Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
ROADWAY
Snow and Ice
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Plowed to Specs
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Ice Slicer Application Rate
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Brine Application Rate
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Bare Pavement Showing
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Accumulation
Obstructions / Debris
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Litter
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Debris
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Sweeping
Pavement
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Pot Holes
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Base Failure
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Rutting
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Ride
Markings
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Clean
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Visible Day / Night
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Damaged
Delineators / Markers
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Clean
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Visible
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Reflective
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Vertical
Joint Sealing
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Joint Sealing Needed
Crack Sealing
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Crack Sealing Needed
Longitudinal Joints
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Separation
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Elevation
Transitions
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Even / Smooth
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Separation
Shoulders / Curbs
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Damage
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Drop Off ⬇2"
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Drainage
ROADSIDE
Non-Landscaped
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Litter
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Debris
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Weed Control
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Mowing
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Fire Hazard
Landscaped
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Debris
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Litter
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Weed Control
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Fire Hazards
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Irrigation
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Damage
Trees / Shrubs / Ornamentals
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Trimmed
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Damaged
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Unwanted / Natural
Embankments
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Slope Failure
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Contours
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Vegetation
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Erosion
DRAINAGE
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Permanent Waters
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Travel Way Standing Water?
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Discharge Systems - Per Permit
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Protected Species - Maintain Habitat
STRUCTURES
Bridges / Overpasses
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Vegetation
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Graffiti
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Debris
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Bird Droppings
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Damage
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Defects
Culverts
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Vegetation
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Graffiti
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Debris
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Silting
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Damage
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Defects
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Scouring
Signs / Structures
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Clean
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Reflective
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Graffiti
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Break Away Clear
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Damage
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Defect
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Access / Doors Secure
Sound Barriers / Retaining Walls
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Damage
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Defect
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Graffiti
Guard Rails / Safety Barriers
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Damage
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Defect
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Graffiti
Impact Attenuators
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Damage
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Defect
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Graffiti
Lighting / Roadway
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Damage
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Defect
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Operational
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Graffiti
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Access Secure
Lighting / Signs
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Damage
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Defect
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Operational
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Graffiti
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Access Secure
Node 2
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Damage
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Defect
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Roof
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HVAC
Salt Storage
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Structure
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Damage
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Defect
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Dome
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Damage
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Defect
Liquid Storage
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Tank
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Damage
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Defect
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Leakage
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Containment
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Defect
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Leakage
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Damage
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Piping
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Damage
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Defect
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Leakage
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Pump
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Leakage
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Damage
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Defect
