Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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CONTRACT NUMBER
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PROJECT NUMBER
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CIRCUIT NUMBER
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CUSTOMER NAME
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DATE/TIME OF WORKS
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FINISH DATE/TIME OF WORKS
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SCOPE OF WORKS
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has MMF been installed
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- 4 core mm 62.5
- 8 core mm 62.5
- 12 core mm 62.5
- 16 core mm 62.5
- 24 core mm 62.5
- 48 core mm 62.5
- 4 core mm 50/125
- 8 core mm 50/125
- 12 core mm 50/125
- 24 core mm 50/125
- 48 core mm 50/125
- 4 core om3
- 8 core om3
- 12 core om3
- 16 core om3
- 24 core om3
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has SMF been installed
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- 4 core sm
- 8 core sm
- 12 core sm
- 16 core sm
- 24 core sm
- 48 core sm
- 144 core sm
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A END DEMARKS
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A ENDS LABELLING DETAILS
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PANEL INSTALLED IF NO PLEASE INSERT PHOTO
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U POSITION
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Termination type
- SC/PC
- SC/APC
- LC/PC
- LC/APC
- FC/PC
- FC/APC
- ST/PC
- ST/APC
- MTRJ
- rj45
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B END DEMARKS
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B END LABELLING DETAILS
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PANEL INSTALLED IF NO PLEASE INSERT PHOTO
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U POSITION
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Termination type
- SC/PC
- SC/APC
- LC/PC
- LC/APC
- FC/PC
- FC/APC
- ST/PC
- ST/APC
- MTRJ
- rj45
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ILM TESTED
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OTDR TESTED
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CROSSOVER INSTALLED
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CROSSOVER INSTALLED AT WHICH END
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FLUKE TESTED
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ADDITIONAL INFORMATION
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ENGINEERS
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- Dan Shoulder
- Russ Brown
- Adam Harrison
- Alan Stuart
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SIGNATURE
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any further site visit needed?
