High Mast Light Pole Maintenance Checklist

HIGH MAST LIGHT POLE ANNUAL MAINTENANCE CHECKLIST HIGH MAST MAST LIGHT LIGHT POLE NUMBER NUMBER ______ __________ ________ ______ __ Roada!________ Mi"e#oint_______

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Mechanical

Electrical

Structural

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C%e S(#e%*i'o%___________________

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Maintena Maintenance nce Unit Unit _________ _________ Loca$on_____________________________

Pe%fo%&ed e';No;NA

Note'

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HIGH MAST LIGHT POLE ANNUAL MAINTENANCE CHECKLIST HIGH MAST LIGHT POLE NUMBER ___ Roada!______ Mi"e#oint_______

Ca$go%! Gene%a"

Mec)anica"

E"ect%ica"

St%(ct(%a"

Maintenance Unit _______ Loca$on_____________________________

Ite& -e'c%i#$on < 1 %e&o*e an! de+%i' and %e'to%e c%ie% g(a%d Mo< eed %e&o*e and t%ee t%i& a' %e=(i%ed %e&o*e an! 'oi" +(i"d(# f%o& a%o(nd t)e #o"e 2 C)ec3 )and)o"e co*e% and +o"t'< $g)ten and;o% %e#"ace a' %e=(i%ed , Re#ai% o% %e#"ace ot)e% de*ice' a' %e=(i%ed . En'(%e "ig)t ta+"e' a%e a+"e to +e "atc)ed f(""! into #"ace and f(nc$oning #%o#e%"! / C)ec3 gea% +o0 fo% 'ea" "ea3age  C)ec3 t)e t%an'i'i$ona" !o3e and ca+"e' fo% co%%o'ion 4 C)ec3 "i5 ca+"e' fo% f%a!ed 't%and' 6 Re#ai% o% %e#"ace "atc) '!'te& %e7ecto%' a' %e=(i%ed 8 Te't "oe%ing de*ice' and f(""! o#e%ate to f(""! don #o'i$on 19 Re#ai% o% %e#"ace &ec)anica" de*ice' a' %e=(i%ed 11 C"ean "oe%ing de*ice 12 "(+%icate "oe%ing de*ice 1, Le*e" t)e "(&inai%e %ing 1. >e%if! t)at g%o(nding connec$on' a%e intact< %e#ai% a' %e=(i%ed 1/

C)ec3 a"" e"e&ent' of t)e e"ect%ica" '!'te&

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Re#ai% o% %e#"ace e"ect%ica" de*ice' a' %e=(i%ed C)ec3 #o"e ca+"e in'("a$on and connec$on' fo% %('t and c%ac3' Note an! 't%(ct(%a" i''(e' and %e#o%t to t)e -i't%ict St%(ct(%e' Maintenance O?ce SAFETY NOTE

A "icen'ed e"ect%ician &('t +e #%e'ent )en o%3ing it) e"ect%ica" e=(i#&ent o% de*ice'@

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