Title Page

  • Document No.

  • Conducted on

  • Location
  • Location

  • Photo

  • Comments

  • Issues

  • Signage

  • Repair by

  • Potholes

  • Repair by

  • Kerb and Gutters

  • Repair by

  • Cracking

  • Repair by

  • Wheel ruts and Depressions

  • Repair by

  • Edge breaks

  • Repair by

  • Line Marking and RRPMs

  • Repair by

  • Guideposts and Delineators

  • Repair by

  • Debris or Rubbish

  • Repair by

  • Loose materials on pavement

  • Repair by

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.