What Type of QC are you conducting?
Field Service
Drop Bury
Back
Next
Tristate Premise QC Form
Quality Control for Field Services
QC Inspector name:
*
Name or Tech Number
Tech Number
Name
*
Tech Name
Last Name
Techs iCloud Email
*
Does the tech need to be charged back?
*
No Chargeback
$25 Chargeback W2
$50 Chargeback 1099
Date of QC
*
/
Month
/
Day
Year
Date Picker Icon
Work Order Completion Date:
*
/
Month
/
Day
Year
Date Picker Icon
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Order Type
*
Install
Trouble Call
Change of Service
What Type of QCs is being conducted? (Multiple selections can be made.)
*
Tap
Property
Is the tap work overhead, underground or both?
*
Overhead
Underground
Both
- Tap -
Was the proper drop cable used? (150ft+ RG6/RG11)
*
Pass
Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the height & drop clearance, correct? (Pole, street, driveway clearance)
*
Pass
Critical Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the drop properly attached to structure? (12in from power and secured; Not attached to the Mast)
*
Pass
Critical Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Was proper pole attachment used? (span clamp on strand or j-hook in pole; no p-hooks in pole)
*
Pass
Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Were Drop hangers used?
*
Pass
Fail
Not Required
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Has cable been secured with zip ties under the strand/coax (not on expansion loop)
*
Pass
Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Have all connectors been properly weather protected? (Weather Grommet at tap port)
*
Pass
Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Have connectors been properly compressed and tightened?
*
Pass
Critical Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the drop properly routed following buildings power?
*
Pass
Critical Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Are all un-used tap ports sealed and terminated?
*
Pass
Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Have all other connectors at the tap been properly installed, and weather protected?
*
Pass
Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the drop routed properly under the Ped? (Ped not damaged or left open due to drop)
*
Pass
Fail
Other
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the pedestal secured properly?
*
Pass
Fail
Other
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the drop tagged with proper address tag?
*
Pass
Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the Drop specific to the customer account? (Not split or shared with another address)
*
Pass
Critical Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
- Property -
6" Drip loop at structure attachment?
*
Pass
Fail
Not Required
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Bonding practices prioritized and followed specification?
*
Pass
Critical Fail
MDU
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Was the proper filter added at grounding location? (Moca filter if it's a TiVo Account)
*
Pass
Fail
Not Required
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Was a grounding tag used?
*
Pass
Fail
MDU
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the ground wire length in spec?
*
Pass
Critical Fail
MDU
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Are splitters outside secured with a house box?
*
Pass
Fail
Not Required
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Are all outside connectors properly installed and sealed?
*
Pass
Critical Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Have all connectors been properly compressed?
*
Pass
Critical Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Have all connectors been tightened properly?
*
Pass
Critical Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Have all bends in the cable followed proper bend radius spec (10 times the diameter of the cable used)
*
Pass
Fail
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Are all existing outlets fastened to house and weather sealed?
*
Pass
Fail
Not Required
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the cable routed in an aesthetically pleasing manner?
*
Pass
Fail
Not Required
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Are cable RG6 clips installed and spaced apart correctly? (14"-18" apart)
*
Pass
Fail
Not Required
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Was an entry bushing and RTV sealant used at cable/phone line house entry point?
*
Pass
Fail
Not Required
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Is the house box mounted securely to the house, next to power meter (on new installs)
*
Pass
Fail
N/A
Comments:
Picture of Issue?
Click here to take picture
Drag and drop files here
Choose a file
Cancel
of
Were you able to QC inside the home?
*
Yes
No
Have fittings or jumpers inside been replaced at CPE?
*
Yes
No
Have all fittings behind the active wall-plate been replaced?
*
Yes
No
Has the customer been educated on how to use their equipment?
*
Yes
No
Partially
Was the customer given their Wi-Fi password?
*
Yes
No
Not Required
Was the indoor cable run properly? (No tripping hazards, excessive cable length, or tight bend radiuses)
*
Pass
Critical Fail
Picture
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Was the customer happy with the last technician?
*
Yes
No
Customers Complaint:
Was the property clear of cable debris and trash?
*
Yes
No
Comments:
Picture
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Summary of QC
Any additional pictures for overall QC?
Browse Files
Drag and drop files here
Choose a file
Cancel
of
QC Result
*
Pass
Fail (3 or more failed entries)
Critical Fail
Submit
Back
Next
Tristate Drop Bury QC Form
QC Inspector Name
*
First Name
Last Name
Who did the drop bury?
*
Crew or Name
Address
*
Street Address
Street Address Line 2
City
Account Number
Work Completion Date
*
-
Month
-
Day
Year
Date
Does the drop need to be reburied due to non-compliance?
Yes
No
Pics of QC
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Tap Side of QC
Questions will be referring to tap.
Was the connector properly tightened and compressed? (-20 points)
Yes
No
Notes for Fail:
Was all of the connectors at the tap properly weatherized with rubber grommets? (-10 points)
Yes
No
Did the drop go under the pedestal?(-30 points)
Yes
No
Was the drop done in CIC?
Yes
No
Was it buried to depth at the tap side?
Yes
No
Landscaping
Questions refer to Landscaping
Was the landscaping put back to where it was unoticeable?
Yes
No
N/A
If contact was made with customer, was customer content with how the landscaping was left?
Yes
No
N/A
To best of your ability, was the drop buried to depth?
Yes
No
Any feedback you would like to provide.
House Side of QC
Questions will refer to house side.
Was the connector properly tightened and compressed? (-20 points)
Yes
No
Was all of the connectors at the tap properly weatherized with rubber grommets? (-10 points)
Yes
No
Was the drop buried to depth at the house side? (-30 points)
Yes
No
Was the drop grounded? (-30 points)
Yes
No
Notes:
Submit
Should be Empty: