Title Page

  • Project Name

  • Room/Space

  • Scope of inspection:

  • Inspector

  • Requested by

  • Report Number

  • Conducted on

  • Contractor

  • undefined

  • Phase

  • Date of the original failed inspection.

Information

  • Project Specs used on this Project.

  • Project Specs

  • Are there drawings for this project?

  • Inspection Type (check all that apply)

  • Branch Circuit / Feeders
  • Room(s)

  • Brief description of the branch circuit/feeder.

  • Voltage Type

  • Voltage

  • Voltage

  • Voltage

  • Check that the overcurrent protection sized appropriately including AIC rating.

  • What are the supply Amperes and Conductor sizes? (Note if other than copper)

  • Check that the raceways are properly secured and supported and are the appropriate type for their location.

  • Proper grounding and bonding including proper bonding of equipment operating at over 250 volts to ground. NEC 250

  • Check for labeling of boxes, receptacles and equipment.

  • Verify panel schedules have been updated

  • Place any additional photos and/or notes here for this branch circuit/feeder inspection.

  • Verify that terminal connections have been torqued.

  • Verify that the tool(s) calibration up to date?

  • Additional Findings
  • See Attachments or Note:

  • Temporary Power
  • Brief description of the temporary power.

  • Is this temporary power fed from a building or generator?

  • How is the load connected to the generator?

  • Verify grounding electrode conductor (Ground rods) NEC 250.30

  • Verify the neutral is bonded to the equipment grounding conductor and the frame of the generator. NEC 250.34 (A) and (B)

  • Are cords protected from accidental damage and sized appropriately?

  • Check that the wiring is an approved method. Temporary wiring methods shall be acceptable only if approved based on the conditions of use and any special requirements of the temporary installation. NEC 590.2(B)

  • Verify receptacles are GFCI protected. 15, 20, 30 amp 125V

  • Are cords protected from accidental damage and sized appropriately?

  • Check that the wiring is an approved method. Temporary wiring methods shall be acceptable only if approved based on the conditions of use and any special requirements of the temporary installation. NEC 590.2(B)

  • Verify receptacles are GFCI protected. 15, 20, 30 amp 125V

  • Start Date

  • End Date

  • Additional Findings
  • See Attachments or Note:

  • Ceiling Inspection
  • Room(s)

  • Check that the raceways, cables, and boxes are properly secured and supported and are appropriate for their location. NEC 300.11 and applicable chapter 3 articles

  • Verify that support wires are secured at both ends. (ceiling grid support wires may not be used). NEC 300.11

  • Verify equipment installed above ceilings has adequate working space and covers can open 90° NEC 110.26

  • Verify luminaires are properly supported NEC 410.30 & 410.36

  • Junction boxes accessible, closed, and properly labeled.

  • Additional Findings
  • See Attachments or Note:

  • Underground
  • Location of inspection

  • This inspection is including. (Check all that apply)

  • Verify correct location, quantity, size, and proper spacing.

  • Verify raceways are the correct type and are suitable for the environment. NEC 300.6

  • Check that proper depth and slope has been maintained.

  • Verify marker tape is installed at the proper depth.

  • Verify all open ends of conduits are capped with tape or plugs.

  • Verify ground has been installed if required for locating.

  • Were handhole enclosures installed?

  • Verify handhole enclosures are accessible without excavating sidewalks, paving, earth, or other substance. NEC 314.29(B)

  • Verify that the handhole enclosure is designed and installed to withstand all loads likely imposed on them. NEC 314.30

  • Verify covers have an identifying mark or logo that prominently identifies the function of the enclosure, such as "electric" NEC 314.30(D)

  • Verify raceways have bushings or adapters at terminations. PVC 352.46 RMC 352.46

  • Additional Findings
  • See Attachments or Note:

  • Panel Boards, Disconnects, Switchgear and MCC
  • Room(s)

  • Equipment Name(s)

  • Does the equipment have a main breaker, main lug only, or fuse?

  • Do the breakers size and type match the drawings?

  • Verify that the kAIC ratings for breakers in the equipment are correct.

  • Size and Type of fuse.

  • Verify that all fuses are the same size, type, and manufacture per the drawings.

  • Verify wire size and type are appropriate.

