Energy Sector Equipment Assessment Form
Use this Energy Sector Equipment Assessment Form to evaluate and document the condition, performance, and compliance of energy sector equipment in the field.
Equipment Name or ID
*
Equipment Type
*
Please Select
Transformer
Generator
Switchgear
Turbine
Substation
Other
Location
*
Operational Status
*
Operational
Under Maintenance
Out of Service
Decommissioned
Last Maintenance Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Safety Compliance
*
Compliant
Non-Compliant
Not Applicable
Performance Rating
*
1
2
3
4
5
Observed Issues
Recommendations
Assessor Name
*
Submit Assessment
Should be Empty: