Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Customer Service Area

  • Viscore/ Job Number

  • Responsible Manager

  • Auditee

  • Company

3 Service Order

  • 3.006 Records updated or confirmed correct

4 Codes

  • 4.004 Correct Statement of Work codes used

5 Fault

  • 5.008 Proactive opportunities identified

  • 5.009 Escalation procedure followed (Defect Referral)

9 MDF (7535, NDF-100A, NDF-100B, ND0066)

  • 9.001 MDF Block secure (installation, earthing)

  • 9.002 MDF Block Labelling correct (Cable Number, Pair range)

  • 9.003 MDF Area cable entry duct sealed

  • 9.005 Jumper routing via frame guides

  • 9.006 Jumper type correct (OR/WH) with required (175mm - 225mm) slack left

  • 9.007 IDC jumper terminations correct (full insertion to IDC, excess trimmed)

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

  • 9.009 Old jumpers removed

  • 9.01 Lightning protection (where fitted) earth to common earth

  • 9.011 Cable pair records updated

  • 9.013 Site tidy, rubbish bins, jumpers, floor

10 Pride & Logs

  • 10.002 MDF Log completed in exchange

25 Poles

  • 25.003 Pole in good condition, no splits, burs

  • 25.01 Pole safe to climb (hammer/probe/dig)

  • 25.012 Plant positioned correctly and safely, plant clearances correct

31 Active Cabinet Internal RHS

  • 31.001 Outer Door lock works smoothly and door closes without jamming.

  • 31.002 Door stays are in place and all work well

  • 31.004 Soft foam seal plate secured. Cable entry prevents vermin/insect entry.

  • 31.006 MDF; Correct Modules installed

  • 31.007 MDF; Module Labelling correct

  • 31.008 MDF; Data card for jumper running data (laminated or in a card holder attached to the inside of door)

  • 31.009 MDF; Cabinet E-side Termination data card in door.

  • 31.01 MDF; Jumper correct type (BL/WH)

  • 31.011 MDF; Jumper run correctly (50mm slack & no excess)

  • 31.016 Bottom LHS Earth bar strapped to each MDF vertical and the base of the cabinet

  • 31.020 MDF; Jumper terminated correctly

  • 31.021 Door seals in good condition

  • 31.022 Excess vegetation removed

  • 31.023 MDF: All dead jumpers removed

  • 31.024 Site tidy, no waste

37 Passive Copper Cabinet

  • 37.001 Outer Door lock works smoothly and door closes without jamming

  • 37.002 Door stays are in place and all work well

  • 37.003 Cabling run correctly

  • 37.004 Distribution Frame: Correct Modules installed

  • 37.005 Distribution Frame: Module Labelling correct

  • 37.006 Distribution Frame: Data card (laminated or in a card holder attached to the inside of CCC door)

  • 37.007 Distribution Frame: Cabinet Laminated E-side Termination data card in door.

  • 37.008 MDF; Jumper correct type (BL/WH)

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

  • 37.01 MDF: All dead jumpers removed

  • 37.011 Module support bars, separators and cover in place

  • 37.014 All duct seals in place

  • 37.015 Concrete around ducts in base of cabinet

  • 37.016 Locks & hinges OK

  • 37.017 Door seals in good condition

  • 37.018 Excess vegetation removed

  • 37.019 MDF; Jumper terminated correctly

  • 37.020 Site tidy, no task waste

39 Aerial Terminal

  • 39.001 Correct terminal used

  • 39.002 Terminal mounted and secured correctly

  • 39.004 Terminal lid secure

  • 39.005 Terminal label on lid or plate on pole

  • 39.006 Lead-in entry correct

  • 39.007 Lead-in terminated correctly

  • 39.008 Plastic bag on multi-pair lead-in cable unused pairs

  • 39.009 Cable shield installed

40 Pillar Terminal

  • 40.001 Pillar - vertical, firm, depth

  • 40.002 Pillar ID correct

  • 40.003 Lid secure

  • 40.004 Lead-in thru base only

  • 40.005 Plastic bags installed & secure

  • 40.006 Foam bung fitted

  • 40.007 Minimum sheath height 50mm (30mm if in concrete and/or uneconomic to repair, 80mm for V3)

