Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Site Photo

  • Site Name board

  • Site Name

  • Baste Station number

  • Type of Structure

  • Structure Configuration

  • Region

  • Structure Height in mm

  • Job number

  • Report Number

  • External Coating

Views of Tower

  • To North

  • To East

  • To South

  • To West

  • From North

  • From East

  • From South

  • From West

Technical Information

  • Road Condition

  • General Terrain

  • Aircraft warning lights

  • Quantity of sections

  • Diameter at base

  • Diameter at top

  • Tower Design

  • Number of containers on Site

  • 1st Sharing Party

  • Photo of 1st sharing party loading

  • Height of Equipment

  • 2nd Sharing Party

  • Photo of 2nd sharing party loading

  • Height of equipment

  • 3rd Sharing Party

  • 3rd sharing Party loading

  • Height of equipment

  • Photo of antennae loading from platform to top

Structural

  • Tower concrete base

  • Grouting

  • Tower holding down bolts

  • Base flange and gussets

  • Photo of base

  • Non destructive examination

Health and Safety

  • Cat ladder

  • Photo of internal ladder

  • Photo of spine ladder

  • Platform attachments brackets

  • Platform bolting connections

  • Platform grating

  • Toe boards

  • Handrails

  • Kneerails

  • Platform uprights

  • Photo of Platform

  • Fall Arrest system

  • Cable

  • Bolting connections

  • Brackets

  • HAZ Signs

Maintenance

  • Tower external surface

  • RF cables and connections

  • Antennae structure

  • Aircraft warning ligths

  • Tenants containers

  • Site fence

  • Site lock

  • Other findings

  • Site perimeter before

  • Site internal before

  • Base of structure before

  • Site DB before

  • Site perimeter after

  • Site internal after

  • Base of structure after

  • Site DB after

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.