Project/Location Information
Project Name
Location
Date
Inspector Name
System Overview
Type of Evaluation
System Age (years)
System Capacity
Inspection Checklist
Item
Condition
Comments
Main Service Panel
Good
Fair
Poor
Subpanels
Good
Fair
Poor
Wiring
Good
Fair
Poor
Grounding/Bonding
Good
Fair
Poor
Outlets/Switches
Good
Fair
Poor
Lighting Fixtures
Good
Fair
Poor
Circuit Breakers/Fuses
Good
Fair
Poor
Observations & Recommendations
Notes / Additional Observations
Recommendations
Approval
Inspector Signature
Date