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Run: NETA Thermographic Infrared Survey Report

Use this NETA Thermographic Infrared Survey Report template to document energized electrical scans, delta-T findings, photo evidence, and corrective prioriti...

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Survey Details

Survey date and time recorded critical (required)

Note (optional)

Inspector name and qualification documented critical (required)

Equipment energized and safe to scan under established electrical safety controls critical (required)

Yes No N/A

Ambient temperature recorded

Note (optional)

Weather or environmental conditions noted

Survey scope and equipment list attached

Note (optional)

Load condition at time of scan documented critical (required)

Electrical Asset Identification

Asset location identified critical (required)

Equipment type selected critical (required)

Note (optional)

Asset identifier or nameplate reference recorded critical (required)

Voltage class documented critical (required)

Note (optional)

Phase or circuit designation recorded

Accessible scan points confirmed critical (required)

Yes No N/A

Thermographic Findings

Thermal image captured for each finding critical (required)

Note (optional)

Visible-light reference image captured for each finding critical (required)

Note (optional)

Measured maximum temperature recorded critical (required)

Note (optional)

Reference temperature recorded critical (required)

Note (optional)

Delta-T classification assigned critical (required)

Note (optional)

Observed anomaly description critical (required)

Likely cause identified

Corrective Priorities

Corrective priority assigned critical (required)

Note (optional)

Deficiency poses an immediate safety or outage risk critical (required)

Yes No N/A

Recommended corrective action documented critical (required)

Target completion date entered

Note (optional)

Work order or ticket number recorded

Closeout and Signoff

All findings reviewed for completeness critical (required)

Yes No N/A

Report includes all required photos and evidence critical (required)

Yes No N/A

Follow-up owner assigned

Inspector signature critical (required)

Supervisor or reviewer signature

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