TS 105-F-41: Construction Check Sheet For SA Power Networks - For Padmount Project Work? Yes No If Yes, TS 105 Part A and TS 105 Part B must be submitted with this form. Please fill in Padmount Transformer Details: Padmount Transformer Type: Padmount Transformer Number: ‘Tick’ if checked: Features to be checked: Remarks: Easement location: Footings: Orientation: Levels and backfill: Sealant around base: Lifting lugs and breather cap removed: Cable circuit labels: Earthing correct for CMEN/MEN/SWER: HV and LV fuses stored safely: LV shrouds fitted: LV terminations: Cabinet earth correct: ‘As Constructed’ plan installed: Doors locked: Rotary switch locked: Pad T/F 1:2m from building for 3 hours fire rating Oil levels, OK: Any Oil leaks: Bollards or Barriers installed (when required): Retaining wall installed and to specifications (when required): Operating area as per plan: Soil retaining membrane ‘Geo Cloth’ installed: TS 105-F-41 Authorised: Jehad Ali Published: October 2013 Page 1 of 2 The use of this Technical Standard Form is subject to the conditions stated in SA Power Networks disclaimer in front of this document. WARNING: Printed copies of this document ARE DEEMED UNCONTROLLED. The most up-to-date version is located on the Intranet/Internet Transformer - Form 41 TS 105-F-41: Construction Check Sheet For SA Power Networks - For Padmount ‘Tick’ if checked: Features to be checked: Remarks: All conduits sealed: Spare conduits capped: Front of pad T/F on boundary line (when specified): I, the undersigned ______________________________________certifies that I have undertaken the installation and satisfied the requirement of any SA Power Networks specification and that of DPTI, Council and any other Authority. All the information supplied in this form is filled in correctly to the best of my knowledge and understanding. _____________________________ Name of Authorised Representative __________________________ Signature: ____/_____/__________ Date: Note: This form shall be forwarded to both (A) and (B) SA Power Networks Representatives as stated below: (A) To: Compliance Coordinator: Trevor Brown Phone No: (08) 8404 5689 Fax No: (08) 8404 5520 Email Address: trevor.brown@sapowernetworks.com.au Mobile No: 0407 878 848 And (B) To: Project Officer/Manager’s Name: Phone No: Fax No: Mobile No: Email Address: TS 105-F-41 Authorised: Jehad Ali Published: October 2013 Page 2 of 2 The use of this Technical Standard Form is subject to the conditions stated in SA Power Networks disclaimer in front of this document. WARNING: Printed copies of this document ARE DEEMED UNCONTROLLED. The most up-to-date version is located on the Intranet/Internet Transformer - Form 41