Information

  • Overhead Installation Quality Control Review Sheet (Form 3816)

    *Reviews are to be completed on all primary projects (service only projects are excluded)

  • Document No.

  • Conducted on

  • Prepared by

Project Description

  • Project Description:

  • SAP Order Number:

  • Date of Review:

  • Crew Foreman:

  • Company:

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 (Minimum - 10% of poles must be reviewed)

  • Size and class per staking sheet?

  • Fill properly tamped?

  • Grounds installed per staking sheet?

  • Guy type installed per staking sheet?

  • Poles set at proper depth?

  • Ground molding installed?

  • Anchor distance per staking sheet?

  • Guy guards installed?

  • Tagging transferred to new pole?

Framing

  • Transmission framing per staking sheet and standards?

  • Distribution framing per staking sheet and standards?

  • Raptor and animal protection per staking sheet?

  • Climbing space maintained?

Field Equipment

  • Airbreak Switch per staking sheet?

  • Grounding grate per staking sheet?

  • Distribution equipment installed per design and standards?

Conductor

  • Do you want to add a conductor review?

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

  • Span length as per design?

  • Conductor height ground clearance as per design?

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

  • Correct Sag per design?

  • Vertical clearances as per NESC?

  • Horizontal clearances as per NESC?

  • Distribution clearance as per standards?

  • Joint use clearance as per standards?

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.