PROVISIONAL ACCEPTANCE TESTING

Acceptance check-ist for new ln-Building Solution (IBS) mabite site gdd ufg tÍ ifo

rovisional Acceptance
Acceptanc check-listfor new In-Building Solution (IBS) miobile ite
Testing
Site ID: DaB O2A Date of Visit: 12|22023
Site Name: Gobo Ksidalces fTVC
Site Coordinates:
Recont acCount and
Power Authority: DEWA SEWA FEWA ADDC AADC "Private/ landlord Ieter #s and take
clear photo:

AC Units Owned by DU Belongs to building Mixcd: Please specify

Any access restrictions during
Access Procedure: Open *Others:Clarify and get access process/ POCs day/right?

Each slect of tlris check list should be initialed by attendees

Attendees (Conplete as Appropriate)
Sgnature Date
FUNCTHON NAME
Acceptance

du-ND
Pan
I2.2.202
ND-Vendor
kA.Siba
*Important: This checkllst is for the purpose of guidance during acceptance site isit. Teams doing the visit are free to raise/record any
concern/snag which might require higher level alignment or decision regardless if existing in this checklist or not.
 d Provisional Acceptance l esting
Telecomn Works Checklist

Outstanding Items List -OlL Sheet

Item
Outstanding Itemns / Snags detected Clearance Date Witnessed by (Sign)
no.

Nominal ID: DUBOIg Candidate ID: Date of completlon: 1222023

|Inspection completed by: Vendor du ND Sub-Contractor du FLM

Name:

Signature:

TI Acceptance Check List VO1 MA-FO-30701

07