Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
-
Customer
-
Contractor
-
Contract #
-
Project
-
System Description
-
Line ID
-
Structure Number
Foundation
-
Foundation inspection not required
-
Foundation Type
-
Exposed concrete free from cracks and chips?
-
Reveal is at the proper elevation?
-
Anchor bolts are at the correct orientation?
-
Anchor bolts free from concrete?
-
Anchor bolt reveal per specification?
-
Anti-corrosion material applied and is free from defects?
-
Reveal is at the proper elevation?
Structure
-
Structure inspection not required
-
Washers installed on anchor bolts?
-
Anchor bolt nuts tightened to the appropriate torque?
-
Anchor bolt thread exposure per specification?
-
Ladder clips and seat bolts installed on appropriate flats?
-
All ladders installed on appropriate flats?
-
Gap between pole base and foundation per specification?
-
Pole is plumb?
-
Raking per specification?
-
Slip joints have required overlap?
-
Bolted joints gaps are within tolerance?
-
Galvanizing free from defects?
-
Cross arms are installed per specification?
-
All signs installed (Aerial, circuit ID, structure ID, Danger, etc)?
Wire and Hardware
-
Wire and hardware inspection not required
-
Correct size and number of insulators?
-
Cotter pins bolts and insulators in the correct position and orientation?
-
Shoes are in line with the center of the pole?
-
Spacers installed per specifications?
-
Wind dampeners installed per specification?
-
Marker balls installed per specification?
-
Fiber assembly installed per specification?
-
Sag lines removed?
Restoration
-
Restoration inspection not required
-
Work area clean and free of debris?
-
Crane pads removed?
-
Anchor bolt rings removed from site?
-
Backfill free from organic matter?
-
Backfill compacted at appropriate lifts?
-
Backfill free from settling or sinking?
-
Vegetation reseeded?
-
Environmental controls removed?
Approvals
-
Approvals not required
-
Additional notes and comments
-
Customer
-
Construction Representative
-
Quality Representative
