Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site Name

What Level

  • Site Address
  • Please add date and time

What DAS Segment are you working on?

  • How many nodes are there in the segment?

  • Conduct a visual inspection of the floor prior to beginning any testing, please capture the photos here:

  • Are there any visible problems or damage evident?

  • Please detail any damage or problems from the visual inspection here:

  • Please capture any post rectification photos here:

PIM Testing on 850MHz and 1800MHz

  • Please enter the results here:

  • Capture the photos of the Pass or Fail here:

Other Site works

  • Please sign the report here:

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.