Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Name:
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Date:
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Time:
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Member name:
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Map location:
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Meter number:
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Pole number:
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Address:
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Pole
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Bad pole
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Pole leaning
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Pole split
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Bad crossarm ?
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Broken insulator ?
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Lighting arrestor ?
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Broken spool ?
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Broken cutout ?
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Bad bells ?
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Bad brace ?
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Bad transformer ?
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Wires
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Service wire
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Primary wire
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Neutral wire
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Ground wire
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Transformer wire
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Urd wire
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Urd fault
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Loose guy
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Low wire
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Broken stran
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Loose wire
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Trees in wire
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Wire needs replaced
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Problem corrected
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Transformers
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Overhead
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Pad mount
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Bad
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Replaced
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Vault secondary
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Vault primary
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Comments:
