INSPECTION CHECKLIST

INSPECTION CHECKLIST

• Member Name:

• Date:

  Date

• Work Order #

• Intial Inspection:

  Yes

  No

  N/A

• Re-Inspection:

  Yes

  No

  N/A

PRIMARY TRENCH

• Proper Depth (minimum 36")

  Yes

  No

  N/A

• Bottom Level (no humps in conduit)

  Yes

  No

  N/A

• Follows approved route

  Yes

  No

  N/A

• NOT backfilled

  Yes

  No

  N/A

PRIMARY CONDUIT

• Proper Size Conduit

  Yes

  No

  N/A

• Proper Schedule PVC / HDPE

  Yes

  No

  N/A

• 90 Degree Sweeping Bends

  Yes

  No

  N/A

• (Maximum of 3 - including risers)

  Yes

  No

  N/A

• Pull String Installed

  Yes

  No

  N/A

PRIMARY BOX PADS/SWITCH BOXES

• Installed at Approved Locations

  Yes

  No

  N/A

• Proper Depth of Burial

  Yes

  No

  N/A

• Gravel in Bottom

  Yes

  No

  N/A

• Installed to Spec

  Yes

  No

  N/A

SECONDARY TRENCH

• Proper Depth (minimum 36")

  Yes

  No

  N/A

• Bottom Level (no humps in conduit)

  Yes

  No

  N/A

• Follows approved route

  Yes

  No

  N/A

• NOT backfilled

  Yes

  No

  N/A

SECONDARY CONDUIT

• Proper Size Conduit

  Yes

  No

  N/A

• 3" up to 350 MCM Triplex

  Yes

  No

  N/A

• Proper Schedule PVC / HDPE

  Yes

  No

  N/A

• 90 Degree Sweeping Bends

  Yes

  No

  N/A

• (Maximum of 3 - including risers)

  Yes

  No

  N/A

• Pull String Installed

  Yes

  No

  N/A

METER BASE

• Inspection Permit

  Yes

  No

  N/A

• Wired Correctly

  Yes

  No

  N/A

• Riser Pipe and coupler

  Yes

  No

  N/A

• Proper Grounding

  Yes

  No

  N/A

INSPECTION RESULT (Indicate with (x) below)

• ADDITIONAL COMMENTS:

  Pass

  Fail

  N/A

• INSPECTOR:

  Sign