Title Page
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Conducted on
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Prepared by
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Location
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PM #
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Location #
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Foreman
Poles
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Poles?
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(Grey Item) Visibility strips installed when required ( Marking 022168 Rev.19: Pgs. 31 and 32)
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(Grey Item) Bottom pole step 8-1/2 ft. or more above ground or climbable/accessible surface (Framing 022616 Rev.05: Pg. 2 Note 5
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Current year's date nail installed in pole ( Marking 022168 Rev.19: Pg.1 Note 3-A)
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Set at minimum depth or deeper (Framing 015203 Rev. 13 Pg.2 Table 1
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Preservative pole wrap installed if necessary ( Guys 023058 Rev.06: Pg. 2 Note 8 A-D, PG 5 Figure 3)
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Top not leaning > 10% of height above ground. ( Guys 023058 Rev.06: Pg 1 Note 6C)
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Pole # installed on & recorded for new poles. ( Marking 022168 Rev.19: Pgs 21-29)
Guys
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Guys?
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(Grey Item) Marker installed on all guys (vis strips as required) (Marking 022168 Rev.19: Pgs. 31-32; Guys 05642 Rev.03: Pg. 1)
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(Grey Item) No broken, slack or missing guy wires (Guys 06537 Rev.12; GO 95: Rule 56.2)
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(Grey Item) Preforms completed & guy wire ends not exposed (Guys 06537 Rev.12: Pg. 5)
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(Grey Item) Guy insulator (bobs) 3" or more apart (Guys 022178 Rev.12: Pg. 1 Note 3)
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(Grey Item) Trees not grounding guy wire above guy insulator (Guys 022178 Rev. 12: Pg. 1 Note 1)
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(Grey Item) 3" clearance from Comm./Cable/Secondary/Service (Guys 022178 Rev. 10: Pg. 2 Table 1)
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(Grey Item) Guy insulators 8' or more above ground (Guys 022178 Rev. 12: Various Figures)
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(Grey Item) Anchor rod installed per standard: not buried beyond the point of attachment to the guy; ID tag installed (Guys 022221 Rev.10: Pg. 13)
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Is Anchor Identification Tag installed on PISA or Manta Ray Anchor with the tab that does NOT apply removed. (Guys 022221 Rev.9: Pg 44 Application & Installation 1&2
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Guy insulators out of barrel of proximity (Guys 022178 Rev. 12: Pg. 1 Note 1)
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Span guy insulators between 6' and 9' from pole (Guys 022178 Rev. 12: Pg. 3 Note 2)
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Plate/thimble assembly installed on 7/16" guys (Guys 022178 Rev.12: Pg. 11 Figure 19, Pg. 12 Figure. 24-25)
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Multiple wires clamped together as required (Guys 022178 Rev. 12: Pg. 14 Notes 7-8, Pg. 11 Figure. 20)
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Span guy supported by anchor when 500 lbs. or more at 16', 1000 lbs. or more at 8' above ground (Guys 022178 Rev. 12: Pg. 18 Figure 34)
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PISA rod 36" or less above ground (Guys 022221 Rev.10: Pg. 2 Note 2)
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X-plate/expanding anchor rod 6" or less above ground (12” allowable if angle is more than 45 deg.) (Guys 022178 Rev.10: Pg. 11 Note 2)
Hardware
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Hardware?
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(Grey Item) Covers installed over bolts in climbing space below pole top that are bonded to or used for DE hardware (Framing 015116 Rev.05: Pg. 1 Note 3; GO 95 May 2018: Rule 54.7A (3)j, Pgs. V-65 & V-66)
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Bolts not extending more than 1" beyond the nut in climbing space (Framing 015116 Rev.05: Pg. 1 Note 6)
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Clearance from unassociated hardware and hardware supporting energized wires 1-1/2" or more (Clearances 022158 Rev.06; Rev.06: Pgs. 11-12; GO 95: Rule 54.6-H)
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Pole line hardware is not loose and installed per standard (spring clips w/round washers, etc.) (O.H. Construction Manual: multiple documents)
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Anti-split bolt is installed as required (O.H. Construction Manual: multiple documents)
Conductors
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Conductors?
