Site_Tower_Inspection_Report_#301.pdf

Y=YES

N=NO

SUPPORT STRUCTURES

FACE A

FACE B

FACE C

FACE D

Notes:

6b. Was the tower vertical alignment checked with transit? (Note degree deviation; between guy points( ); overall ( ); and deviation in at least 2 faces of self- supporting tower.

Document how you perform this.

2. Is there any deterioration of grout? If yes, where?

3. Are all tower base plate anchor nuts and bolts tight? Is there any corrosion?

4. Is the tower base place clean and properly drained?

5. Are all tower weep holes open?

6a. Is there any evidence of settlement? (Use transit and note reference leg position [i.e. N/W leg] and deviation of other legs)

REF LEG

LEG A

LEG B

LEG C __________

SITE TOWER INSPECTION REPORT: 301

INFORMATION TECHNOLGY SERVICES ISG –INFRASTRUCTURE

2441 S. 22ND AVENUE, PHOENIX, AZ 85009

Legend Code

Date:

Site Name:

Inspected By: NA= Not Applicable Tower Type RM= Repair Made

Tower Manufacturer RR= Repair Recommended Tower Serial #

Legend Code

Tower Base Foundation:

1. Does the concrete foundation have any cracking, checking, settlement, low spots, or erosion? If yes, where?

4. Are any structural members collecting water?

5. Is their undue damage, cracks, or fatigue at any weld? Inspect all joint welds and flanges.

Notes:

Members:

1. Are any structural members or step pegs damaged, bent, loose, or missing? If so, where? (Note:

location, size/type of member, and type/extent of damage)

Quantity of bolts tightened:

Percent of Overall Bolts:

3. How many tower bolts were found loose? Are the bolts with nut up or out? (Note the location of these)

Quantity of bolts found loose:

1. Is rust evident on tower structure or nuts and bolts?(Note where there is rust.)

2. Is there deterioration of the paint or galvanizing? (Includes at FAA or FCC markings)

Notes:

Notes:

Finish:

SUPPORT STRUCTURES Legend Code

Safety Climb Device:

1. Is the safety climb device in good condition without kinks and tensioned properly?

2. How many tower bolts were checked for tightness? (Place a single black permanent marker line across head of bolt)

Top guy Middle guy

Bottom Guy

Top guy Middle guy

Bottom Guy

Top guy Middle guy

Bottom Guy Notes:

Notes:

TOWER LIGHTING SYSTEM Legend Code

1. Check the tower lighting control unit and photo cell for proper operation. (Record bulb(s) condition and document date replaced)

2. Are the components weather tight and the equipped drain vents open?

3. Are all component secure including conduit and clamps?

4. Are all the sockets and wiring in good condition?

5. Are all lenses in good condition and clear?

Side of Tower (Circle direction: N, S, E, W)

Side of Tower (Circle direction: N, S, E, W) Wind Direction

Wind Speed

Side of Tower (Circle direction: N, S, E, W)

Temperature

GUYED TOWER Legend Code

1. Are all clamps, thimbles, shackles, turnbuckles, clevises, ice clips, pre-forms, grips bent, loose, broken, or missing? (Note any discrepancies)

2. Is there any sign of rust or damage to the guy strand or guy hardware?

3. Is all hardware above ground level free of erosion and anchor heads of clear of earth?

4. Is there any sign of the guy anchors heaving or have any movement?

5. Are the guy safeties installed and correct?

6. Were the guy tensions checked and recorded?

Notes:

GROUNDING Legend Code

1. Is each tower leg grounded and secured correctly to the tower leg?

2. Are any tower grounds or (TGB) Tower Ground Bars loose, damaged, or incorrectly isolated?

3. Are any feedline grounds missing, improperly installed, or damaged?

4. Are ice shield grounds properly attached?

5. Are the guy anchors grounded and free of corrosion?

6. Is the shelter's (EGB) Entry Ground Bar properly grounded and the feedline grounds are correctly attached?

7. Is the shelter, generator, ice bridge, fencing, or any other exterior component of the site properly grounded?

8. Perform a test of the site's (PGB) Perimeter Ground Bar/System to verify "earth resistance". (Note: test is site specific to ground system implemented)

ANTENNAS/FEEDLINES Legend Code

1. Are all antenna mounts secure and have correctly installed stiff arms?

2. Are all antenna Radome covers in good condition?

3. Are all antenna dishes stenciled with their corresponding coordinate?

4. Are the hangers and supports in good condition and properly spaced?

5. Are the feedlines and waveguide routed correctly, within bend radius, and not kinked?

6. Do installed ice shields provide adequate protection and are properly installed?

7. Do any waveguide or feedlines need to be retaped?

8. Are the feedlines/waveguide properly sealed at the entry port(s) of the shelter?

9. Are the feedlines and waveguide properly color-keyed to match the site's color key index?

10. Do the waveguide lines hold a static supplied pressure from the dehydrator? (Note psi and any discrepancies)

7/22/2025

Notes:

Picture(s) Taken

Support Structure Equipment Shelter Tower Guy system

Each Tower Face Site surrounding area

Problems/Issues

4. Did you highlight the necessary repairs recommended and request work orders for repairs?

DOCUMENTATION Legend Code

1. Does the most current tower drawing reflect accuracy?

2. Is the feedline/waveguide color key chart accurate and current?

3. Do we have a current set of pictures that capture any changes to the site or that differ from the original "baseline" set? Did you capture any issues found?

SHELTER EQUIPMENT Legend Code

1. Is the weather-sealing adequate at the entry door and wall penetrations from any power or air conditioning unit?

2. Does the fire extinguisher or eye wash station need to be serviced?

3. Do the air conditioning filters needed replacing? Does the AC cool properly? Are there any abnormal noises from the AC fans or units?

4. Do the site's mechanical or electrical locks function properly?

5. Is the site's landscaping, fencing, and area free of rubbish, weeds, and in good repair?

Did any vandalism take place?

6. Do all the exterior and interior shelter lighting function properly?