• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Audit Details

  • Project

  • Customer service area

  • Service order

  • Auditee

  • Company name

Work Areas & Safety

  • Site - Personal and site safety procedures observed?

  • Hazards - Hazards identified and recorded. Worksite audit form completed / Hazard notices in place?

  • Traffic - Transit TMP provided?

  • Services - Services located / Clearances correct?

  • Confined space - Confined space; Gas detector - Within current calibration certificate?

  • Reinstatement - All work areas reinstated?

  • Optical fibre health and safety - No fibre task waste on site, all optical (glass) ends safely contained (H&S)? Refer to optical fibre - Chorus optical health and safety guidelines document ND0585 - 5.2.7 Disposal of fibre (glass) off-cuts.


  • H&S - Pole safe to climb (hammer/probe/dig)?

  • H&S - Unsafe poles labelled / marked for replacement / 7 days?

  • H&S - Unsafe poles noted in hazardous pole register?

UFB Fibre Flexibility Point (FFP)

  • Fibre management - Fibre run correctly on mandrels and managed as per handbook?

  • Cabinet - Cabinet / Exchange log complete?

  • OFDF H&S - All unused connectors capped?

  • OFDF - Splitter legs installed in parking bay?

  • Fibre management - Within an individual tray two fibres per customer connection rule is observed?

Pillar / Pedestal Terminal

  • Security - Lid secure?

  • Pillar - Lead-in through base only?

  • Reinstatement - Site tidy, no task waste?

Aerial Service Lead

  • Customer - Lead-ins enter terminal correctly?

  • Pipe - White pipe down poles?

  • Pipe - 600mm saddle spacing or 1500mm bandit spacing?

  • H&S - Roadway crossing min 5.5m height, elsewhere 4.25m height?

  • H&S - Correct aerial fittings used (screw eyes, sash clamps)?

Buried Service Lead

  • Customer - Service lead terminated correctly?

  • Pipe - 20mm pipe connected at pedestal correctly (bend in pedestal)?

  • Pipe - 20mm pipe connected at BDD correctly (50mm into BDD pit, 450mm deep)?

  • Pipe - Green 20mm installed in trench?

  • Pipe - White pipe above ground level?

  • Customer - Depth correct (300mm cover)?

  • Reinstatement - Reinstatement / Backfill satisfactory?

  • Pipe - Pipe connected at ETP correctly (not glued)?

  • Installing of ribbonet - Both ends of the Ribbonet correctly sealed during the lead in process?


  • ETP - Physical alignment correct between 300mm and 600mm above ground, all fittings secure?

  • ETP - Ericsson 5/NEG203200 ETP installed?

  • Pipe - 20mm pipe to ETP is white only?

  • Pipe - White pipe or flexi duct fitted to outside of building secured with plastic or galvanised saddles?

  • Locate - Locate wire installed and terminated in ETP with redcaps (fixed fibre only)

  • Pipe - Fibre building penetrations sealed?

  • Fibre - Fixed fibre or ABF tube housed in 20mm white pipe or UV stabilised flexi pipe where fibre exits through bottom of ETP?

  • Legacy wiring - Correctly connected to hybrid cable?

  • Closure - 30mm bending radius unconditionally observed at all locations?

  • Closure - Heat shrink splice protectors secured from movement?

Customer Premises

  • H&S - Correct clearances observed?

  • Cable - Wiring route acceptable and cable safe and secure?

  • Cable - Exposed surface wiring neat and tidy?

  • ONT/RGW - Hardware installed and aligned correctly, not in a damp area, 300mm above ground?

  • Technician - Contractor appearance/manner up to standard, ID card visible?

  • Reinstatement - Site tidy, no task waste?

  • Commissioning - Optical power meter test at the ONT prior to plugging in the SC/A connector?

  • Cabling ETP to HONT - Fibre/Copper hybrid cable used?

  • H&S - Connectors cleaned and verified with fibre inspection probe?

Sales & Service Advice Notes

  • Records integrity - Completion time and date filled in?

  • Records integrity - Service order number correct?

  • Records integrity - Customer details correct?

  • Records integrity - Service required details correct?

  • Records integrity - Additional services provided clearly recorded?

  • Records integrity - Service order type correct?

  • Records integrity - CSA correct?

  • Records integrity - Network elements where work was carried out?

  • Customer - Customer acknowledged with name and signature?

  • Technician - Service person name?

  • Codes & context - Correct billing codes claimed

Fibre Access Terminal

  • Entry tubes - Are entry tubes sealed?

  • Splice trays - Only two fibres per tray?

  • Service lead install - Lead cleaned and abraded?

  • Service lead install - Rayblocks fitted to tubes and shrunk down to seal cable into accessible?

  • Tube holder - Tube holder installed?

  • Fixed fibre - Locate element trimmed and discarded?

  • Closure - Silica gel pack replaced?

  • Closure - Triangle symbols on the dome and base match?

  • Closure - All latches closed?

  • Closure - O-Ring installed?

  • Closure - 30mm bending radius unconditionally observed at all locations?

  • Closure - Heat shrink splice protectors secured from movement?

  • Fibre - Fibre routed?

  • Fibre - Splice holder installed?

  • Fibre cable - Slack managed in fibre management coil?

  • Security - Swing arm and bracket in working order or mounted on manufactured bracket?

  • Security - Lid locked and lock bung installed?

  • Design - Fibre splicing with design tolerance?

Blown Fibre Boundary Connection

  • Microduct - One way tubes trimmed accurately and securely seated in 5mm connector?

  • Microduct - One way ribbonet connector secure?

  • Microduct - Locate element installed and terminated correctly?

  • Cable protection - Cover board installed prior to reinstatement?

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.