Road Inspection Checklist
Inspector Name
First Name
Last Name
Current City
Current State
Road to be inspected
Rows
Good
Keep an eye on it
Needs immediate attention
Alligator Cracking
1
2
3
Bleeding
4
5
6
Block Cracking
7
8
9
Bumps and Sags
10
11
12
Corrugation
13
14
15
Depression
16
17
18
Edge Cracking
19
20
21
JT Reflection Cracking
22
23
24
Land/Shoulder Drop Off
25
26
27
Long and Trans Cracking
28
29
30
Patching and Util Cut Patching
31
32
33
Polished Aggregate
34
35
36
Potholes
37
38
39
Railroad Crossing
40
41
42
Rutting
43
44
45
Shoving
46
47
48
Slippage Cracking
49
50
51
Swell
52
53
54
Weathering and Raveling
55
56
57
Additional Notes
Submit
Should be Empty: