Staff Electric Company Inc.

• QA Inspection - Underground Encased Conduit Inspection

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

General - Underground Encased Conduit Installation

• What type of underground conduit installation?

  Select Slab Deck Duct package

  • Slab
  • Deck
  • Duct package

• Description of Area

Area

• Enter description of area

• Is spacing between conduits proper?

  Yes

  No

  N/A

• Are all necessary sleeves/box outs installed?

  Yes

  No

  N/A

• Are rigid elbows installed, where necessary?

  Yes

  No

  N/A

• Are conduit and boxes supported on chairs properly?

  Yes

  No

  N/A

• Are conduit and boxes at proper elevation?

  Yes

  No

  N/A

• Is supplemental grounding complete?

  Yes

  No

  N/A

• Are all conduits cleaned?

  Yes

  No

  N/A

• Are all conduits labeled?

  Yes

  No

  N/A

• Are all conduit ends sealed?

  Yes

  No

  N/A

• Are as-built drawings or photos complete?

  Yes

  No

  N/A

• Is electrical inspection complete?

  Yes

  No

  N/A

• Enter description of each deficiency.

• Enter person responsible:

• Enter due date:

• Slab and Deck

• Are floor boxes installed properly?

  Yes

  No

  N/A

• Are metal raceways used for patient care areas?

  Yes

  No

  N/A

• Duct Package

• Are chairs properly spaced?

  Yes

  No

  N/A

• Proper identification per specs?

  Yes

  No

  N/A

COMMENTS

• Comments: (Take pictures)

• Add media

  Media

Signatures - Electrical Inspector

• Add signature

  Sign

• Select date

  Date

Signature - Prepared by:

• Add signature

  Sign

• Select date

  Date