Tracer Wire Termination Record Form
Document all details of tracer wire termination work for quality assurance and compliance. Please complete all relevant fields accurately.
Job / Site Identification
Job Name or Number
*
Site Address or Location
*
Date of Termination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Termination Location Details
Termination Point (e.g., vault, riser, panel)
*
Specific Location Description
Wire and Connection Details
Wire Type
*
Please Select
Solid Copper
Copper Clad Steel
Other
Wire Size (AWG)
*
Please Select
10 AWG
12 AWG
14 AWG
Other
Connection Type
*
Direct Burial Splice
Twist-on Connector
Mechanical Lug
Other
Termination Method
*
Please Select
Mechanical
Thermal
Crimp
Other
Installation Outcome
Was the termination successfully installed?
*
Yes
No
Inspection / Testing Results
Continuity Test Result
*
Pass
Fail
Not Tested
Resistance Reading (Ohms)
Additional Notes or Observations
Technician Confirmation
Technician Name
*
First Name
Last Name
Technician Signature
*
Date Signed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Record
Submit Record
Should be Empty: