018947f02 – TELSTRA SITE SHARE ‘AS BUILT’ CONSTRUCTION CERTIFICATION All works listed in this form shall comply with the requirements of 018947 Deployment Rules for Telstra Antenna Support Structures

CONSTRUCTION PROJECT MANAGER FROM ACCESS SEEKER TO COMPLETE
Site Share Ref No	Revision Number:
Site Name:	Node Manager Address ID:
Height in Metres:	Structure Type:
Access Seeker Company:	Installation Company:
Accredited Structural Design Certification Company:
Brief Description of Work:
‘FOR CONSTRUCTION’ DOCUMENTS REFERENCE
Reports	Document Reference No	Sheet No	Issue No
Structural Design Certification: (018947f01)
Geotechnical Report: (if applicable)
‘FOR CONSTRUCTION’ DRAWINGS REFERENCE (insert Rows as required) This must include the structural design darwings, site elevation & plan drawings used by the installer ‘for constrcution’. All drawings and documents used ‘for construction’ must be listed separately
Item	Drawing Number	Sheet No:	Issue No:	Any Mark Up’s (Yes/No/NA)
1
2
3
4
5
6
SITE BUILD PHOTO RECORD Date stamped Site Build Photo Record is to be submitted in a MS Word document embedded with photos no less than 1024 x 768 – resolution.	Yes/NA
Foundation excavation with reinforcing cage installed. (prior to concrete pour)
Overall Photo of the new structure
Photo/s of the various faces best depicting the antenna mounting arrangement
Photo/s of the various faces clearly showing the upgrade / strengthening works installed
Photo at ground level depicting the general arrangement (structure, gantry, equipment shelter etc)
Photo which best identifies the type of Structure
For rooftop structures, photos showing the mount/structure interface connection to the building
Photo of the Structure ID Plate (if applicable)
‘AS-BUILT’ DOCUMENTS REFERENCE
Document Name	Document Number	Sheet No	Issue No
Concrete delivery docket / strength test results: (if applicable)
Truncated Pole Record 018947f03: (if applicable)
Revised Structural Certification: (if applicable)
‘AS BUILT’ DRAWINGS REFERENCE (insert Rows as required) All drawings marked up to ‘as built’ status must be listed separately
Item	Drawing Number	Sheet No	Issue No
1
2
3
4
5
6
‘AS BUILT’ CONSTRUCTION CERTIFICATION (to be completed by the construction project manager from the access seeker)
I, (Project Manager Name)
of (Company Name)
certify that the construction has been completed in accordance with the ‘for construction’ drawings referenced above any mark up’s requested by the installer has been reviewed, structural engineers advice has been sort and structural re- certification has been obtained (if required) ‘as built’ drawings listed above and any updated structural design certifications have been submitted to Telstra Site Share Site Build Photo record referenced above have been submitted to Telstra Site Share.
Signed:	Date:

Once completed and signed, this ‘As Built’ Construction Certification form and the above referenced documents the Telstra Site Share co-ordinator must upload into CADlink in accordance with Procedure 017866a06 CAD Standards Manual and 017866a03 CAD Drawing Matrix.