  • Verify that the grounding conductor is properly sized.

  • Clearance (working space and dedicated equipment space) NEC 110.26

  • Voltage/phase (check all that apply)

  • Voltage

  • Check that the neutrals are labeled and/or grouped when required. NEC 200.4(B)

  • Check that Arc flash Label(s) have been installed.

  • Check that panel schedule(s) have been included and updated.

  • Verify the phenolic label(s) have been installed. (equipment name, voltage, amps, fed from and AIC when required)

  • Veri-safe installed if required:

  • Is Veri-safe on the line or load side of disconnecting device where installed?

  • Default sticker and other markings clearly indicate to users either line or load configuration:

  • Veri-safe is installed in an appropriate location on equipment, mounted securely, and will be intuitive to achieving an electrically safe work condition:

  • Test leads solidly attached so that they test continuity on supply conductors according to instructions (connected at two separate points for each phase/pole and ground):

  • Place any additional photos and/or notes here for this inspection.

  • Verify that terminal connections have been torqued.

  • Verify that the tool(s) calibration up to date?

  • Additional Findings
  • See Attachments or Note:

  • Transformers 1000 volts, nominal or less.
  • Room/Location

  • Transformer Name

  • Phase 3Ø or 1Ø

  • What is the transformer configuration?

  • Configuration

  • Transformer Size

  • kVA

  • Transformer type

  • Type

  • Size in volt-amps

  • Working Clearances Adequate 110.26

  • Disconnecting means is provided and either located within sight or lockable open with location marked on transformer (450.14):

  • Transformer has adequate ventilation and spacing from walls and obstructions (per required clearances marked on unit), and top is marked "Storage on top of transformer is prohibited". NEC 450.9

  • Indoor dry-type transformers over 112.5kVA are installed in a transformer room with a with a minimum fire rating of 1 hour 450.21(B):

  • Verify dry-type transformers installed outdoors have a weatherproof enclosure. NEC 450.22

  • Verify transformer windings have overcurrent protection matching engineered drawing or per NEC Table 450.3(B):

  • Transformer secondary conductors are overcurrent protected per 240.4(F) or 240.21(C):

  • Is this transformer creating a separately derived system?

  • Verify the supply-side bonding jumper & system bonding jumper Table 250.102(C)(1), equipment grounding conductor Table 250.122, and grounding electrode conductor (250.66 and Table 250.66) are installed and properly sized.

  • If transformer is dry-type, all grounding and bonding connections are made through a common terminal bar and do not impede ventilation per 450.10:

  • Phenolic label(s) have been installed: (equipment name, voltage, and fed from)

  • Arc flash label(s) have been installed:

  • Verify that terminal connections have been torqued as required.

  • Verify that the tool(s) calibration up to date?

  • Additional Findings
  • See Attachments or Note:

  • Wall Inspection
  • Room(s)

  • Check that the raceways, cables, and boxes are properly secured and supported and are appropriate for their location.

  • Additional Findings
  • See Attachments or Note:

  • Trim
  • Verify circuit identification on faceplates and covers.

  • Check that the GFCI's are working properly and are readily accessible.

  • Verify that the work has been completed in a neat and workmanlike manner. NEC 110.12

  • Additional Findings
  • See Attachments or Note:

  • Grounding Electrode System
  • Determine which electrodes are required or used. (check all that apply)

  • Verify that the grounding electrode conductor(s) and bonding jumpers are properly sized. NEC 250.64(A) and (B)

  • Verify that ground rods, pipe, or plate electrodes are supplemented by an additional electrode unless proven to have a resistance of 25oh, NEC 250.53(A)(2)

  • Verify that the grounding electrode conductors are protected and secured. NEC 250.64 (B)

  • Verify that when GEC is installed in ferrous metal raceways, and enclosures that is is bonded (choked) at both ends. NEC 250.65 (E)

  • Verify that the grounding electrode conductor is either unspliced or spliced using appropriate methods. NEC 250.64 (C) & (F)

  • Check for correct size and installation of any rod, pipe, or plate electrodes. NEC 250.52, 250.53

  • Check for proper grounding electrode conductor connections, including buried connections. NEC 250.70

  • Verify that exposed structural building frames are bonded. NEC 250.104(C)

  • Check the size, type, and installation of the system bonding jumper.

