Wooden Telegraph Pole Inspection Report

• Conducted on

  Date

• Pole Number:

• Location
  Address

• Project Manager

• Observation & Closing Remarks

• Inspection Result

  Pass

  Fail

  NA

Pole Inspection

• Pole has Inspection tag on it

  Yes

  No

  N/A

• Any sign of Creosote bleeding from pole?

  No

  Yes

  N/A

• Clear pictures covering 360 degrees of the pole attached ?

  Yes

  No

  N/A

Closing Comments

• Inspector’s Sign

  Sign