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Run: Predictive Maintenance Thermography Survey

Annual electrical thermography survey template for documenting hotspots, delta-T findings, and follow-up actions on energized equipment. Use it to standardiz...

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Survey Details

Inspection date and time recorded critical (required)

Inspector name and qualification documented critical (required)

Area or electrical system surveyed identified critical (required)

Ambient temperature recorded

Weather or environmental conditions documented

Equipment operating under normal load during survey critical (required)

Yes No N/A

Any access restrictions, energized work controls, or PPE requirements noted

Electrical Asset Identification

Asset tag or equipment ID recorded critical (required)

Equipment type identified critical (required)

Location or room identified critical (required)

Voltage class recorded

Load condition at time of scan documented critical (required)

Include measured load, estimated percent load, or operating state for the asset.

Single-line reference or panel schedule verified

Yes No N/A

Thermographic image captured for asset critical (required)

Thermography Findings

Hotspot or thermal anomaly observed critical (required)

Yes No N/A

Maximum measured temperature recorded critical (required)

Reference component temperature recorded

Delta-T calculated and documented critical (required)

Note (optional)

Thermal pattern or anomaly description documented

Suspected cause identified

Thermal image attached for anomaly critical (required)

Finding severity assessed critical (required)

Note (optional)

Condition Assessment

Condition classified critical (required)

Note (optional)

Immediate safety risk present critical (required)

Yes No N/A

Equipment can remain in service until planned outage

Yes No N/A

Recommended follow-up interval

Corrective Actions and Follow-Up

Corrective action documented critical (required)

Responsible person or department assigned critical (required)

Target completion date recorded

Work order or ticket number recorded

Follow-up verification required

Yes No N/A

Inspector signature critical (required)

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