Project: PSEG Burlington-Camden Conversion Project

Structure Assessment Form

Line: Tower ID:
Inspection Date: __________ 1. 2. 3. 4. 5. By: _____________________ Photos Taken: Yes No

Type:

Tower Heights:

Condition ________

Excellent no observable defects, new Good minor defects/wear, routine maintenance evident, no repairs necessary Satisfactory some defects, routine maintenance required, minor repairs necessary Poor significant defects, potential health and safety issue, major repairs necessary Failed excessive defects, unusable, complete replacement required

Missing Members Yes How many?_____ No Cant Say Horizontal Strut present? Yes No Bent/Damaged Members Yes How many?_____ No Missing Bolts Yes How many?_____ No Cant Say Distorted Tower Legs Yes How many?_____ No Cant Say Cell Phone Antenna Yes How many?_____ No Bird Guards etc.., Other items (Specify) _____________________________________ on top of structure OPGW Splice Box Yes How many?_____ No Corrosion, where: __________________ Other: __________________________________________________ Does anything at bottom need to be removed, i.e. guard wire? If so, what/where: __________________________ Hardware Assessment (please circle) Insulator Toughened Glass Hardware Assembly Vibration Damper (Conductor) Vibration Damper (Shield Wire) Armor Rod (Shield Wire) Single String Stockbridge Spiral Provided

Polymer Double String None Stockbridge or None None

Conductor Condition ________ Comments

1. Excellent no observable defects, new 2. Good minor defects/wear, routine maintenance evident, no repairs necessary 3. Poor birdcage or other major defects, requires immediate action and resolution