  • 40.008 Coloured zip ties to 25 pair groups (not too tight)

  • 40.009 Correct cable used

  • 40.01 Correct connectors used

  • 40.011 Circuit dedicated

  • 40.012 Service Lead labelled correctly

  • 40.013 Unused pairs capped

  • 40.014 Damaged conductors repaired

  • 40.015 Faulty connectors replaced

  • 40.016 Encapsulated loop resealed correctly

  • 40.017 V3: Lead-in customer and network labels OK

  • 40.018 Green cable tie on exchange side

41 BDD Terminal

  • 41.001 Pit lids secure/locked, with bung fitted where appropriate

  • 41.002 Pit installed correctly

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

  • 41.004 O/J lid labelled

  • 41.005 Radi is correctly installed, thermal change and lead in

  • 41.006 2m loops at BDD pits

  • 41.007 2m insulated tail installed at last BDD

  • 41.008 Plastic bags installed & secure

  • 41.009 Coloured ties to 25 pair groups

  • 41.01 Correct cable used

  • 41.011 Correct connectors used

  • 41.012 Circuit dedicated

  • 41.013 Service Lead labelled correctly

  • 41.014 Unused pairs capped

  • 41.015 Damaged conductors repaired

  • 41.016 Faulty connectors replaced

  • 41.023 Site tidy, no task waste

42 PDS Terminal

  • 42.001 Pedestal - vertical, firm, depth

  • 42.002 Correct size pedestal used

  • 42.003 Lid secure

  • 42.004 PDS network labelled correctly

  • 42.005 Designed pair arrangement correct

  • 42.006 QF terminal labelling correct

  • 42.007 QF terminal secured to backing plate

  • 42.008 Foam bung fitted

  • 42.009 Adequate gel in quiet front

  • 42.01 Service Leads installed correctly

  • 42.011 Service Lead labelled correctly

43 Aerial Service Lead

  • 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)

  • 43.005 Lead-ins enter terminal correctly

  • 43.006 White pipe down poles

  • 43.007 600mm saddle spacing or 1500mm bandit spacing

  • 43.008 Roadway crossing min 5.5m height, elsewhere 4.25 metre height

  • 43.009 Loops on poles tied

  • 43.011 Lightning protection runs >500 metres

  • 43.012 Correct building fittings used (screw eyes, sash clamps)

  • 43.015 Site tidy, no task waste

44 Buried Service Lead

  • 44.001 Service Lead terminated correctly

  • 44.002 20mm pipe connected at Pedestal correctly - (bend into pedestal)

  • 44.003 20mm pipe connected at BDD correctly (50mm into BDD pit, 450mm deep)

  • 44.004 20mm pipe connected at RLG correctly (at base of DP, bend if room)

  • 44.005 Individual pipe & cable for installs of <100 metre

  • 44.006 Direct buried cable option (no pipe) for > 100 metre

  • 44.007 Green 20mm installed in trench

  • 44.008 White pipe above ground level

  • 44.009 Depth correct (450mm cover)

  • 44.01 Power/ Gas clearances correct

  • 44.011 Cable & pipe repair correct

  • 44.012 Reinstatement/ backfill satisfactory

  • 44.013 Pipe connected at ETP correctly (not glued)

  • 44.014 Overlay of Service Lead justified

45 ETP

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

  • 45.002 ETP location: (buried lead in-300-1500mm) (AE lead in on facia/under eaves)

  • 45.003 ETP recessed (within cladding) location: 900-1500mm

  • 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

  • 45.007 Premise cabling exit via back of ETP

  • 45.008 Premise cabling exit from ETP is sealed with silicone

  • 45.009 All connections via gel filled connectors

53 TNT/TNF (Building Frames)

  • 53.001 TNF or TNT installed correctly

  • 53.002 Disconnection block installed correctly

  • 53.003 Earthing requirements met

  • 53.004 Demarcation point installed correctly

  • 53.005 TNF/TNT Labelled correctly

  • 53.006 TNT/TNF additional warning label installed NDF-151

  • 53.007 Jumper routing via frame guides

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.