Information

  • Inspection Date & Time

  • MapID / Location
  • Inventory Number

Manufacturer Detail

  • Manufacturer

  • Serial Number

  • Images

Exterior

Equipment Details

  • Equipment Type

  • Phase

  • KVA

  • Phase

  • Model Description

  • Images

Exterior Markings

  • "Warning" Decal / Location Numbers<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

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.