Information

  • Inspection Date & Time

  • Location
  • Map ID

  • Manufacturer

  • Serial Number

Exterior

Equipment Details

  • Equipment Type

  • Phase

  • KVA

  • Phase

  • Model Description

  • Images

Exterior Markings

  • "Warning" Decal<br>

  • Location Number<br>

  • Other

  • Other Item
  • Item Name / Description

  • Conditon

  • Images

Exterior Finish

  • Overall Condition

  • Paint / Finish Status

  • Corrosion Status

  • Images

Foundation

  • Type

  • Condition

  • Grade

  • Images

Oil-Filled Equipment

  • Overall Status

  • Leak Condition

  • Images

Security Items not marked as "Yes" must be repaired / replaced immediately.

  • Pentahead Bolt is present & secured

  • Hasp and Pad or Other Lock installed

  • Images

Interior

Interior Finish

  • Paint / Finish Status

  • Corrosion Status

  • Images

Terminations

  • Enter quantities

  • Elbows

  • Need to Replace

  • Replaced

  • OK

  • Secondary

  • Need to Replace

  • Replaced

  • OK

  • Images

Grounds

  • Rod Condition

  • Connection Condition

  • Images

Surge Arresters

  • Condition

  • Connections

  • Images

Animal / Insect Nests

  • Condition

  • Images

  • List any obstructions (fences, shrubs, buildings, etc...)

  • Obstruction
  • Details

  • Images

  • Note any other problems and actions taken / needed

  • Note
  • Image

Form Validation

  • Inspected by

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