Aerial RDOF OH 5-31-23
Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
OLT #
*
Type of Work Completed
*
Install Strand
Lash Fiber
Set Poles
Pole Transfer
Tree Trim
Traffic Control
Other
Check all that apply. If other, explain in notes below.
Point A Location Description
*
Address, Intersection or Splice Can Name Etc.
Point B Location Description
*
Address, Intersection or Splice Can Name Etc.
Total footage between Point A & B
*
Total # of Spans between A & B
*
Total # of Anchors Required
Total # of Anchors Installed
Pictures of Anchors 1-3
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Pictures of Anchors 4-6
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Pictures of Anchors 7-9
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Pictures of Anchors 10-12
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Total # of Storages Installed
Picture of Storages 1-3
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Picture of Storages 4-6
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Picture of Storages 7-9
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Picture of Point A Location
*
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Picture of Point B Location
*
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Picture of Tree Trim Spans
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Extra Pics.
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Picture of Detailed As-Built
*
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All info. submitted in this form should coorespond with the marked up as-built
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Notes:
Did your crew use proper Signs & Cones today?
*
Please Select
Yes
No
Other
NA
Crew Member # 1
*
Please Select
Robert Reilly
Will Harris
Roland Vega
Tom Post
Josh Moore
Lucas Cunha
Rob Wold
Draylon Williams
Trae Mowatt
Bruno
Italo
Ary
Geonark
Lindomar
DF Masters Spare 1
DF Masters Spare 2
ATC Spare 1
ATC Spare 2
DNA Spare 1
DNA Spare 2
DNA Spare 3
Crew Member # 2
*
Please Select
Robert Reilly
Will Harris
Roland Vega
Tom Post
Josh Moore
Lucas Cunha
Rob Wold
Draylon Williams
Trae Mowatt
Bruno
Italo
Ary
Geonark
Lindomar
DF Masters Spare 1
DF Masters Spare 2
ATC Spare 1
ATC Spare 2
DNA Spare 1
DNA Spare 2
DNA Spare 3
Crew Member # 3
*
Please Select
Robert Reilly
Will Harris
Roland Vega
Tom Post
Josh Moore
Lucas Cunha
Rob Wold
Draylon Williams
Trae Mowatt
Bruno
Italo
Ary
Geonark
Lindomar
DF Masters Spare 1
DF Masters Spare 2
ATC Spare 1
ATC Spare 2
DNA Spare 1
DNA Spare 2
DNA Spare 3
Submit
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