XPLORE FIELD POLE SURVEY SHEET
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General Details
Work Location
Network
Exchange
Pole Number
Pole Height (m)
Class
Ground Circumference
Telephone
Telephone (1) Cable Height (m)
Telephone (1) Reattach Height (m)
Telephone (1) Direction of Cable
Telephone (2) Cable Height (m)
Telephone (2) Reattach Height (m)
Telephone (2) Direction of Cable
Drops On Pole
Drops To Move
Remove Cross-Arm (Details)
Terminal Has Drops To Move (Details)
CATV
CATV (1) Cable Height (m)
CATV (1) Reattach Height (m)
CATV (1) Direction of Cable
CATV (2) Cable Height (m)
CATV (2) Reattach Height (m)
CATV (2) Direction of Cable
THIRD PARTY (m)
REATTACH AT (m)
Power and Transformer
Power Company
ATCO
EPCOR
FORTIS
EL&P
Specify Other Power Company
Primary (1) Height (m)
Primary (2) Height (m)
Primary Riser Height (m)
Secondary (1) Height (m)
Secondary (2) Height (m)
Secondary Riser Height (m)
Is this a Transformer Pole?
Transformer Bushing Height (m)
Neutral Height (m)
Fuse / Switch Height (m)
Fiber Signal / Overhead Guy Height (m)
PSTL Wire Height (m)
PSTL Height (m)
Pstl Grounding Status
Pstl Grounded
Pstl Not Grounded
EPCOR & TAMS
EPCOR: Install Double Helix Anchor at (m)
EPCOR: Double Helix Anchor for (details)
EPCOR: Reattach (Neutral / Secondary) Power From (m)
EPCOR: Reattach (Neutral / Secondary) Power To (m)
EPCOR: Reattach (Fibre Signal / Overhead Guy) Power From (m)
EPCOR: Reattach (Fibre Signal / Overhead Guy) Power To (m)
TAMS: Reattach Street Light Wire From (m)
TAMS: Reattach Street Light Wire To (m)
TAMS: Reattached Power Street Light From (m)
TAMS: Reattached Power Street Light To (m)
TAMS: GRD PSTL (m)
CATV: Action Required (External)
Third Party: Action Required (External)
Place Downhaul (7/16") at (m)
TELUS TO (Place TEL 7/16"):
TELUS TO (Remove TEL D/H):
TELUS TO (Distance From Pole(m)):
TELUS: General Instruction( Joint Use CATV / EPCOR / 3RD)
TELUS Instructions & Contractor Items
Telus Contractor: CATV Work Item 1 ( for Place 3/4" )
Telus Contractor: CATV Work Item 2 ( for Place 3/4" DE Hardware )
Telus Contractor: Third Party Work Item 1 ( for Place 3/4" )
Telus Contractor: Third Party Work Item 2 ( for Place 3/4" DE Hardware)
Telus Contractor: CATV - Place New D/H (details/measure)
Telus Contractor: CATV - Remove D/H (details/measure)
Telus Contractor: Third Party - Place New D/H (details/measure)
Telus Contractor: Third Party - Remove D/H (details/measure)
Additional Information / Notes & Drawing
Crossings
Driveway Crossing - Between Work Location (WL) 1
Driveway Crossing - And Work Location (WL) 2
Driveway Crossing - At (m)
Alley Crossing - Between Work Location (WL) 1
Alley Crossing - And Work Location (WL) 2
Alley Crossing - At (m)
Mid Span - From Work Location (WL) 1
Mid Span - To Work Location (WL) 2
Mid Span - At (m)
Parking Crossing - Between Work Location (WL) 1
Parking Crossing - And Work Location (WL) 2
Parking Crossing - At (m)
Road Crossing - Between Work Location (WL) 1
Road Crossing - And Work Location (WL) 2
Road Crossing - At (m)
Other Crossing Type (e.g., '____ XING')
Other Crossing - Between Work Location (WL) 1
Other Crossing - And Work Location (WL) 2
Other Crossing - At (m)
SSA Amount (1)
SSA # (1)
SSA Amount (2)
SSA # (2)
SSA Amount (3)
SSA # (3)
Date
Inspector Name
Comments
Attachments
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