Section 1

After installation and prior to energizing circuits, the following steps must be followed, approved, and forwarded as specified below.

High Potential or Megger Test Complete

Supervisor
Journeyman Wireman
Owner Representative
Date

Visual Inspection completed for both ends on cable.

Supervisor
Journeyman Wireman
Owner Representative
Date
Add media

Cleanliness Checked

Supervisor
Journeyman Wireman
Owner Representative
Date
Add media

No loose items, moisture, etc...

Supervisor
Journeyman Wireman
Owner Representative
Date
Add media

Use meter to check phase to phase and phase to ground.

Supervisor
Journeyman Wireman
Owner Representative
Date

Lugs torqued and marked (both ends of cable)

Supervisor
Journeyman Wireman
Owner Representative
Date
Add media

All covers and hardware replaced

Supervisor
Journeyman Wireman
Owner Representative
Date
Add media

Safety placement of personnel considered

Supervisor
Journeyman Wireman
Owner Representative
Date
NOTE: Adequate time should be allowed for a site inspection by the Authorizing Agent.
Prior approval may be granted to allow a qualified independent third party (Representative of the Owner) to be substituted as an Authorizing Agent. This person is also required to sign the documentation and it must still be emailed prior to energizing.
Supervisor
Journeyman Wireman
Authorizing Agent
Date
Email this form to Adrienne Graham from approval from one of the following personnel to energize:
1. General Superintendent
2. Division Manager
3. Vice President/President
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.