Exterior

Equipment Details

Equipment Type

Phase

KVA

Phase

Model Description

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Exterior Markings

"Warning" Decal / Location Numbers

Other

Other Item

Item Name / Description

Conditon

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Exterior Finish
Overall Condition

Paint / Finish Status

Corrosion Status

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Foundation

Type

Condition

Grade

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Oil-Filled Equipment

Overall Status

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

Pentahead Bolt is present & secured

Hasp and Pad or Other Lock installed

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Interior

Interior Finish

Paint / Finish Status

Corrosion Status

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Terminations

Enter quantities

Elbows

Need to Replace

Replaced

OK

Secondary

Need to Replace

Replaced

OK

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Grounds

Rod Condition

Connection Condition

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Surge Arresters

Condition

Connections

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Animal / Insect Nests

Condition

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

Obstruction

Details

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Note any other problems and actions taken / needed

Note

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Form Validation

Inspected by
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.