Pad-Mounted Equipment Inspection & Maintenance Form Template

• Inspection Date & Time

  Date
• MapID / Location
  Address

• Inventory Number

Manufacturer Detail

• Manufacturer

• Serial Number

• Images

  Media

Equipment Details

• Equipment Type

  Transformer

  Junction Cabinet

  Switchgear

  Secondary Pedestal

• Phase

  1

  3

• KVA

• Phase

  1

  3

• Model Description

• Images

  Media

Exterior Markings

• "Warning" Decal / Location Numbers<br>

  Need to Replace / Add

  Replaced / Added

  OK

• Other

Other Item

• Item Name / Description

• Conditon

  Need to Replace / Add

  Replaced / Added

  OK

• Images

  Media

Exterior Finish

• Overall Condition

  Select OK Fading Corroding Beyond Repair

  • OK
  • Fading
  • Corroding
  • Beyond Repair

• Paint / Finish Status

  Needs Painting / Refinishing

  Painted / Refinished

  OK

• Corrosion Status

  Need to Repair / Replace

  Repaired

  Replaced

  OK

• Images

  Media

Foundation

• Type

  Box Pad

  Flat Poly Pad

  Concrete Pad

• Condition

  Need to Repair / Replace

  Repaired

  Replaced

  OK

• Grade

  Need to Raise or Level

  Raised

  Leveled

  OK

• Images

  Media

Oil-Filled Equipment

• Overall Status

  Need to Repair / Replace

  Repaired

  Replaced

  OK

• Leak Condition

  Select OK Minor Leak Major Leak

  • OK
  • Minor Leak
  • Major Leak

• Images

  Media

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

• Pentahead Bolt is present & secured

  Repaired

  Replaced

  Yes

• Hasp and Pad or Other Lock installed

  Repaired

  Replaced

  Yes

• Images

  Media

Interior Finish

• Paint / Finish Status

  Needs Painting / Refinishing

  Painted / Refinished

  OK

• Corrosion Status

  Need to Repair / Replace

  Repaired

  Replaced

  OK

• Images

  Media

Terminations

• Enter quantities

• Elbows

• Need to Replace

• Replaced

• OK

• Secondary

• Need to Replace

• Replaced

• OK

• Images

  Media

Grounds

• Rod Condition

  Need to Replace / Add

  Replaced / Added

  OK

• Connection Condition

  Need to Repair / Replace

  Repaired

  Replaced

  OK

• Images

  Media

Surge Arresters

• Condition

  Need to Replace / Add

  Replaced / Added

  OK

  N/a

• Connections

  Need to Repair / Replace

  Repaired

  Replaced

  OK

• Images

  Media

Animal / Insect Nests

• Condition

  Needs Treating / Removal

  Treated / Removed

  None

• Images

  Media

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

Obstruction

• Details

• Images

  Media

• Note any other problems and actions taken / needed

Note

• Image

  Media

• Inspected by

  Sign