Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

SITE INFORMATION

  • Add location
  • SITE NAME<br>SITE NUMBER<br>FA#<br>PTN<br>

  • Select date

  • Add signature

  • CREW SIZE

  • WEATHER

  • Add media

UNDERGROUND

  • MISSDIG NOTIFIED?

  • MARKINGS DONE?

  • CONDUIT WORKED ON?

  • DEPTH - PHOTOS

  • BACKFILL WORK BEING DONE?

  • WARNING TAPE PHOTOS

  • COMPACTION DONE?

  • GROUND RING WORK BEING DONE?

  • DEPTH PHOTOS WITH TAPE MEASURE AND CROSS STICK

  • WELD PHOTOS

  • BACKFILL

  • COMPACTION

  • GRAVEL, (FINAL GRADING)

PLATFORM

  • PAVERS SET

  • LEVEL

  • FEET SET

  • CONDUITS, ROUTING, SUPPORTED

  • GRATING INSTALLED? CLIPS?

  • GROUNDING

CABINETS

  • POWER CABINET WORK BEING DONE?<br>CABINET SET?<br>PHOTOS?

  • CONDUITS WORKED ON? COMPLETED PHOTOS?

  • TELCOFLEX? TERMINATIONS? LUGS?

  • TELCO BOX? BOARDS INSTALLED? READY FOR TELCO?

  • EXISTING MACRO CABINET? MOVE MADE? FINAL CONNECTIONS MADE? TEMPORARY WORK TO MOVE?

  • RODENT PROTECTION

  • GROUNDING

  • NEW MACRO CABINET WORK? SET? BOLTED DOWN?

  • GROUNDING

  • POWER PANEL WORK? PANEL SET? RUNNING?

  • BREAKERS INSTALLED?

  • GROUNDING

  • PULL STRING INSTALLED

  • SOLAR SHIELDS INSTALLED?

  • POWER FOR GFCI AND HEATER

  • CAT6 CABLE INSTALLED

  • INNERDUCT INSTALLED WITH PULL STRING

  • HOFFMAN BOX/DIPLEXER CABINET INSTALLED, BOLTED, BACKER BOARD INSTALLED

  • CONDUIT TO HOFFMAN BOX WITH PULL STRING

  • GROUNDING TO HOFFMAN BOX, GROUND BAR

  • MACRO CABINET POWERED UP

  • MACRO GROUNDING

SERVICE POWER

  • NEW SERVICE NEEDED?

  • POWER COMPANY CONTACTED? SCHEDULE?

  • PERMITS?

  • H-FRAME

  • DISCONNECT SET?

  • CONNECTIONS MADE?

  • TEMPORARY CONNECTIONS?

  • REMOVE OLD EQUIPMENT

ICE BRIDGE

  • REMOVE ICE BRIDGE

  • ICE BRIDGE POSTS

  • HORSEHEAD BRACKET

  • ICEBRIDGE

  • CONNECTIONS

  • COLD GALVANIZING

  • GROUNDING, JUMPERS, WELDS, COLD GALVANIZING, BOLTS

SITE WORK

  • SNOW REMOVAL

  • GROUND THAW

  • SITE GRADING

  • ROADWORK

  • FENCING

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.