  • Additional Findings
  • See Attachments or Note:

  • Motors
  • Check motor leads for proper termination (i.e. wire nuts shall not be used in the motor termination box and only approved means for fine strand wire).

  • Verify that ampacities and sizing of components other than overload devices are based on table values rather than on nameplate values. 430.6, 430.122, Tables 430.247 through 430.250

  • Verify that conductor ampacities for individual motors are at least 125 percent of the motor full-load current rating. 430.22, 430.6 (A)(1)

  • Verify that motor overload protection does not exceed permitted values. 430.31 through 430.44, 430.126

  • Verify that motor disconnects are of the proper type and rating. 430.108 through 430.110

  • Verify that controller disconnects are in sight of controllers, are readily accessible, and have adequate workspace. 110.26, 430.102(A), 430.107, 404.8

  • Verify that motor disconnects are in sight of motors, are readily accessible, and have adequate workspace. 110.26, 430.102(B), 430.107

  • Additional Findings
  • See Attachments or Note:

  • Communication & Control Wiring
  • A brief description of the scope of the inspection.

  • Check that the raceways are properly secured and supported and are the appropriate type for their location.

  • Verify labeling on boxes, cabinets, and cables.

  • Verify that cables are properly supported. Bridle rings can only be used for non-data-sensitive low-speed electrical cables.

  • Check that cables are listed are of the appropriate type e.g., plenum, riser, and general-purpose. NEC Tables 800.154(a), (b), and (c)

  • Verify abandoned cables have been removed and cables for future use have been tagged. NEC 800.24

  • Check that cables are protected when entering sleeves and raceways.

  • Verify that cable support systems are properly supported and bonded.

  • Additional Findings
  • See Attachments or Note:

  • Hazardous Locations
  • For research applications using automotive components, review AHJ memo as needed.

  • Room(s)

  • What type of hazardous location is this?

  • Division of classified area(s) (check all that apply)

  • Please check all groups that apply to this hazardous location. NEC 500.6

  • Verify wiring methods are suitable for their location and installed properly. NEC 501.10

  • Verify that seals are located as required and properly installed. NEC 501.15

  • Check that conduit seals have been sealed. NEC 501.15

  • Check flexible cord connectors and receptacles for suitability. 501.140, 501.145

  • Verify that equipment temperature markings are not greater than the ignition temperature of the gases or vapors involved. 500.8(B) and (C)

  • Check that all equipment such as motors, transformers, overcurrent devices, switches and controllers, luminaires, heaters, and appliances for proper ratings and enclosures. 500.8, 501.100 through 501.135

  • Check for adequate grounding and bonding paths. 501.30, 250.92, 250.100

  • Additional Findings
  • See Attachments or Note:

  • Confirm the classification of areas, including class, division, and<br>group. NEC 500.4(A), 500.5, 500.6

  • Verify the suitability of the wiring methods being used. NEC502.10

  • Verify that seals are located where required, properly installed,<br>and sealed, unless raceway arrangements preclude the<br>requirement for seals. NEC 502.15

  • Verify that equipment temperature markings are not greater than<br>the ignition temperature of the dust involved. 500.8(B), 500.8(C)(3), 500.8(D)(2), 502.5

  • Check materials used for flexible connections, including flexible<br>cords, for suitability. NEC 502.10(A)(2) and (B)(2), 502.130(A) (3) and (B)(4), 502.140

  • Check flexible cord connectors and receptacles for suitability NEC 502.140, 502.145

  • Check equipment such as motors, transformers, overcurrent<br>devices, switches and controllers, luminaires, heaters, and<br>appliances for proper ratings and enclosures.

  • Fire Alarm Systems
  • Verify they are working off a stamped drawing.

  • Check that the raceways, cables, and boxes are properly secured and supported and are appropriate for their location.

  • Check on proper identification of fire alarm circuits at junction and<br>terminal locations.

  • Verify that devices are properly labeled.

