Laserfiche WebLink
Order Number:SAP EC Notification Number: _ <br />^^^^^^^^m <br />I Elect <br />IRIS ° <br />SECTION 1 - TO BE COMPLETED BY FIELD PERSONNEL <br />Electric Corrective <br />Work Form <br />OVERHEAD <br />"FDA Description <br />(Enter highest priority Facility/Damage/Action from back of Form): <br />Facility:Damage: <br />t~ t. « <br />Action: <br />'PRIORITY <br />D A - Emergency <br />D B - Urgent <br />CD E - 12 Months <br />OfREG - Next Insp <br />*Reporting Information: <br />•Identifiedin Field By: (PG&E = LAN ID) <br />'LAN ID <br />'Identified in Field On: <br />'Recommended Repair Date <br />, il <br />MM DD YY <br />DD YY <br />Work Type Code: <br />'E Crew Size <br />de: <br />'GC rew Size <br />'Estimated Elec Labor Hrs: <br />Estimated Gas Labor Hrs: <br />Reference Information (Circuit & SSD Required at entry in to SAP - to be verified by Clerical if unknown in field] <br />'Plat Map:'Circuit:'SSD:Pole # (Required it numbered Pole)Equipment #:Meter #: <br />Location Information (*Location Number required for Compliance Inspection or Patrol) <br />'Location #: <br />23 <br />•Street Address:Cross Street:'City: <br />'Main Workcenter:Latitude / Longitude: <br />3 7 * r 0 <br />'Identified in Field During (Required - Check One): <br />[^Compliance Inspection D Trouble-Work D Equipment Inspection <br />D Compliance Patrol D Crew-Work D Pole Test & Treat D Other <br />*Coj}ductor Type (Required - Check One): <br />Primary D Secondary D Service D Service / Streetlight Conductor <br />Secondary Field Identification (Check all that apply): <br />O'loint Pole D Customer D Substation D PG&E/QA Audit <br />D UWF (Urban Wildfire Area) D Work Verification D CPUC Audit <br />D Infrared (Check only if attaching IR Data Sheet) D SmartMeter™ <br />ERR Pin (Reference Only) D PIN #: <br />CIS: (Required if Outage Related) D OIS#: <br />Field Condition - Exposure (Check all that apply - provide supporting comments if addition information is needed for field): <br />D High Public Exposure OR Public Gathering Area (school, park, mall, etc.) D Commercial /Industrial Customer D Extreme or High Fire Risk Area <br />D Residential Area QRemote (Ag or Low Populated Area, etc,) D Waterway <br />Field Condition - Accessibility (Check all that apply - provide supporting comments if addition informalion is needed for field): <br />D No Road Access <br />D Traffic Control Plan Required <br />D Customer Issue (will not allow PG&E on property, etc.) <br />D CGI (Can't Get In): Dog, Locked Gate, Etc. <br />D Rear Easement <br />'Is a Clearance required? D Yes D No D^Unknown <br />Seasonal Work: (Dry, Harvest, Snow, etc.) Cannot Work From <br />n City Moratorium: Cannot Work From _ <br />/To / <br />/ DD <br />./ To <br />/ DD <br />/ <br />MM/ DD <br />D Special Circumstances: <br />EfBTA/LTA D Flagging Required? DUSA Required? <br />/ DD <br />*Field Comments (Describe the work required and the equipment and materials needed. For example: Special tools or equipment, any unusual conditions, <br />special circumstances, and supporting comments related lo Exposure or Accessibility): _ <br />Digital Picture #: <br />Bird Report Event Log #: *Bird Incident No.: (Required for BGR/57R Raptor Work): <br />SECTION 2 - TO BE COMPLETED BY CREW PERSONNEL IF WORK IS COMPLETED IN FIELD (EMERGENCY OR SAME-DAY): <br />Completed By (LAN ID): <br />Signature: <br />Completed by T-Man?| I Completed On:Actual Labor Hours: <br />/ verify that all maintenance on this notification is completed "Reviewed By: <br />DD YY <br />Compliance Department Review <br />"Reviewed On:I I <br />Version 1.6, Effective 6/26/2012