Site Survey Form Generic Format - Coastal Environmental Systems

SITE SURVEY REPORT – location nameooo•The installation of EMT conduit, flex conduit, raceways and the penetration of walls,equipment, floors, etc. for the purpose of routing cables is infrastructure work to beperformed by the Airfield.For safety reasons (due to the high voltages present in the vault) Coastal will require theBase lighting vault personnel to verify circuits to be monitored so that Coastal will not bedisturbing any existing high voltage connections or cables. Coastal will need assistance withenclosing high-voltage cable with current sensor clamp and in securing the current sensorclamp.Base lighting vault personnel will need to safety tag out and lock out CCRsSite Survey Form Generic Format 6-25-13.docPage 15© 2013 Coastal Environmental Systems, Inc.