Title Page

  • Site conducted

  • Image of Site Label

  • Customer

  • Conducted on

  • Prepared by

Substation General

  • DNO Substation ID

  • HV Network Switched and Proven?

  • Switchgear Manuals on Site?

  • SLD Accurate?

  • Secure HV Key Safe System on Site?

  • Auto Reclose System Available?

  • Auto Reclose Functioning?

  • First Aid Kit

  • G59 Relay Type and Settings

  • G59 Relay Image

  • Substation
  • Substation Name/No

  • Substation Label

  • Resuscitation Poster

  • Statutory Signage In Position and Accurate?

  • Building Secure and Locks in Place?

  • Signs of Building/Equipment Degradation

  • Lighting sufficient and working?

  • Fire Extinguisher Installed and in Date?

  • Heaters Functional?

  • Fans functional

  • Log Book Present and Correct

  • Is there any evidence of oil, water, or other types of leaks?

  • Trench Covers/Cable guard installed/good condition?

  • Evidence of Vermin?

  • Are the grounds clean, free of debris, and properly installed?

  • Earth Connections Suitable and Present?

  • Earth Test (ohms)

  • Partial Discharge

  • Please provide additional comments of concerns

Switchgear General

    Switchgear
  • Substation Name/No

  • Panel
  • Manufacturer

  • Serial Number

  • Model

  • KV Rating

  • Load Rating

  • Year of Manufacture

  • Insulator

  • Data Plate

  • Protection Relay
  • Type

  • Image of Relay

  • Apparatus/System Locks in Place?

  • Switchgear Identification and Signage in Place?

  • Indicator Windows Present and Clear?

  • Paintwork Condition

  • Earthing Connections

  • Operating Handles/Switchgear Equipment

  • Evidence of Moisture

  • Partial Discharge Test

  • Earthing Test

  • Please Provide any Additional Comments or Concerns

Batteries

    Battery Charger
  • Charger ID/Substation

  • Manufacturer

  • Type

  • Serial No

  • Supply/Output Volts

  • Rating

  • Image of Charger

  • Batteries
  • Manufacturer

  • Type

  • Voltage

  • Power

  • Cells

  • Image of Battery Data

Transformer General

    Transformer
  • Transformer Name/ID

  • Manufacturer

  • Serial No

  • Type

  • KVA Rating

  • Cooling Type

  • Tap Position

  • Voltage

  • Oil Quantity

  • Weight

  • Year of Manufacture

  • Indoor/Outdoor

  • Image of ID Plate

  • Conservator Fitted?

  • Check Gasketed Joints for Leaks

  • Check For Damage to Cooling Fins

  • Check Paintwork

  • Oil/Fluid Level

  • Sight Glass Condition

  • Cast Resin - Signs of Cracking

  • Earthing Checks

  • Silica Gel Breather

  • Buckoltz

  • Tap Changer Lock

  • Sump Pumps/Oil filters installed/working

  • Please Provide Additional Comments or Concerns

Conclusion Report

  • Highlight any Serious Concerns

  • Signature

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.