INSPECTION CHECKLIST

• Site conducted

  Select

• Location

• Member Name:

• Work Order #

INSPECTION CHECKLIST

• Date:

  Date

• Intial Inspection:

  Yes

  No

  N/A

• Will in house crews be doing the work or contractors?

  In house

  Contractor

• Have all pole and anchor locations been marked for OUPS to be called in (Including Road)

  Yes

  No

  N/A

• Will flaggers be needed?

  Yes

  No

  N/A

• How many flaggers will be needed?

• Will special equipment items be needed for crew to perform this job?

  Yes

  No

  N/A

• Will Mats be needed?

  Yes

  No

  N/A

• Will off road machine be needed?

  Yes

  No

  N/A

• Will trash pump be required?

  Yes

  No

  N/A

• Will the duct rodder be needed?

  Yes

  No

  N/A

• Will blower be needed as well as string?

  Yes

  No

  N/A

• Is there any primary to be inspected?

  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

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 360 degrees - 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

• Installed to Spec

  Yes

  No

  N/A

SECONDARY TRENCH

• Is there secondary to be inspected?

  Yes

  No

  N/A

• 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 360 degrees - 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

• Are there any obstructions to the conduit going from the meter base into the ground?

  Yes

  No

  N/A

• Proper Grounding

  Yes

  No

  N/A

INSPECTION RESULT (Indicate with (x) below)

• Inspection Result:

  Pass

  Fail

  N/A

• INSPECTOR:

  Sign