  • Verify the branch circuit supplies no other loads. NFPA 72 10.6.5.1.2

  • Verify the location of the branch circuit is identified on the control unit. NFPA 72 10.6.5.2.1

  • check that the disconnecting means has a red marking and accessible only to authorized personal. NFPA 02 10.6.5.3 & 4

  • Additional Findings
  • See Attachments or Note:

  • Other Type Inspection
  • Scope

  • Inspection Finding or Observation
  • See Attachments or Note:

  • Medium Voltage
  • Inspection Type (Check all that apply)

  • Brief description of the location

  • This inspection is including. (Check all that apply)

  • Check for proper depth and slope of installation for trench/duct bank/raceway/cables

  • Verify raceways are of correct type and suitable for environment

  • Verify long sweep bends have a minimum of 48" radius

  • Verify there are no more than two 90 degree bends, or a total of bends not more than 180 degrees between pull points.

  • Verify proper location, layout, quantity, size, and spacing of raceways/cables

  • Verify duct banks/raceways are secured appropriately to prevent floating while flow-filling

  • Verify grounds are installed

  • Verify tracer wire and/or marker tape are installed at proper depth

  • Verify trench is backfilled with approved material and required depth

  • Is flow fill died red?

  • Verify proper depth of cover over and around the raceway.

  • Is concrete died red?

  • Verify proper depth of cover over and around the raceway.

  • Verify proper depth of cover over the raceway/cables.

  • Verify proper depth of cover over the raceway/cables.

  • Have stones/rocks larger than 2" been screened/removed?

  • Verify all open ends of conduits are capped with tape or plugs

  • Brief description of location and equipment being spliced/terminated.

  • Document cable type. (Mfgr., voltage, type, insulation, shielding, etc.)

  • Document the splice or term kit information.

  • Are the proper splice or term kits being installed?

  • Are the proper tools being used to splice or terminate?

  • Are the splice/term instructions being followed?

  • Was the cable connector/splice installed properly

  • Were the proper number of crimps applied?

  • Were the shear bolts installed properly and burs filed off?

  • Was the loadbreak probe properly torqued?

  • Is the shield/concentric neutral properly terminated and grounded?

  • Is the environment affecting the splice/term? (rain, snow, wind and dirt, etc.)

  • Is the technician keeping the splice/term clean as it is being built?

  • Brief description of location and equipment.

  • Verify proper size, quantity, location, and spacing of ground rods

  • Verify proper size, quantity, location, and spacing of bare conductors

  • Verify proper bonding of underground bare conductor(s)

  • Exothermic welding or irreversible crimp

  • Exothermic welding or irreversible crimp

  • Exothermic welding or irreversible crimp

  • Verify ground tails are protected from physical damage

  • Verify proper attachment supports/clamps for tails.

  • Verify ground bushings and lugs are tight, and wire is terminated appropriately,

  • Brief description of location and equipment.

  • Verify manufacturer drawings, books, manuals, etc., are left in the equipment

  • Who has, or where are, the printed materials?

  • Verify the equipment is installed plumb, level, and square

  • Verify that all the rain shields, covers, vents, barriers, etc., have been installed

  • Verify there is not any physical damage to the equipment that needs attention. (dents, paint, scratches, broken glass or gauges, etc.)

  • If oil filled, Verify there are no leaks around fill ports, sample ports, bushings, cooling fins, valves, etc.

  • Verify the equipment is bolted down to the concrete, pad, or flooring

  • Verify the equipment is grounded/bonded appropriately

  • Verify pull strings are installed for spare conduits

  • Verify spare conduits are sealed

  • Verify unused openings are sealed to prevent bug, rodent, or aviary intrusion

  • Verify control and communication cables routed to prevent damage while equipment is in use

  • Verify power cables/conductors routed and supported appropriately

  • Verify medium voltage cables are fire taped (PMHs & Sectionalizers where the vaults are exposed below equipment)

  • Brief description of location and equipment

  • Verify vault or manhole is installed to appropriate depth

  • Verify vault or manhole is installed plumb, level, and square

  • Verify vault or manhole has appropriate drainage material underneath (1"-#4 sieve and compacted to same density as adjacent undisturbed earth)

  • Verify joints are sealed with appropriate compound (Asphaltic-butyl material)

  • Verify ground rod sleeve is installed adjacent to, but not underneath, the ducts entering the structure

  • Verify conduits have an end-bell or duct-terminating fitting installed for each conduit

  • Verify racks/supports are appropriately bonded

  • Verify medium voltage cables/conductors have been fire taped

  • Verify medium voltage cables have insulators installed at each support

  • Verify raceways or cables/conductors are strapped and supported appropriately

  • Verify pull strings are installed for spare conduits

  • Verify all open ends of conduits are capped with tape or plugs

  • MV Transformers (Oil or Dry Type)
  • Room/Location

  • Transformer Name

  • Phase 3Ø or 1Ø

  • What is the transformer configuration?

