Title Page

Site Details

  • Date of Inspection:

  • Contractor Name

  • Please provide an image of the contractor representative on site

  • Zoom Fibre Representative

  • Please provide an image of the ZF representative

  • Region
  • Suburb

  • Cluster

  • Block Number/s

Manhole and Joint Inspection

  • Manhole Number

  • Distance (Meters)

  • Number of Fibre Joints

  • Are we able to locate the Manhole?

  • What is the reason for being unable to locate the Manhole? Provide a detailed description.

  • Please Provide the actual location of the Manhole
  • Is the Slack Sufficient

  • What steps have been taken to Remedy this?

  • Is the Fibre work Acceptable?

  • Is the Manhole Lock/Pin damaged?

  • Is the Manhole damaged?

  • Does the 7-way duct need to be trimmed?

  • What has been done to rectify this? Provide images please

  • Is the Slack bracket broken?

  • What has been done to rectify this?

  • Does the Manhole required End-Caps, Filla Foam, SM and Housekeeping?

  • What has been done to rectify this?

  • Does the Manhole require completed Reinstatements / Retaining wall?

  • What has been done to rectify this?

Sign-Off's

  • FAC Date:

  • Submission Date:

  • Contractor Sign-Off

  • Date

  • Company

  • Designation

  • ZF Representative Sign-Off

  • Date

  • Company

  • Designation

  • Witness 1

  • Date

  • Company

  • Designation

  • Witness 2

  • Date

  • Company

  • Designation

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