MGE Pre Construction Audit

• Pm Order No.

• EC Tag

  Off

  On

• 56C Cable Replacement

  Off

  On

• New Business / WRO (PG&E estimate included with Crew instructions)

  Off

  On
• Location
  Address

• Conducted on

  Date

• Prepared by

• 1.) USA Required?

  At Pole / Anchor

  Conduit Re-Route

  No USA required

• USA notes:

• USA photo

  Media

• 2.) Traffic Control Required?

  1 Person Flag Crew

  2 Person Flag Crew

  No TC Needed

• Traffic Control notes:

• Traffic Control photo

  Media

• 3.) No Parks Required?

  No

  Yes

• No Parks notes:

• No Parks photo

  Media

• 4.) Crane Required?

  No

  Yes

• Yes, crane required (brief description):

• Crane notes:

• Crane Photo:

  Media

• 5.) PSC Required?

  No

  Yes

• PSC notes:

• PSC photo

  Media

• 6.) AT&T / Comcast Required?

  No

  Yes

• AT&T / Comcast notes:

• Communication photo

  Media

• 7.) Civil Support Required?

  No

  Yes

• Civil notes:

• Civil photos

  Media

• 8.) Tree Trimming needed?

  No

  Yes

• Tree Trimming notes:

• Tree Trimming photos

  Media

Equipment/ Special Conditions

• Notes:

• Each project will require different types of outage information. Below you will choose between PG&E's "Application for Work" types:

• Notification / Other Required?

  No

  Yes

• Notification/Other details (Address / meter #)

• Non Test Required?

  No

  Yes

• Non-Test details

• Transformer Only Required?

  No

  Yes

• TX details

• End of Line Required (EOL)?

  No

  Yes

• EOL details

• EOL Limit 1

  Media

• Clearance Required?

  No

  Yes

• Clearance details

• Clearance Limit 1

  Media

• Clearance Limit 1 Notes

• Clearance Limit 2

  Media

• Clearance Limit 2 Notes

• Clearance Limit 3

  Media

• Clearance Limit 3 Notes

• Clearance Limit 4

  Media

• Clearance Limit 4 Notes

• Clearance Limit 5

  Media

• Clearance Limit 5 Notes

• Clearance Limit 6

  Media

• Clearance Limit 6 Notes

• Is phasing required?

  No

  Yes

• Location

• Is rotation required?

  No

  Yes

• Location

• Existing G.O. 95/128 infractions must be identified on pre-field check by GF. Infractions will either need to be repaired by foreman onsite during construction of EC/ER tag created to be repaired at later date by other. If EC/ER tags are identified, provide pictures of each item for submittal process

• Are all work locations clear of existing infractions?

  No

  Yes

• Infraction 1

  Media

• Infraction Detail

• Infraction 2

  Media

• Infraction Detail

• Infraction 3

  Media

• Infraction Detail

• Infraction 4

  Media

• Infraction Detail

• Infraction 5

  Media

• Infraction Detail

• Infraction 6

  Media

• Infraction Detail

• Additional photos and jobsite information

• Add media

  Media

• Notes: