Information

  • Document No.

  • Client / Site

  • Conducted on

  • Night /Day

  • Prepared by

  • Personnel present

  • Location

ITEM 1

  • Station and location of plant being inspected

  • Photos of pole include pole number if possible and internal components

  • Are the luminaries functional at the time of the inspection

  • modifications

  • Comments and any additional works required

  • QML representative to sign

ITEM 2

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 3

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Comments

ITEM 4

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Tap to enter information

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 5

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 6

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 7

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 8

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 9

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 10

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 11

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 12

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 13

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 14

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 15

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 16

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 17

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 18

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 19

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 20

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 21

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 22

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 23

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 24

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

ITEM 25

  • Approximate co ordinates
  • Station and location of plant being inspected

  • Photo of plant being inspected

  • Are the luminaries functional at the time of the inspection

  • Type of pole being inspected

  • Physical arrangement

  • Physical condition of pole

  • Does pole require modifications

  • Internal photos of pole and any external damage

  • Type and Physical condition of pit

  • Does the pit and conduits require flushing/clearing

  • It the earthing as per current standards

  • Photo of pit

  • Comments

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