ANNUAL LEGAL COMPLIANCE INSPECTION
Date
*
-
Year
-
Month
Day
Date
Hour Minutes
Take Photo Of Tower
*
Take Photo Of Bs Board
*
SITE NAME:
*
BS NO:
*
Region:
*
Please Select
Gauteng
Western Cape
Eastern Cape
Northern Cape
North West
Free State
Limpopo
Mpumalanga
Kwazulu Natal
TYPE OF TOWER:
*
Please Select
Monople - round
Monopole - 12 sided
Tripod - lattice
Square - lattice
Inspector:
*
Please Select
Brent
Brendann
Evans
Wiseman
Reece
Michael
Josh
Back
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SPINE: (IF PRESENT)
MM
Thickness of spine
Thickness of base flange
PCD of HD bolts
No. of HD bolts
Diameter of HD bolts
Distance from center of HD bolt to outer edge of base flange
No. of HD bolts
Diameter of HD bolts
Height of stiffeners(if any)
Thickness of stiffeners
No. of stiffeners
BASE OF MONOPOLE:
mm
Thickness of base flange
No. of HD bolts
Size of HD bolts
Height of stiffeners(if any)
Distance from edge of base flange to tower
Minimum thread protrusion of HD bolts
HOLDING DOWN BOLTS:
*
yes
no
Proper bonding of plinth(are there loose bolts)
Sufficient thread protrusion
Straightness(are there skew bolts)
Washer and spring washer installed
Nuts tight below/ on top of base ring
Locknuts installed and tight
GROUTING:
*
yes
no
No shrinkage(missing grout)
Drain holes made
Drain holes open
BOTTOM MANWAY:
*
yes
no
Cat ladder
Safety hoops installed where diameter is greater than 700mm
Bolting complete and tight
Rust damage present
Slag removed where necessary
No distortion or buckling
Light bracket secured
MAST INTERANAL SURFACE:
good/ yes
bad/ no
date
General appearance ( good or bad)
Date of last inspection(date only)
Verified hand stamping of IIS KZN shop release( yes or no)
Quality of erected assembly(good or bad)
TOP MANWAY:
yes
no
Dimensionally sound
Distortion
Closing correctly
SPINE:
yes
no
Flanged connection properly secured
Bolting complete / tight and high tensile
Rust damage present
Access ladder fitted and secure
Locknuts installed and tight
Sufficient thread protrusion
SIGNATURE:
*
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