 12. Removal of Guards / Barriers / Signs.

  • 13. JSA & SWMS completed.<br>

  • 14. Practical Completion documents complete and accurate.

4. CABLE HAULING

4.1 Underground Fibre Optic Hauling (DSS,LSS & MSS).

  • 1. Cable coiled neatly.

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  • 2. Cable installed in correct duct.

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  • 3. Correct size cable installed.

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  • 4. Optical Fibre cable supported and/or housed to required specification.

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  • 5. Bend radius not exceeded in looped cables.

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  • 6. Sufficient cable length for enclosure housing etc.

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  • 7. If direct buried warning tape 300mm above cable / marker posts installed.

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  • 8. Marker Posts installed in rural areas/where the topography requires this level of marking.

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  • 9. No cuts or damage in cable exposing fibres.

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  • 10. Is the correct kevlar hauling rope being used.

  • 11. End caps fitted.

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  • 12. Optical Fibre Cables labelled to specification.

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  • 13. Carrier notifications submitted (hauling over existing cable etc.)

  • 14. Cable housed so not to impede any third party assets.

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  • 15. Maintenance loops as per NBN Co. design rules and detailled design.

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  • 16. Cables are not laced with other networks.

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  • 17. Duct seals installed as required.

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  • 18. Site left safe.

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  • 19. Checked with "As Built" Data/Design (sheath ID, meter readings, maintenance loops etc.)

4. CABLE HAULING

4.2 Underground Multiport Feeder Haul.

  • 1. Correct size multiport feeder cables used as per design.

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  • 2. Coil and leave in pits, 15 metres of cable at the hauled end for splicing into the AJL enclosure and 3 metres at the other end to connect to the multiport.

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  • 3. Correct conduit selected and the fibre secured to hauling rope.

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4. CABLE HAULING

4.3 Aerial Cable Installation (LSS).

  • 1. Correct separation from LV and HV cables met in accordance with the Local Utility Provider.

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  • 2. Min ground clearance over roads, driveways etc. adhered to.

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  • 3. Minimum bend radius for both tensioned & non tensioned cable adhered to.

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  • 4. Aerial flex nap access point alignment marker (access point is 1.8m from centre of pole).

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  • 5. Cable twist every 10 metres.

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  • 6. Pole attachments - all pole attachments as per design.

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  • 7. Warning labels - signs fitted where required.

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  • 8. Cover guards fitted to cables going up poles from underground.

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  • 9. Site left safe.

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  • 10. Birth Certificate captured.

  • 11. Checked with "As Built" Data/Design (Pit, pole and riser location, GPS, etc.)

  • 12. Aerial Cable Installation meets all other design document specifications and approved variations.

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  • 13. Cable clear of vegitation. If not install tree guard protection.

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  • 14. When deviations from pole to pole of more than 10 degrees occur along the route specified support brackets are fitted.

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  • 15. Temporary cable blocks used where required.

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  • 16. Aerial Sag as per design (See Sag Tables).

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  • 17. Aerial cable fixing as per specification for transformer, switch, street light control box, termination 10% deviation pole (dead ends) etc.

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  • 18. Pole attachments - metal banding, hooks, brackets, etc. are as per design. No more than 40mm of bolt exiting the pole.

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  • 19. Steel plastic coated cable tie or strap used at join of messenger component and cable component to prevent further separation of messenger and cable.

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  • 20. Cable tagged correctly, area code, cable number, fibre count, fibre number range, cable section identified (Birth Certificate captured), Metre marks and all relevant data captured.

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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.