Southern Light Construction Close Out

• Site Name:

• Site ID:

• Location
  Address

• Prepared by

• Conducted on

  Date

Construction

• Start Date:

  Date

• End Date:

  Date

• In-house Crew or Contractor? Please specify.

  In-House

  Contractor

Scope of Work

Media (Pre/During/Post)

• Facility Pictures

  Media

• Trench/Bore

  Yes

  No

  N/A

• Construction Pictures Before

  Media

• Construction Pictures During

  Media

• Construction Pictures After

  Media

• Hand Hole Installation

  Yes

  No

  N/A

• Construction Pictures Before

  Media

• Construction Pictures During

  Media

• Construction Pictures After

  Media

• Fiber Installation

  Yes

  No

  N/A

• Construction Pictures Before

  Media

• Construction Pictures During

  Media

• Construction Pictures After

  Media

• Pictures of Dig Ticket

  Media

• Reference #

• Pictures of Located Utilities

  Media

• Special Remarks

• Additional Instructions or Pictures

  Yes

  No

  N/A

As-builts

• Pictures of marked up plans

  Media

Customer Actions Needed

• Are any actions needed from the customer?

  Yes

  No

  N/A

• List of customer actions needed

Inventory

• Fiber Reel(s) # & count

• Picture(s) of Reels with #

  Media

• Fiber Footage

• Conduit Footage

• Hand Holes

• Tracer Wire

• Nema

• Strand

• Miscellaneous Inventory Information or Pictures

• Misc. Pictures

  Media

Sign-off

• Auditor's signature

  Sign