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(Grey Item) Clearances maintained above ground and structures (Clearances 022158 Rev.06; GO 95: Rule 37 & Table 1)
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(Grey Item) Clearances maintained to other conductors, guys, and equipment (poles, crossarms, lead wires, etc.) (Clearances 022158 Rev.06; GO 95: Rule 38 & Table 2)
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Incidental wire clearances maintained (GO 95: Rule 38 Table 2 Case 16-17)
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Conductors sagged correctly (Sags 015221 Rev.04)
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Vibration dampers installed as required (Conductors 015073 Rev.05)
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Splices installed as required (new, maint, fire, etc) (Conductors 022487 Rev.11: Pg. 1 Notes 5A-B)
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Tie pads installed with preform ties (Required) (Conductors 052990 Rev.06: Pg. 1 Note 4-5)
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Connectors installed per standard (type, conductor cleaned, inhibitor compound applied, correct dies, & # of crimps) (Conductors 028852 Rev.15; Conductors 041010 Rev.09; Conductors 066194 Rev.09)
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Covered conductors sealed correctly (drip loops, connectors properly sealed, etc.) (Conductors 028852 Rev.15: Pg. 2 Note 8B)
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Tap clamps with tap guard installed per standard (Conductors 028852 Rev.15: Pg. 5 Note 4)
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Armor rod installed as required on conductors (Conductors 021439 Rev.06; Conductors 028853 Rev.06)
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Bond wire installed per standard (Above 4kv, on c/o arm, & and has 1-1/2" clearance to unassociated hardware (Conductors 06667 Rev.09)
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Raptor safe construction & wildlife protection installed as required (Framing Dwg. 061149 Rev.13)
Crossarms (Wood or Composite)
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Crossarms (wood or composite)?
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Braces bolted securely (Framing 015116 Rev.05: Various Figures; Various Framing Documents)
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All washers installed per standard; Note: when angle washers are used, they must be installed on the top & bottom of composite arms (N/A to jumper supports) (Framing Various Drawings, Various Figures; TD-9001B-009 Rev.02: Pg. 8 Note 1.8)
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Correct size and application (Framing 068180 Rev.11: Pg. 5 Table 2, Pg. 6 Table 3; Framing 015202 Rev.11)
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UAB securely attached (Services 023732 Rev.08: Pg. 4 Figure 1)
Risers
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Risers?
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(Grey Item) All lags installed in first section of molding (Risers 027742 Rev.12: Pg. 6 Note 3-4)
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Backup plate installed, etc. (Risers 027742 Rev.12: Pg. 6 Note 5; Risers 021924 Rev.10: Pg. 1 Note 2)
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Riser tag(s) installed indicating required information (Markings 033582 Rev.07: Pg. 2 Note 5C, Pg. 3 Note 7B)
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Cable protector installed (Risers 021924 Rev.10: Pg. 3 Note 1, Pg. 4 Figure 5)
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36" max lag spacing above 8' level of molding (Risers 021924 Rev.10: Pg. 1 Note 1A; Risers 027742 Rev.12: Pg. 6 Note 3)
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(NOT A RULE PER UPDATE #37) Pole steps installed on joint poles as required (Framing 022616 Rev.05: Pg. 1 Note 1A)
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Top of riser molding maintains proper clearance above other conductors (Risers 027742 Rev.12: Pg. 12 Figure 9, Pg.16 Figure 13, Pg. 19 Figure 17, Pg. 20 Figure 19;<br>GO 95: 54.6 Pg. 5 Note E (2)a, b, c, and d)
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Bare ground wire in riser is isolated from the cable grip (Risers 027742 Rev.12: Pg. 8 Note 3)
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Phase numbers installed per standard (Risers 027742 Rev.12: Pg. 5 Note 1)
High Voltage Signs
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High voltage signs?
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(Grey Item) High-voltage signs installed per standard (Marking 022168 Rev.19: Pg. 2 Notes 1A-1C & 1E)
Grounds
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Grounds?
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(Grey Item) Ground rod(s) and wire(s) not exposed (Transformers 021904 Rev.08: Pg. 3 Note 1, Pg. 4 Fig 1)
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Ground connections installed per standard (type, surface cleaned, correct dies, & # of crimps) (Conductors 041010 Rev. 9: Pgs. 8-9)
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Surge arrester ground installed per standard (Transformers 021904 Rev.08: Pg. 2 Notes 14-16, Pg. 4 Section A-A; TD-021904B-001 Rev.0)
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Rods installed 6’ or more apart (Transformers 021904 Rev.08: Pg. 3 Note 3, Pg. 4 Fig 1)
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Rods and wire 12" deep (18” in plowed area) (Transformers 021904 Rev.08: Pg. 3 Note 1, Pg. 4 Fig 1)
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Proof-Positive Ground (PPC-PGW) installed (TD-021904B-003 Rev.0)
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Staples/straps installed with required spacing (Transformers 021904 Rev.08: Pg. 4 Fig 1; TD-021904B-003 Rev.0: Pg. 2; TD-021904B-005 Rev.0)
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Minimum of 1-1/2" from unassociated hardware (Transformers 021904 Rev.08: Pg. 1 Note 5, Pg. 3 Note 9; TD-021904B-003 Rev.0: Pg. 1)
Overhead Services
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Overhead services?
