• Job Name

  • SL job#

  • Site owner/site number

  • Conducted on

  • Location
  • Prepared by


  • Start date

  • End date

  • Assigned Contractor

  • Was conduit/fiber placed to design specs?

  • Are as-builts required?

  • Picture of plans

  • Construction Pictures Before

  • Construction Pictures During

  • Construction Pictures After

  • Comments


  • Is there fiber run from SL to the customer demarc?

  • Picture

  • Fiber Count

  • Fiber Type

  • Comments

  • Is there fiber run from the LEC demarc to the SL demarc?

  • Picture


  • Is splicing complete?

  • Pictures

  • Comments

Customer actions needed

  • Are any actions needed by the customer?

  • List of customer actions needed

Additional site comments

  • Any additional site comments?

Site readiness

  • Is the site ready for OPS?

Sign Off

  • Auditor's signature

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.