TOWER VERTICALITY & HORIZONTALITY TEST RESULT

(4-Legged Tower)

SITE ID SITE NAME TYPE OF TOWER INSTRUMENT & METHOD USED

I. HORIZONTALITY
Reading from top of tower baseplate :
Maximum tolerance ≤ 2 mm
Tower leg Reading, mm Difference, mm
1 0
2
3
4

II. VERTICALITY

SECTION C-A SECTION D-B

Remarks
Tower Level TOWER LAYS (mm.) TOWER LAYS (mm.)

Left Right Left Right Pass/Fail

a 0 0 0 0 Reference
b
c
d
e
f
g
A Reference level
h 1 4

III. TOLERANCE

Mini Tower or SST

1/1500 X H (height of tower in millimeter) = ____________mm. B D

Monopole and RT Tower

1/750 X H (height of monopole in millimeter) = ___________mm. 2 3

C

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE DITO REPRESENTATIVE

NAME NAME NAME
SIGNATURE SIGNATURE SIGNATURE
DATE DATE DATE

Pole / Tower Verticality Test Page 1 of 14

Issued On:
 TOWER VERTICALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE

NAME NAME
SIGNATURE SIGNATURE
DATE DATE

Pole / Tower Verticality Test Page 2 of 14

Issued On:
 TOWER HORIZONTALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

Leg 1 Leg 2

Leg 3 Leg 4

Overall Photo (Tower Leg) Overall Photo (Tower Leg)

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE
NAME NAME
SIGNATURE SIGNATURE
DATE DATE

Pole / Tower Verticality Test Page 3 of 14

Issued On:
 TOWER VERTICALITY & HORIZONTALITY TEST RESULT
(3-Legged Tower)

SITE ID SITE NAME TYPE OF TOWER INSTRUMENT & METHOD USED

I. HORIZONTALITY
Reading from top of tower baseplate :
Maximum tolerance ≤ 2 mm
Tower leg Reading, mm Difference, mm
1 0
2
3
4

II. VERTICALITY

SECTION A-B SECTION B-C

Remarks
Tower Level TOWER LAYS (mm.) TOWER LAYS (mm.)

Left Right Left Right Pass/Fail

a 0 0 0 0 Reference
b
c
d
e
f
g
h

III. TOLERANCE Reference level

Mini Tower or SST

1/1500 X H (height of tower in millimeter) = ____________mm.

Monopole and RT Tower

1/750 X H (height of monopole in millimeter) = ___________mm.

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE DITO REPRESENTATIVE

NAME NAME NAME
SIGNATURE SIGNATURE SIGNATURE
DATE DATE DATE
 TOWER VERTICALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE

NAME NAME
SIGNATURE SIGNATURE

DATE DATE
 TOWER HORIZONTALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

Theodolite Leg 1

Leg 2 Leg 3

Overall Photo (Tower Leg) Overall Photo (Tower Leg)

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE
NAME NAME
SIGNATURE SIGNATURE

DATE DATE
 TOWER VERTICALITY & HORIZONTALITY TEST RESULT
(Monopole Tower)
INSTRUMENT & METHOD
SITE ID SITE NAME TYPE OF TOWER USED

I. HORIZONTALITY
Reading from top of tower baseplate :
Maximum tolerance ≤ 2 mm
Tower leg Reading, mm Difference, mm
1 0

II. VERTICALITY

SECTION 0 DEG SECTION 90 DEG

Tower Remarks
TOWER LAYS (mm.) TOWER LAYS (mm.)
Level
Left Right Left Right Pass/Fail

a Reference
b
c
d
e
Reference level

III. TOLERANCE

Mini Tower or SST

1/1500 X H (height of tower in millimeter) = ____________mm.

Monopole and RT Tower

1/750 X H (height of monopole in millimeter) = ___________mm.

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE DITO REPRESENTATIVE

NAME NAME NAME
DESIGNATION DESIGNATION DESIGNATION
SIGNATURE SIGNATURE SIGNATURE
DATE DATE DATE
 TOWER VERTICALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE

NAME NAME
SIGNATUR
SIGNATURE
E
DATE DATE
 TOWER HORIZONTALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

Theodolite Reading

Overall Photo Overall Photo

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE
NAME NAME
SIGNATUR
SIGNATURE
E
DATE DATE
 TOWER VERTICALITY & HORIZONTALITY TEST RESULT
(Tripod Tower)

SITE ID SITE NAME TYPE OF TOWER INSTRUMENT & METHOD USED

I. HORIZONTALITY
Reading from top of tower baseplate :
Maximum tolerance ≤ 2 mm
Tower leg Reading, mm Difference, mm
1 0
2
3

II. VERTICALITY

SECTION A-B SECTION B-C

Tower Remarks
TOWER LAYS (mm.) TOWER LAYS (mm.)
Level
Left Right Left Right Pass/Fail

a Reference
b
c
Reference level
III. TOLERANCE

Mini Tower or SST

1/1500 X H (height of tower in millimeter) = ____________mm.

Monopole and RT Tower

1/750 X H (height of monopole in millimeter) = ___________mm.

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE DITO REPRESENTATIVE

NAME NAME NAME
DESIGNATION DESIGNATION DESIGNATION
SIGNATURE SIGNATURE SIGNATURE
DATE DATE DATE
 TOWER VERTICALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE

NAME NAME
SIGNATURE SIGNATURE
DATE DATE
 TOWER HORIZONTALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

Theodolite Leg 1

Leg 2 Leg 3

Overall Photo (Tower Leg) Overall Photo (Tower Leg)

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE
NAME NAME
SIGNATURE SIGNATURE
DATE DATE
 TOWER VERTICALITY & HORIZONTALITY TEST RESULT
(3 Pole Tower)

SITE ID SITE NAME TYPE OF TOWER INSTRUMENT & METHOD USED

PHOTOGRAPHS

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE

NAME NAME
SIGNATURE SIGNATURE
DATE DATE
 TOWER HORIZONTALITY TEST RESULT PHOTOS

Site ID : Date :
Site Address : Coordinates :

PHOTOGRAPHS

Pole 1 Pole 2

Pole 3 Overall Photo (Tower Leg)

SUB-CON REPRESENTATIVE HXPT REPRESENTATIVE
NAME NAME
SIGNATURE SIGNATURE
DATE DATE