Information

  • DSIP Inspection: Overhead Installation Quality Control Form

  • Conducted on

  • Prepared by

Project Description

  • Project Description:

  • SAP Order Number:

  • Date of Review:

  • Crew Foreman:

  • Company:

  • Is construction in progress?

  • List the poles that were "physically inspected":

Design

  • Installed per Design?

  • Field modifications approved by design engineer?

Work Site

  • Installation within ROW boundaries?

  • Restoration (landscaping, grade, r/w, etc.) acceptable?

  • Scrap, salvage, spent poles addressed?

Pole Installation

  • Size and class per staking sheet?

  • Fill properly tamped?

  • Grounds installed per staking sheet?

  • Guy type installed per staking sheet?

  • Dead ends and angles with rake?

  • Correct clearance and insulator placement?

  • Poles set at proper depth?

  • Ground molding installed? (Pole / TX)

  • Anchor distance per staking sheet?

  • Guy guards installed?

  • Tagging transferred to new pole?

Framing

  • Tangents per staking sheet and standards?

  • Dead ends per staking sheet and standards?

  • Raptor and animal protection per staking sheet?

  • Neutral offset brackets per staking sheet?

  • Angles per staking sheet and standards?

  • Taps per staking sheet and standards?

  • Climbing space maintained?

Field Equipment

  • Do you want to add a field equipment review?

  • Field Equipment Review
  • Correct Transformer KVA per staking sheet?

  • Lightning arrestor location per standards?

  • Required ground molding installed?

  • Specified fusing and tagging installed?

  • Animal guards installed per standards?

  • Grounds installed per staking sheet?

  • Transformer bolt end insulator installed?

  • Specified phase(s) tapped?

  • Other equipment (air brakes, reclosures, cap banks, etc.) installed per design and standards?

Primary Conductor

  • Do you want to add a primary conductor review?

  • Primary Conductor Review
  • Location of review (reference pole ID or #):

  • Is the structure being reviewed a dead-end structure?

  • Span lengths as per design?

  • What were the measured span lengths?

  • Joint use clearance as per standards?

  • What was the measured clearance?

  • What was the clearance measured between?

  • Conductor height ground clearance as per standards?

  • What were the measured clearances to the neutral conductor of both spans?

  • What were the measured clearances to the primary conductor of both spans?

  • Conductor height above ground at pole attachment as per design?

  • What was the measured clearance to the neutral conductor?

  • What was the measured clearance to the primary conductor?

  • Correct Sag height per design?

  • Vertical clearance to object as per NESC?

  • What was the measured clearance from the neutral conductor to the object?

  • What was the measured clearance from the primary conductor to the object?

  • Horizontal clearances as per NESC?

  • What was the measured clearance?

  • What was the clearance measured to?

  • Span length as per design?

  • What was the measured span length?

  • Joint use clearance as per standards?

  • What was the measured clearance?

  • What was the clearance measured between?

  • Conductor height ground clearance as per standards?

  • What was the measured clearance to the neutral conductor?

  • What was the measured clearance to the primary conductor?

  • Conductor height above ground at pole attachment as per design?

  • What was the measured clearance to the neutral conductor?

  • What was the measured clearance to the primary conductor?

  • Correct Sag height per design?

  • Vertical clearance to object as per NESC?

  • What was the measured clearance from the neutral conductor to the object?

  • What was the measured clearance from the primary conductor to the object?

  • Horizontal clearances as per NESC?

  • What was the measured clearance?

  • What was the clearance measured to?

Secondary Conductor

  • Do you want to add a secondary conductor review?

  • Secondary Conductor Review
  • Location of review (reference pole ID or #):

  • Is the structure being reviewed a dead-end structure?

  • Span lengths as per design?

  • What were the measured span lengths?

  • Joint use clearance as per standards?

  • What was the measured clearance?

  • What was the clearance measured between?

  • Conductor height ground clearance as per standards?

  • What were the measured clearances to the conductor of both spans?

  • Conductor height above ground at pole attachment as per design?

  • What was the measured clearance to the conductor?

  • Correct Sag height per design?

  • Vertical clearance to object as per NESC?

  • What was the measured clearance from the conductor to the object?

  • Horizontal clearances as per NESC?

  • What was the measured clearance?

  • What was the clearance measured to?

  • Span length as per design?

  • What was the measured span length?

  • Joint use clearance as per standards?

  • What was the measured clearance?

  • What was the clearance measured between?

  • Conductor height ground clearance as per standards?

  • What was the measured clearance to the conductor?

  • Conductor height above ground at pole attachment as per design?

  • What was the measured clearance to the conductor?

  • Correct Sag height per design?

  • Vertical clearance to object as per NESC?

  • What was the measured clearance from the conductor to the object?

  • Horizontal clearances as per NESC?

  • What was the measured clearance?

  • What was the clearance measured to?

Special Crossings

  • If applicable, verify all standards and/or requirements are met (road/rail/transmission):

  • Reviewed By

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.