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(Grey Item) Proper clearances maintained (Example: above ground, streets, from communications, etc.) (Services 022169 Rev.01)
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(Grey Item) Checked and/or removed vegetation excessive strain and abrasion on service(s) (GO 95: Rule 35)
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Plastic cable tie used at point of attachment to secure service conductors (tape IS NOT permitted) (Services 023732 Rev.08 Pg. 2 Note 7)
Transformers
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Transformers?
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Shear plates installed (1,301 lbs. or more) (Transformers 056425 Rev.22: Pg. 30 Table 6)
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Bolts covers and spring clip installed per standard (Transformers 056425 Rev.22: Pg. 30)
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10" clearance above secondary conductors (Clearance 066198 Rev.06: Pg. 1 & 2; Transformers 056425 Rev.22: Pg. 9-28)
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Proper clearance below primary conductors (Clearance 066198 Rev.04: Pg. 1 & 2; Transformers 056425 Rev.22: Pg. 9-28)
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Proper lead wires and/or connectors installed on surge arresters to cutouts or line conductors (Transformers 056425 Rev.22: Pg. 2, Note 10; General 031822 Rev.17: Pg. 2 Note 12)
FIRE AREAS (HFTD – Tier 2 or Tier 3)
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Fire Areas?
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(Grey Item) 10’ radial minimum clearance provisions addressed on subject poles (when non-exempt equipment is present) (Power Line Fire Prevention Field Guide (2008 Edition): Pg. 1-5 Item 4)
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Installed only exempt equipment and connections (TD-9001B-009 Rev.02: Note1.20-1.21)
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Installed TX with FR3 fluid (Pole replacements) (TD-9001B-009 Rev.02: Note 1.16)
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Tree attachments addressed per standard ( TD-9001B-009 Rev.02: Notes 1.9-1.10)
Climbing/Working Space
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Climbing/working space?
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Correct dimensions and configuration adequate (GO 95: Rule 54.7-54.12 (See Reference Pg.); GO 95: Rule 93)
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Nothing other than allowable obstructions installed (GO 95: Rule 54.7-54.12) (See Reference Pg.)
AWAC
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AWAC?
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Dead-end hardware installed per standard (4” x 4” curved washer, auto. D/E, composite insulator, etc.) (Framing 057875 Rev.12: Pg. 4 Figs. 3-4)
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Maximum slack span length not exceeded (Framing 057875 Rev.12: Pg. 6 Fig. 10, Pg. 8, Fig. 18-19)
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15" clearance from centerline of pole (when less than 6' from primary (4’ min.) or in transition from open wire secondary construction (Framing 057875 Rev.12: Pg. 6 Note 1, Pg. 12 Note 2)
Switches/Equipment/Cutouts
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Switches/Equipment/Cutouts?
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(Grey Item) Overhead equipment is secured and locked (Switches 066195 Rev.22: Pg. 8 Fig 1 Item 13; Transformers 036903 Rev.09: Pg. 19 Detail K)
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Switch handles 15' or more above ground (when in the open position) (Clearance 066198 Rev. 06: Pg. 2 Fig 2)
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Equipment control boxes 15' or more above ground (Switches 066195 Rev.22: Pg. 2 Note 9)
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Single pole step installed on poles with drop-out type cutouts for storing fuse holder/solid blade when cutouts are open (not in the climbing space) (Cutouts and Fuses 022318 Rev.09 Pg. 1 Note 6)
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Operating numbers installed per standards (Marking 057352 Rev. 03; Switches 066195 Rev.22: Pg. 2 Note 10; Cutouts 022318 Rev.09 Pg. 4 Note 1, Pg. 7 Note 1)
Communication
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Communications?
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(Grey Item) Assessed third-party condition(s); Create a third party notification if required (UO Standard TD-2014S Rev.01: "Third-Party Notification and Resolution of Potential Violations and Safety Hazards")
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6' of neutral space maintained on joint pole (new) (Joint Pole Agreement 2017 version, Section 19.2).
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6' or more clearance to 3rd party antennas (Clearance 022158 Rev. 06 Pg. 14 Table 12)
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PG&E-owned antennas installed per standards (Services 068190 Rev.03)
Vegetation
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Vegetation?
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(Grey Item) NO veg. within 18” of primary conductors (GO 95: Rule 35)
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(Grey Item) HFTD/SRA, NO veg. within 4’ of primary conductors (GO 95: Rule 35 and PRC 4293)
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(Grey Item) Veg. Notification (540 Tag) initiated if any remaining veg. is within 12’ of primary conductors (TD-7102P-29 Rev. 0: Pgs. 4-5, Note 2.2; Pg. 17, Appendix D)
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(Grey Item) Checked and/or removed excessive strain and abrasion on secondary and guy wires (GO 95: Rule 35).
Workmanship
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Workmanship?
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(Grey Item) Verify job site is clean & idle material removed (GO 95: Rule 31.1)
Comments and Signature
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Notification created?
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Provide notification # if available
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Comments
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LAN ID
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Full Name and Signature
