Client Name

Project Name
Field Services Project Location
Project No.: XX-XXX-XX
FIELD QUALITY CONTROL INSTALLATION CHECKLIST FOR:
ABOVE GROUND CONDUIT
PROJECT NO. AREA

UNIT NO. SYSTEM NO.

DWG. NO. OTHER

ITEM CONSTRUCTION QC CLIENT REMARKS

Location:
From:
To:
Conduits
Supports
Spacing
Size: Conduit/Cable per Drawing
Clean
Stub-ups Protected
Open Ends Plugged
Damaged Lenghts Replaced
Permanent Tagging
Bending
Expansion Joints Installed
Installation Correctly
Grounding Secured
Fitting Installed Correct
Threads Fully Engaged
No Wrench Cuts
Bushings Installed
Covers Installed
Seals Installed
Drains Installed
Galvanized, Aluminum, PVC and
PVC Coated conduit used where
specified
Flex Conduit: Fittings Grounded
Junction Boxes
a Leveled
b Supported
c Proper Hubs
d Locknuts/
Bushings
Notes 1: It is the user's responsibility to verify with their supervisor that they are using the correct and/or most current revision of this document.
2: This form is a controlled document and shall not be altered or modified in any manor without written approval from the Southern Region QA/QC Manager.
3. This form shall be completed in it’s entirety. If a block is not applicable the block shall be N/A’d.

QCM-N-16-03
/conversion/tmp/activity_task_scratch/727385244.doc 3/29/2006