Title Page

  • ZONE 3 Pre-Inspection ATTACH CLEAR PHOTO of JOB COVER PAGE

  • Inspected By:

  • ENTER NAME OF INSPECTOR:

  • Inspection Date:

  • City in Zone 3

  • ENTER NEIGHBOURHOOD

  • ENTER NAME OF CITY

  • Contacted Customer during Inspection?

  • Comments on Customer:

  • Job TYPE:

  • Enter OTHER JOB TYPE

  • Long Side or Short Side:

  • Ground Material:

  • Bellhole Target:

Basic Information

  • Safe Meter Location:

  • DEPTH OF MAIN:

  • Explain Why N/A

  • Site Checklist

  • Please clarify EACH selected item on Site Checklist:

  • Utility Crossings:

  • Comments for Utility Crossings:

  • Is the Site READY?

  • Estimated Time Needed for Job:

  • Free Sketch Area

  • Basic Inspection Notes

Basic Photos

  • Pre-Existing Meter, if Applicable

  • Shot of Property Lay-Out

  • Corridor Shot from Tie-In to SML

  • Obstacles from Tie-In to SML

  • SML Surroundings

  • Overhead Hazards

Extra Photos

  • Comments on Extra Photos

  • Photo 1:

  • Photo 2:

  • Photo 3:

  • Photo 4:

  • Photo 5:

  • Photo 6:

  • Photo 7:

  • Photo 8:

  • Photo 9:

  • Photo 10:

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.