Fiber Splicing QC Checklist

Fiber Splicing QC Checklist
Use this checklist to inspect and document fiber splicing quality control results, defects, corrective actions, and final review.
Job and Site Information
Job / Work Order ID
Site / Location
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Inspection
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Shift / Time Window
Technician / Inspector Name
First NameLast Name
Supervisor / Manager Name
First NameLast Name
Splice Quality Control Checks
Fiber Type / Cable Type
Splice Method / Equipment Used
Other
Number of Splices Inspected
Visual Inspection Results
Rows Pass Fail
Fiber alignment
Cleave quality
Arc / fusion appearance
Protection sleeve placement
Connector / end-face condition
Average Splice Loss Measurement

1
2
3
4
5
6
7
8
9
10
1 is High loss, 10 is Low loss
Defect Categories Observed
Other
Overall QC Status
QC Remarks
Corrective Actions and Final Review
Corrective actions taken or required
Final disposition of splice job
Follow-up needed
Reviewer approval/sign-off
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Rows	Pass	Fail
Fiber alignment
Cleave quality
Arc / fusion appearance
Protection sleeve placement
Connector / end-face condition