Title Page

  • Inspected by:

  • Substation #:

  • Conducted on:

Power Transformers

  • Appearance Ok:

  • Bushings Clean, Good Condition:

  • Oil Levels & Gauges Ok:

  • Free From Oil Leaks:

  • Thermometers Ok, Maximums Reset:

  • Aux. Cooling Equipment Ok:

  • Gas Pressure Ok:

Regulators

  • Appearance Ok:

  • Bushings Clean, Good Condition:

  • Oil Levels & Gauges Ok:

  • Free From Oil Leaks:

  • Thermometers Ok, Maximums Reset:

  • Mechanisms Ok:

  • Indicating Lights Ok:

  • Indicating Glass Covers Intact:

  • Cabinet Gaskets Weather Tight:

  • Counter Reading Recorded:

  • Compensator Settings Recorded:

Oil Circuit Breakers

  • Appearance Ok:

  • Bushings Clean, Good Condition:

  • Oil Levels & Gauges Ok:

  • Free From Oil Leaks:

  • Space Heaters Operative:

  • Relay Targets Reset:

  • Indicating Lights Ok:

  • Control Cabinets & Gaskets Ok:

  • Counter Readings Recorded:

OCR's & Oil Switches

  • Appearance Ok:

  • Bushings Clean, Good Condition:

  • Free From Oil Leaks:

  • Counter Reading Ok:

Airbreak & Disconnect Switches

  • Appearance Ok:

  • Insulators Ok:

  • Ground Connection To Handle Ok:

ByPass Switches

  • Appearance Ok:

  • Insulators Ok:

Battery & Charger

  • Terminals & Connectors Ok:

  • Charger Operation Ok:

  • Necessary Readings Recorded:

Misc. Electrical Equipment

  • Arrester Appearance Ok:

  • Arresters Correctly Connected:

  • Capacitor Tanks, Bushings, Fuses Ok:

  • Instrument Transformers Ok:

  • Aux. Power Transformers Ok:

  • Switch Sticks Ok, Properly Stored:

  • Phases Properly Identified:

  • Circuits Properly Identified:

  • Ground Indicating Lights Ok:

  • High Voltage Fuses Ok:

  • Spare Fuses Properly Stored:

  • Fuses & Connections Ok:

  • Burned Out Lamps Replaced:

  • Overhead Ground Wire Ok:

  • Cabinets & Cubicles Ok:

Safety

  • Equipment Grounds Ok:

  • Fences & Gates Grounded:

  • Electric Fence Ok:

  • Exits, Walkways & Driveways Clear:

  • Substation Enclosure Free Of Stored Material & Equipment:

  • NESC Clearances Complied With:

  • Substation Area Properly Lighted:

  • Yard Clean & Free Of Weeds:

  • Gates Properly Locked:

  • Suitable Warning Signs On Fences:

  • First Aid Kit Ok:

  • Fire Extinguishers Ok:

  • Eye Wash Ok:

  • Hot Sticks Clean & Properly Stored:

  • Hot Stick Test Date:

Yard & Structures

  • Fences & Gates Adequate:

  • Yard Properly Surfaced:

  • Structure Paint Ok:

  • Fences & Gate Paint Ok:

Supervisor

  • Supervisor Signature:

  • Date:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.