Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Pole Top Inspection Form
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Structure Number
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Pole Type
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Pole design
- Single
- H Pole
- Rutter
- A Pole
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Pole condition
- CR1 Pole OK
- CR2 Minor Damage
- CR3 Decayed OK > 1 Year
- CR4 Severly Decayed/Damaged
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Pole Condition Description (if CR3 or CR4)
- A Pole Top Rot
- B Bird Damage
- C External Damage
- D Cattle Rubbing
- E External Decay
- F Internal Decay
- G Splitting
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PURL test result (if CR3 or CR4) for each leg
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Pole leaning
- CR1 - OK
- CR2 - Leaning < 1 Head
- CR3 - Leaning 1 -2 Heads
- CR4 - Leaning > 3 Heads
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Scarf mark condition
- CR1 - OK @ Correct Height
- CR3 - Mark Not Visible
- CR4 - Mark too High
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Number of stays
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General condition of stay wire(s)
- CR1 - Stay Wire OK
- CR2 - Minor Corrosion
- CR3 - Severely Corroded or Slack
- CR4 - Broken or Missing
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General condition of stay insualtor(s)
- CR1 - Stay Insulator OK
- CR2 - Insulator Damaged
- CR3 - Insulator too High or too Low
- CR4 - No Stay Insulator
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General condition of stay rod(s)
- CR1 - Stay Rod OK
- CR2 - Rod Bent but OK
- CR3 - Rod Severely Corroded
- CR4 - Rod Broken or all below Ground
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Condition of crossarm
- CR1 - Steelwork OK
- CR2 - Light Rusting/Corrosion/Damage
- CR3 - Heavy Rusting/Corrosion/Damage
- CR4 - Delamination Present or Badly Damg
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Condition of fittings
- CR1 - Fittings OK
- CR2 - Wear/Corrosion <25% Area
- CR3 - Wear/Corrosion 25% - 75% Area
- CR4 - Wear/Corrosion > 75% Area
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Condition of insulators (electrical)
- CR1 - Insulator(s) OK
- CR2 - One Insulator Cracked/Chipped
- CR3 - >1 Ins in String Cracked/Chip
- CR4 - Insulator(s) Missing
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Condition of insulators (mechanical)
- CR1 - Insulator(s) OK
- CR2 - Upto 50% rust
- CR3 - More than 50% rust
- "CR4 - Any single cap appears to be 100% affected by rust, laminated rust, dimpling, wasting of metal cap, and severely skewed sheds indicating possible cap/pin seizures
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Proximity of trees to pole/span
- CR1 - No Trees or Trees > 3.6m from Line
- CR2 - Trees Within 2m - 3.6m of Line
- CR3 - Trees Within 1m - 2m of Line
- CR4 - Trees Within < 1m of Line
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Proximity of climable trees to pole/span
- CR1 - No Climable Trees
- CR2 - Climable Limbs within 2m -3.6m
- CR3 - Climable Limbs within 1m - 2m
- CR4 - Climable Limbs <1m or Touching
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Reason for not inspecting
- a - Crops in Field
- b - Refused Permission
- c - Unable to Get Permmision
- d - Excesive Vegetation
- e - Animals in Vicinity
- f - In Locked Compound or Similar
- g - Unsafe to Approach at the Time
- h - Physical Obstruction
