Title Page
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Conducted on
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Substation & Circuit #
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Pole number
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Map descriptor
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Does the pole and all the hardware pass inspection?
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Is the pole sound and without damage?
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Has all double wood been removed?
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Hardware all seems to be in good working condition and tight
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Cross arm and braces are in good condition
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Insulators are in good condition
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Conductors are without issues
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Jumpers are without issues
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Guying is without issues
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Anchor is without issues
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Guy guard is in good condition
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Grounds are in good condition
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If there is a primary riser it is free of conditions?
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Transformer appears to be in good condition
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Transformer is not leaking
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Switch or cutout is in good condition
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Lightning protection is all good
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Arrester appears to be OK
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Expulsion cap appears to be good
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Expulsion cap is blown but in the clear
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Expulsion cap is cracked
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If there is a recloser on this pole is it in good condition
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What is the counter reading
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If there is a right of way is it clear?
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Is the secondary or services connected to the pole in good condition?
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Has pole been tested?
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Year tested
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List any other miscellaneous issues found
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If there are repairs needed can a bucket truck get to the pole?
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Can repairs be performed by climbing the pole?
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Can the truck be set up off of the road?
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Inspected by:
