Title Page

  • NOI reference number

  • Conducted on

  • Prepared by

  • Location

Maps

  • Annotated maps including box ref number ( multiple maps may be used)

Evidence

  • Box/ pole Ref number

  • Photo of box/ pole including equipment/ cable showing label

  • Box/ pole type type

  • Grid ref, eastings and northings (x&y)

  • Is there equipment?

  • type of equipment

  • Is there any additional boxes?

  • Additional evidence
  • Box/ pole Ref number

  • Photo of box/ pole including equipment/ cable showing label

  • Box/ pole type

  • Grid ref, eastings and northings (x&y)

  • Is there equipment?

  • Type of equipment

  • 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.