Information

  • CSA

  • Job Number

  • Address

  • Auditee Name

  • Conducted on

  • Auditor Name

  • Contract Manager (CM)

4 Codes

  • 4.001 Correct Trouble Found code used

  • 4.002 Correct Cause code used

  • 4.003 Correct Action code used

  • 4.004 Correct Statement of Work codes used

5 Fault

  • 5.001 NTS test result (Techmate)

  • 5.002 Records - Cable pairs correct, changes updated

  • 5.004 RID Fault Ticket text field completed - first name, surname initial, fault cause, fault resolution, location of repair incl. street no., name of end customer if contacted. If applicable: PDR no., NFF – NVF no.

  • 5.009 Escalation Proactive procedure followed (NIF)

9 MDF

  • Was any work completed at this location by Technician?

  • 9.008 Solder jumper terminations correct (wire strip & wrap, no excess solder)

  • 9.006 Jumper type correct (OR/WH) with required (200mm) slack left

  • 9.005 Jumper routing correct

37 Passive Copper Cabinet

  • Was any work completed at this location by Technician?

  • 37.008 Cabinet Jumper correct type (White/Blue)

  • 37.009 Cabinet Jumper run correctly (50mm slack & no excess)

  • 37.016 Locks & hinges OK ( NIF submitted if damaged)

39 Aerial Terminal

  • Was any work completed at this location by Technician?

  • 39.002 Terminal mounted and secured correctly

  • 39.004 Terminal lid secure

  • 39.005 Terminal label on lid or plate on pole

40 Pillar Terminal

  • Was any work completed at this location by Technician?

  • 40.002 Pillar ID correct

  • 40.003 Lid secure (2 Screws)

  • 40.005 Plastic bags installed & secure (2 bags/2 Ties)

  • 42.008 Foam bung fitted

  • 40.010 Correct connectors used

  • 40.012 Service Lead labelled correctly

  • 40.013 Unused pairs capped

  • 40.016 Encapsulated loop resealed correctly

  • 40.019 Service Lead - flying leads installed and correct

41 BDD Terminal

  • Was any work completed at this location by Technician?

  • 41.001 Pit lids secure/locked

  • 41.003 Radi: Base & lid clean, O ring seated correctly, O ring replaced upon entry

  • 41.004 O/J lid labelled

  • 41.008 Plastic bags installed & secure

  • 41.011 Correct connectors used

  • 41.014 Unused pairs capped

  • 41.016 Faulty connectors replaced (Green/Milky connectors replaced)

  • 41.013 Service Lead labelled correctly

42 PDS Terminal

  • Was any work completed at this location by Technician?

  • 42.003 Lid secure

  • 42.004 PDS network labelled correctly

  • 42.007 QF terminal secured to backing plate

  • 42.008 Foam bung fitted

  • 42.011 Service Lead labelled correctly

43 Aerial Service Lead

  • Was any work completed at this location by Technician?

  • 43.001 Correct Service Lead used

  • 43.002 No In span joints

  • 43.003 Tension, sag and twist correct

  • 43.004 Correct pole fittings used and installed (screw eyes, sash clamps)

45 ETP

  • Was any work completed at this location by Technician?

  • 45.001 ETP physical alignment correct, all fittings secure, installation tidy

  • 45.004 Aerial lead in to ETP correct eg termination hardware, position, tidy appearance

  • 45.005 20mm pipe to ETP is white only

  • 45.006 20mm pipe end (within ETP) is sealed with silicone and drainage holes left clear

  • 45.008 Premise cabling exit from ETP is sealed with silicone

Worksite Taskwaste

  • 73.024 General site tidy & no Task waste remaining

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.