PROJECT :

COMPANY :
CONTRACTOR :
SUB-CONTRACTOR :
PROJECT NO. : RG6-CS-004
Report No. :
FIBER OPTIC CABLE POST INSTALLATION TEST REPORT
Date :
Cable Make, Type & Size
Drum number and installed cable length
Installed location
Cable end readings
Test end
Acceptance Criteria Loss @ 850 < 3.5 & @ 1310 < 0.5 dB/km
Instrument used
Fiber Buffer Tube Attenuation @ 850nm Attenuation @ 1310nm
Remarks
Number Color Number Color Length dB/km Pass/Fail Length dB/km Pass/Fail
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
GAC
Completed by E&I Maint. MPC
Area Engineer QC Inspector
Name:
Signature:
Date:

Form No: DOD-RGX-F426, Rev.0