Maintenance Inspection Form

• Site Name

• Client

• Location / GPS
  Address

• Technician on Site

• Technician Company

• Date Time on Site

  Date

• EVSE Contact

  From MSB

  From existing sub board

  From a new EV charger DB

• PPE?

  Yes

  No

  N/A

• Clamp Tester?

  Yes

  No

  N/A

• Metrel Tester?

  Yes

  No

  N/A

Charger - Inspection

• Ocular Charger Model

  Select IQ Commercial Dual Tower IQ Commercial Titan - DC Combi - DC Atlas - DC IQ Wallbox IQ Solar LTE LTE Plus

  • IQ Commercial Dual Tower
  • IQ Commercial
  • Titan - DC
  • Combi - DC
  • Atlas - DC
  • IQ Wallbox
  • IQ Solar
  • LTE
  • LTE Plus

• Charger S/N

• Photos of S/N

  Media

• Number of Phases on Charger

  Single

  Three

• Number of Ports on Charger<br>

  1

  2

  3

• Check 4G inbuilt modem.

  Yes

  No

• Is the Charger Clean?

  Yes

  No

• If not, please give the charger a quick wipe down.

• Photo of Clean Charrger

  Media

• Is there an RFID reader?

  Yes

  No

  N/A

• check RFID reader<br>

  Yes

  No

• RFID - Action Items?

  Yes

  No

• Action Item Comment

• RFID - Photos

  Media
Charger - Port

• Port ID Number (1,2,3 or A,B)

• Photo of Port Number / Exploren Station ID

  Media

• Metrel Test - Functional EVSE Test

  Pass

  Fail

  N/A

• Metrel Test - Functional EVSE Test - Comments

• Metrel Test - Functional EVSE Test - Photos

  Media

• Metrel Test - Socket Test (live)<br>

  Pass

  Fail

  N/A

• Metrel Test - Socket Test (live) - Comments

• Metrel Test - Socket Test (live) - Photos

  Media

• Metrel Test - RCD Test

  Pass

  Fail

  N/A

• Metrel Test - RCD Test - Comments

• Metrel Test - RCD Test - Photos

  Media

• Verify operation of AC Isolator (if applicable)

  Yes

  No

  N/A

• Please describe issues

• Check circuit breaking rating

  Media

• Check wiring size

• Check RCD<br>

  Yes

  No

• Check meter<br>

  Yes

  No

• Check contactor<br>

  Yes

  No

• Any Additional Comments / concerns with this charger?<br>

  Yes

  No

• Additional Comments or Concerns

• Photos of the Charger?

  Media

• Any Action items?

  Yes

  No

• Action Item Comment

• Action Item Photo

  Media

• Is there a dedicated EVDB installed?

  Yes

  No

• Are you checking the DB where the chargers are connected?<br>

  Yes

  No

CABLE RUN

• Verify Integrity of cable run

  Yes

  No

• Comments / Concerns about the cable run

• Photos of Cable Run

  Media

• Action Item

  Yes

  No

Communications

• Is communications installed ?<br>

  Yes

  No

Verify Load Controller Operation

• Is Load control installed?

  Yes

  No

  N/A

• Have you checked that all chargers are back online?<br>

  Yes

  No

• Rate Quality of Installation

  1

  2

  3

  4

  5

• Extra comments / concerns

• Extra Photos

  Media

• Date/Time

  Date

• Signature

  Sign