  • Configuration

  • Transformer Size

  • Transformer type

  • Type

  • Size in volt-amps

  • Working Clearances Adequate 110.26

  • Disconnecting means is provided and either located within sight or lockable open with location marked on transformer (450.14):

  • Transformer has adequate ventilation and spacing from walls and obstructions (per required clearances marked on unit), and top is marked "Storage on top of transformer is prohibited". NEC 450.9

  • Indoor dry-type transformers over 112.5kVA are installed in a transformer room with a with a minimum fire rating of 1 hour 450.21(B):

  • Verify dry-type transformers installed outdoors have a weatherproof enclosure. NEC 450.22

  • Verify transformer windings have overcurrent protection matching engineered drawing or per NEC Table 450.3(B):

  • Transformer secondary conductors are overcurrent protected per 240.4(F) or 240.21(C):

  • Is this transformer creating a separately derived system?

  • Verify the supply-side bonding jumper & system bonding jumper Table 250.102(C)(1), equipment grounding conductor Table 250.122, and grounding electrode conductor (250.66 and Table 250.66) are installed and properly sized.

  • If transformer is dry-type, all grounding and bonding connections are made through a common terminal bar and do not impede ventilation per 450.10:

  • Phenolic label(s) have been installed: (equipment name, voltage, and fed from)

  • Arc flash label(s) have been installed:

  • Verify that terminal connections have been torqued as required.

  • Verify that the tool(s) calibration up to date?

  • Additional Findings
  • See Attachments or Note:

  • Interconnected Power Systems & back-feeds
  • Room(s)/Location(s)

  • Scope of Inspection:

  • Interconnected power sources are of compatible voltage, wave shape, frequency, and synchronization capability (NEC 705.5 & 705.6):

  • Interactive power production equipment is listed and will automatically disconnect from ungrounded conductors of primary power source upon loss of primary power (complies with 705.40):

  • At each service, labels or directories are installed to indicate location of each power source disconnecting means as well as marked “Caution: Multiple Sources of Power” (705.10):

  • If additional power sources are connected at the service, complies with 705.11:

  • If additional power sources are connected on load-side of distribution equipment, complies with 705.12: (Check panels cannot be overloaded by maximum supply 705.12(B)(1) or (2) or maximum load 705.12(B)(3)).

  • All sources have a disconnecting means and comply with 705.20:

  • Circuits are correctly sized per 705.28:

  • Overcurrent devices are provided for interconnected panels, transformers, or other equipment and correctly marked to indicate the presence of all sources in compliance with 705.30:

  • Additional Findings
  • See Attachments or Note:

  • Veri-safe Installation
  • Location/equipment installed on:

  • Is Veri-safe terminated on the line or load side of disconnecting device where installed?

  • Default sticker and other markings clearly indicate to users either line or load configuration:

  • Veri-safe is installed in an appropriate location on equipment, mounted securely, and will be intuitive to achieving an electrically safe work condition:

  • Test leads solidly attached so that they test continuity on conductors according to instructions (connected at two separate points for each phase/pole and ground):

  • Additional Findings
  • See Attachments or Note:

  • Attachments
  • Place additional attachments or notes here. (Mark disapproved if this attachment is a fail that couldn't be captured above)

Inspection Result

  • Result

  • PLEASE SET UP A RE-INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. APPROVAL IS REQUIRED BEFORE ENERGIZATION. Electrical Inspection Request @ https://forms.nintex.com/FormHost.aspx?id=sF-RSbROQ1b5IhoTx-rRHidHoAk_4H2YXHUYYFgJVxdtOsdRQeWMQ61tw_pAXoUsLkBVjU5hPu8VzB24wpSJC4XNT9aC0htzSvA6m8HVGnSIrYgnO6X_nBPnQAYK060T

  • Signature

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