Audit

Reported
Date and Time Reported

Who received the call?

Called in by

Phone Number

Address

Pole Location

Trouble Reported

Other

Worked by
Assigned to
Assigned Time
Returned Time
Personnel Involved
Trouble/Interruption
Caused by

Broken conductor

Broken pole

Was the tree inside of our Right of Way?

Broken conductor

Broken pole

Take picture

Added conductor guard

Added conductor guard

At meter base

At transformer

At weather head

At secondary splice

URD

Approximate location of the outage.
Example: 200ft north of dip pole

Approximate location

Comments

Picture

Changed KVA

Old KVA

KVA

New KVA

KVA

Cleared by engineering

Misc

Approximate number of consumers out of power

Length of outage in hours

Major Outage

Notes

Pictures

Locate Ticket #

Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.