Information

  • CO name

  • Location
  • Conducted on

  • Prepared by

OSPE information

  • OSPE name

  • OSPE phone number

  • OSPE e-mail

CO audit

  • Assigned relay rack number

  • Picture(s) of relay rack

  • Estimated length to vault knockout

  • Picture(s) of route

  • Vault length

  • Picture(s) of vault

  • Length vault to MH(s)

  • Picture(s) of MH(s)

  • Estimated length MH(s) to SL HHs

  • Pictures of proposed HH locations

Scope of work

  • Scope of work

  • Collector screen shot

Preterm information

  • Number of preterms needed

  • Preterm lengths

  • Preterm fiber counts

Sign off

  • 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.