INSPECT-ITC-019_Light Steel Pole Inspection

• Project Name

• Job Number

• Pole Number

• Date

  Date

• Prepared by

• Position Title

• Location
  Address

Part 1: Initial Work Site Assessment

• Has the JLE SafeX Prestart been completed.

  Yes

  No

  N/A

Part 2: INSPECTION FOOTING

• Check Visually Around The Footing/ Rag Bolt. Is everything Normal

  Yes

  No

  N/A

• Is the grouting intact

  Yes

  No

  N/A

• Conduit through the grouting available and is clear & in good condition

  Yes

  No

  N/A

• Is there any signs of Rusting on the Bolts

  Yes

  No

  NA

• Fasten the Rag Bolts to appropriate tension

  Yes

  No

  N/A

Part 3: Poles

• Open the Terminal Covers and Check. Is the Cover good

  Yes

  No

  N/A

• Check Connections - All connections are tight

  Yes

  No

  N/A

• The conduit/ cable entry is properly sealed

  Yes

  No

  N/A

• Is there built up of Dirt inside the pole below terminals

  Yes

  No

  NA

• Has the dirt been removed

  Yes

  No

  N/A

• Close the cover properly

  Media

• Photo of the Pole

  Media

• I am satisfied with the Poles and footings

  Sign