Title Page

  • Account Number

  • Conducted on

  • Prepared by

Inspection & Maintenance Form for Pad-Mounted Equipment

  • Account Number

  • Members Name

  • Substation

  • Feeder

  • Phase

Type of Equipment:

  • Transformer

  • Manufacturer

  • Serial Number

  • KVA Size

  • 1 Phase

  • 3 Phase

  • Riser Pole

  • Condition

  • Conduit

  • Cutouts

  • Standoff

  • Arrestors

  • Warning Sign

  • Junction Cabinet

Foundation Type:

  • Box Pad

  • Flat Poly Pad

  • Concrete Pad

  • Condition

  • Grade

Exterior Marking:

  • "Warning" Decal

  • Location Number

  • Other Specify

Exterior:

  • Condition

Oil Filled Equipment:

  • Condition

Equipment Security: Items not checked as "Yes" should be repaired immediately

  • Secured to Foundation

  • Pentahead Bolt Present & Secured

  • Hasp & Pad or other lock installed

Interior Markings:

  • "Danger" Decal

  • Cable Labels

Terminations: Enter Quantities

  • Elbows

  • Condition

  • Parking Stand & Cap

  • Condition

  • Secondary Connections & Insulation

  • Condition

  • Feed Through In Use

Grounds: Including

  • Bleeder Wire

  • Ground Rod

Surge Arresters:

  • Existing

  • Connections

Animals/Insect Nests:

  • Condition

Other:

  • List any obstructions (Fences, Trees, Shrubs, Buildings, ETC.)

  • Please note any other problems, actions taken or needed

  • Photo

  • Inspected By:

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