Zoom Fibre (PTY) Ltd - CAC

• Document Number:

• Approved Date:

  Date

• Prepared by

  Select

• Suburb Name:

• Cluster:

• Block:

• Contractor:

• All Snags attended too and Rectified:

  Yes

  No

• DIT submitted to Zoom and Pased (DIT's to be performed by Contractor)

  Yes

  No

• Fibre has been floated successfully: (To confirm the integrity of the duct)

  Yes

  No

• Date and Time Stamped photos with Co-Ordinates per cluster, block, route has been provided:

  Yes

  No

• EHS Documents submitted with all incidents, toolbox talks, accidents, investigations:

  Yes

  No

• DCP Test results, Must be date and time stamped with coordinates:

  Yes

  No

• Civil As-Builds:

  Yes

  No

Service Affecting Snags:

• Trench Depth and placement correct as per plan:

  Yes

  No

  N/A

• Trench straigh and reinstatement level with NGL

  Yes

  No

  N/A

• Correct duct size and configuration installed:

  Yes

  No

  N/A

• Ducts Installed straight and free of kinks and bends:

  Yes

  No

  N/A

• Trench Tape installed:

  Yes

  No

  N/A

• Manhole and AP placement correct as per plan:

  Yes

  No

  N/A

• Reinstatement around Manhole level with NGL:

  Yes

  No

  N/A

• Drainage sump installed under all manholes and AB's:

  Yes

  No

  N/A

• Duct entries and cutbacks done correctly:

  Yes

  No

  N/A

• Concrete encasement done correctly where applicable:

  Yes

  No

  N/A

• DCP test results done to specification requirements:

  Yes

  No

  N/A

• DIT's done to specification requirements:

  Yes

  No

  N/A

Non-Service Affecting snags:

• Re-instatements complete to original condition or better:

  Yes

  No

  N/A

• Foaming of Manholes and AB:

  Yes

  No

  N/A

• End caps on Installed duct:

  Yes

  No

  N/A

• Labelling of Manholes and AB's:

  Yes

  No

  N/A

• Tar Reinstatement on road cuts completed in line with specification requirements:

  Yes

  No

  N/A

• PVC conduit, saddles and inspections eye's - "Lollipops" installed level and secure:

  Yes

  No

  N/A

• Housekeeping:

  Yes

  No

  N/A

• Civil AsBuild complete and accurate:

  Yes

  No

  N/A

• EHS Documents submitted:

  Yes

  No

  N/A

Other Snags:

• Were there other Snags Identified?

  Yes

  No

  N/A

• List all other Snags Identified:

Manholes/Ducts/Fibre Joints:

• Manhole - 600R (Pcs)

• Access Box - 320 T (Pcs)

• 1 Way 8/5 Subduct (Meter)

• 1 Way 14/10 Subduct (Meter)

• 2 Way 8/5 Subduct (Meter)

• 2 Way 14/10 Subduct (Meter)

• 4 Way 14/10 Subduct (Meter)

• 32mm Subduct (Meter)

• 110mm Sleeves (Meter)

• 50mm Coil Sleeves (Meter)

• Dust Caps 8/5mm (Pcs)

• Dust Caps 14/10mm (Pcs)

• Trench Tape (Meter)

• All Documents and reults to be provided prior to final CAC being signed off. Please Note should any of the above information remain outstanding from the contractor, the CAC will not be signed.

• It is hereby confirmed that the work performed is completed under the client specifications in accordance with Zoom Fibre Policies and procedures and is deemed correct.

• Zoom Fibre Representative Sign-off:

  Sign

• Contractor Representative Sign-off:

  Sign