NETA Thermographic Infrared Survey Report
NETA Thermographic Infrared Survey Report
Infrared thermography inspection template for electrical equipment, aligned to ANSI/NETA MTS practices, to document scan conditions, delta-T classifications, photo evidence, and corrective priorities.
Survey Identification
- Survey date and time recorded
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Facility, building, and area identified
Record the site name, building, room, and specific electrical area surveyed.
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Inspector name and qualifications documented
Identify the thermography technician or competent person performing the survey.
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Survey scope and equipment list defined
Select all equipment types included in the survey.
Scan Conditions and Safety Controls
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Equipment was scanned under normal operating load
Confirm the equipment was energized and operating under representative load at the time of the scan.
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Load condition at time of scan recorded
Enter the measured or estimated load percentage at the time of the infrared scan.
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Ambient conditions recorded
Document ambient temperature, weather or room conditions, and any factors affecting the scan.
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Electrical safety controls verified
Select all safety controls in place during the survey.
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Scan limitations or obstructions noted
Identify whether covers, insulation, reflections, distance, or access limitations affected image quality or interpretation.
Thermographic Findings
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Asset or component identification
Record the exact equipment and component location, such as feeder breaker, lug, termination, or bus connection.
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Thermal anomaly observed
Indicate whether a hot spot, abnormal temperature rise, or other thermal irregularity was observed.
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Delta-T classification assigned
Classify the temperature differential severity for the observed condition.
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Measured temperature or delta-T value
Enter the measured temperature, temperature rise, or delta-T value associated with the anomaly.
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Thermal image captured
Attach the infrared image showing the anomaly or representative scan image.
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Visible-light reference photo captured
Attach a corresponding visible-light photo identifying the equipment and location.
Condition Assessment and Priority
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Condition assessed for immediate risk
Select the assessed condition based on observed severity and operational risk.
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Corrective priority assigned
Assign the repair priority for work planning and follow-up.
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Recommended corrective action documented
Describe the recommended repair, adjustment, cleaning, tightening, replacement, or further investigation.
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Follow-up inspection date assigned
Enter the planned date and time for re-scan or verification after corrective action.
Closeout and Sign-Off
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All findings reviewed with site representative
Confirm the survey results and priorities were communicated to the responsible site contact.
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Exceptions, access issues, or missed assets documented
Record any equipment that could not be scanned, any access restrictions, or any exceptions to the survey scope.
- Inspector signature
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Report approved by supervisor or responsible manager
Confirm review and approval by the responsible supervisor, manager, or AHJ representative if applicable.
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