Title Page

  • Conducted on

  • Prepared by

  • W/O#

  • WR#

  • Date Completed

  • Inspector

  • Date inspected

  • Project type

  • # of Point Sheet/Pole Location

  • # of Equipment

  • # Standards to Inspect

  • All point Sheets were installed to AEP standards (if no, list point sheet # and deficiencies below)

  • Equipment was tested or visually approved

  • (Please double check that all pole sizes are correct on the Maps). All redlines were noted on the job sketch (MAPS)

  • All materials/trash removed from job site

  • Job site free of hazards

  • Notes: (List any deficiencies found)~

  • Inspected and meets AEP Standards

Rework inspection

  • Note: inspection must be recorded in DWMS

  • Rework inspection date

  • Rework Completed on

  • Inspected and meets AEP Standards

Management Review

  • Signature

  • Date Completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.