QUALITY FIELD INSPECTION CHECKLIST - DEVICE INSTALLATION

• Inspection Date :

  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
  Address

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

  Yes

  No

  N/A

• 2. Environmental Risks Identified.

  Yes

  No

  N/A

• 3. Emergency contacts known.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 6. Dedicated waste / disposal area allocated.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 9. Traffic / Pedestrian Management in place.

  Yes

  No

  N/A

• 10. Traffic Management Plan completed.

  Yes

  No

  N/A

• 11. Temporary reinstatement completed.<br>

  Yes

  No

  N/A

• 12. Removal of Guards / Barriers / Signs.

  Yes

  No

  N/A

• 13. JSA & SWMS completed.<br>

  Yes

  No

  N/A

• 14. Practical Completion documents complete and accurate.

  Yes

  No

  N/A

5.1 Undergound Multiports Multiport Installation (MPT).

• 1. Pit/Manhole mounting bracket installed to specification.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 2. Multiport fitted 50mm from the end of the pit.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 3. Is the MPT in the correct PIT location.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 4. Sufficient cable left in pit (3m for MPT, coiled neatly, bend radius not compromised).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 5. MSS labelled correctly.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 6. Waste, Guards, Barricades & Signs removed, Site left safe.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 7. Correct MPT used as per Design.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 8. MPT dust caps in place.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 9. Checked with "As Built" Data.

  Yes

  No

  N/A

• 10. Installation meets all other design documentation, specifications and approved variations.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

5.2 Aerial Multiport Installation (MPT).

• 1. MPT secured correctly to pole.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 2. Is the MPT on correct pole.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 3. MPT mounted on Property Side of pole, e.g. Non climbing side or road side.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 4. MSS/MPT thether correct length and formed correctly in accordance with specifications.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 5. Correct size Multiport used and correctly located as per design.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 6. Multiport installed at least 1500mm below lowest point of LV cable and 4 metres from ground.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 7. All spare port dust caps installed to specification.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 8. Adherence to all cleaning guidelines for Optitip connector.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 9. Site left safe.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 10. Checked with "As Built" Data, item description captured correctly, location etc.

  Yes

  No

  N/A

• 11. Installation meets all other design documentation, specifications and approved variations.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 12. Wooden Pole - Cable strap at bottom of multiport secured with a locking head.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 13. Wooden Pole - Top of multiport to pole (6.35mm threaded fastners used not nails).

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 14. Kover guard fitted. Loose tail of MPT secured to pole.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 15. Metal/Concrete Pole - Top and bottom adaptors fitted correctly to multiport.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 16. Metal/Concrete Pole - Cable spacers fitted between adaptors and pole.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 17. Metal/Concrete Pole - Cable strap run through top adaptor.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 18. Metal/Concrete Pole - Cable strap run through bottom adaptor and around cable.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 19. Metal/Concrete Pole - Locking heads installed on plastic strap, excess plastic strap trimmed off with side cutters.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 20. Metal/Concrete Pole - Metal bands tightened and secured using band-it type tool.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 21. UMB secured correctly on pole with 4 x M10 x 50mm self taping SS screws at each corner of the corner of the UMB.

  Yes

  No

  N/A

• Defect type :

• Defect Location :

• Defect Description :

• Defect

  Media

• Rectification Description :

• Rectify Defect By :

  Date

5.3 FDH Cabinets and Splitters Installation.

• 1. Conforms to design location & rules (local codes, permits, not T intersection, low traffic etc.)

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 2. Isolation gasket utilised (Front of cabinet alignment).

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 6. Cap screws (4), lock washers (4) and Flat washers (4) installed / tightened.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 7. Cabinet free of dents and scratches.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 8. Cabinet is level.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 9. All doors accessible and cab be fully opened.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 10. Laser hazard warning label fitted in correct position.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 11. Remove lifting eyes on 432/576F FDH as per document NBN-TE-CTO-383.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 12. FDH external identification label fitted and it is as per labelling guideline document.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 13. DFN and LFN labelling inside front door of FDH.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 14. Splitters installed to specifications.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 15. All cables labelled, stored correctly and dust caps in place.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 16. FDH Patch leads routed correctly through guide rings.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 17. Site left safe.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 18. Reinstatement to the appropriate standards and rubbish removed.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 19. Does the as built reflect the build.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 20. Serial Number Correct.

  Yes

  No

  N/A

• 21. Birth Certificate for Splitters provided.

  Yes

  No

  N/A

• 22. Installation meets all other design documentation, specifications and approved variations.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 23. No visual or phyiscal obstruction to pedestrian or vehicular traffic.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 24. Use adequate lifting equipment to install cabinet - Adhere to all mandatory OHS&E requirements.

  Yes

  No

  N/A

• 25. FDH Cabinet not located within an EPR zone.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date

• 26. Records with final build details installed within cabinet.

  Yes

  No

  N/A

• Defect Type :

• Defect Location :

• Defect Description :

• Defect Photograph :

  Media

• Rectification Description :

• Rectify Defect By :

  Date