106
017-882-B0-001 Rev. E (06/2018)
4.0 Maintenance, Continued
Fig. 4-6, PM Certification Report, Page 2
As-Found Local Power Supply Alarms
Alarm
Major/ Minor Cleared On Site
Exceptions
Exceptions
Inspection
Enclosure Exterior Maintenance Checklist
Item To Check
Yes/No
Item To Check
Yes/No
Item To Check
Yes/No
Check For Pad Undermining
Clean Dust/Dirt From Enclosure Inside
Enclosure Hardware Tightened
ACI Installed & Functioning
LRI Installed & Functioning
Enclosure Snow Shield
Generator Accessibility
PS Co-Locate With Node
Control Switch Installed
Co-Locate With Vault
U-Guard On Ground Wire
PS Metered
Lock Present
Security Bar Present
Enclosure Make-Model
Enclosure Condition
Enclosure Depth (cm)
Internal Breaker
Service Entrance
Receptacle Type
Dual Utility Switch Present
UG Or Aerial
Interior Systems Maintenance Checklist
Item To Check
Yes/No
Item To Check
Yes/No
Item To Check
Yes/No
Check Wire Harness And Connectors
Clean And NO-OX Batteries
Site Grounded Properly
Tamper Installed And Functioning
AC TVSS Installed And Functioning
AlphaGuard Installed And Functioning
Battery Hardware Properly Tightened
Coax TVSS Present
Battery Temperature Probe Present
Pad Value
Cable Sim Value
Ground Current (mA)
Tap Installed
Drop Installed
Generator Cord Present
Battery Heater Mat Types & Quantities
Mat Type
Quantity
Mat Type
Quantity
Work Items Performed On Site
Work Item
Quantity
Part Number(s)
Technician Info
Open Items For
Repeat Visit
Initial X-Tractor & Form Time (minutes)
1
Additional Form Time (minutes)
PM Service Technician
Last Name
First Name
Contact #
Technician #
