Desktop - QC Inspection - 2022

• PM No.

• Notification No.

• Construction Group Location<br>

  Tri Valley

  South Coast Valley

  Greater Bay Area

  North Coast

  Sacramento Valley

• Division

  Select Central Coast DeAnza Diablo East Bay Fresno Humboldt Kern Los Padres Mission North Bay North Valley Peninsula Sacramento San Francisco San Jose Sierra Sonoma Stockton Yosemite

  • Central Coast
  • DeAnza
  • Diablo
  • East Bay
  • Fresno
  • Humboldt
  • Kern
  • Los Padres
  • Mission
  • North Bay
  • North Valley
  • Peninsula
  • Sacramento
  • San Francisco
  • San Jose
  • Sierra
  • Sonoma
  • Stockton
  • Yosemite
• Address
  Address

• Contractor

  Select

• Crew Foreman Name

• Construction Completed On

  Date

• Completed Package Received from Contractor

  Date

• QA Desktop Review Completed On

  Date

• Submission Number

  1

  2

  3

Quality Assurance Inspection - Desktop Review

• 1. Are any changes to the original design reflected in the submitted as-builts, crew instructions, materials, joint pole forms, circuit map change sheets, etc?

  Yes

  No

  N/A

• 2. Is the job built per the OH/UG Standards? If the construction is not in compliance with the standards, check "No" and list the issues below.

  Yes

  No

  N/A

• 3. Electric Equipment/Pole Information is complete?

  Yes

  No

  N/A

• 4. Crew Foreman Sign-Off is complete (this includes Actual Circuit Feet Installed and confirmation of what condition the job was left in (ex: Built as Designed, Redlined, Feedback Form Completed, etc.)?

  Yes

  No

  N/A

• 5. Electric Corrective (EC) Notification is complete (all applicable check boxes addressed, LAN ID or full name, signed and dated)?

  Yes

  No

  N/A

• 6. Joint Pole documentation is complete. Forms are redlined as applicable?

  Yes

  No

  N/A

• 7. Construction Drawings are complete. Drawings are redlined as applicable?

  Yes

  No

  N/A

• 8. Is the Circuit Map Change Sheet complete? Are changes redlined as necessary?

  Yes

  No

  N/A

• 9. Has a Construction Completion Standard Checklist (CCSC) been submitted for every significant facility? Are the forms filled out completely? If there are forms missing or the information on a submitted form is incomplete, check "No" and list the issues below.

  Yes

  No

  N/A

• 10. Color photos are included for every location on the job?

  Yes

  No

  N/A

• Final Deliverable Review (Paperwork Only) - Total Number of Non-Conforming Items

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

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  • 100

• Reviewer's Signature

  Sign