Substation Predictive Maintenance Inspection Form
Record inspection results and equipment assessments for predictive maintenance at substations.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
Overall Substation Condition
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Transformer Condition
*
Good
Needs Attention
Critical
Switchgear Inspection Result
*
Pass
Fail
Requires Follow-Up
Battery Bank Status
*
Operational
Degraded
Needs Replacement
Protective Relays Functionality
*
Relay 1 Functional
Relay 2 Functional
Relay 3 Functional
Relay Issues Present
Thermal Imaging Result
*
No Hotspots Detected
Minor Hotspots
Major Hotspots
Safety Equipment Checklist
*
Personal Protective Equipment Worn
Warning Signs in Place
Emergency Exits Accessible
First Aid Kit Available
Additional Comments or Observations
Submit Inspection
Should be Empty: