Fiber Optic Final Acceptance Test Page 1 of______

Date __________________ Technician(s) ________________________

Test Location________________________ File Name __________________________
Pad ID RM model
Fiber Rayleigh coefficient RM s/n
Fiber index of refraction PM model
OTDR model PM s/n
OTDR s/n Source model
OTDR pulse width Source s/n
Visible cable defects
Color Terminal As tested at 1310 nm
Tube/Fiber Panel/Position A (dB) L (m) A (dB/km) IL (dB) RL (dB)
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Color Terminal As tested at 1550 nm
Tube/Fiber Panel/Position A (dB) L (m) A (dB/km) IL (dB) RL (dB)
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