Benjamin Hills

Pole inspection Form

To scope poles and note their condition

Use this Template

Print as PDF

Use this Template

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General inspection details

Your name
Date of inspection
Location - stand next to pole when selecting

Pole Inspection

General details

What type of pole structure is this?
What is the pole condition?
What is the asset number?
Is there signage?
Is there a Possum Guard
Can you determine the Landowner Details?
What Are the Landowner's Name & Phone Number?
What level is this arm
What is the assembly type?
What is the Crossarm material?
What is the crossarm condition for this arm?

Stay Assessment

What is the condition of the stay?

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Benjamin Hills

Pole inspection Form

To scope poles and note their condition

Use this Template

Print as PDF

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.