Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • CUSTOMER NAME

  • DATE/TIME OF WORKS

  • FINISH DATE/TIME OF WORKS

  • SCOPE OF WORKS

  • has MMF been installed

  • has SMF been installed

  • Has ethernet cable been installed

  • A END DEMARKS

  • A ENDS LABELLING DETAILS

  • PANEL INSTALLED IF NO PLEASE INSERT PHOTO

  • U POSITION

  • Termination type

  • B END DEMARKS

  • B END LABELLING DETAILS

  • PANEL INSTALLED IF NO PLEASE INSERT PHOTO

  • U POSITION

  • Termination type

  • ILM TESTED

  • OTDR TESTED

  • FLUKE TESTED

  • CROSSOVER INSTALLED

  • CROSSOVER INSTALLED AT WHICH END

  • TEST EQUIPMENT SERIAL NUMBER

MATERIALS

  • CABLE MANUFACTURER

  • Quantity of cable used

  • PANEL MANUFACTURER

  • FIBRE PANELS USED

  • PIGTAILS USED

  • COPPER PANELS USED

  • MODULES USED

  • PATCH LEADS USED

  • CABLE MANAGEMENT

  • GLANDS

  • SPLICE BRIDGES

  • COPEX

  • MANIFOLDS

  • ADDITIONAL INFORMATION

  • ENGINEERS

  • SIGNATURE

  • any further site visit needed?

  • Photos Allowed

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.