Power Pole Inspection Form
Pole Owner
Pole ID
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pole Type
Soft Wood
Hard Wood
Reinforced
Verindeel
Pre-stressed
Vierendeel pole?
Yes
No
Pole Tagged?
Red
Yellow
Blue
Not tagged
Special Purpose Pole?
Yes
No
Accessibility
2WD
4WD
Foot
Private Land
Does the pole support electrical conductors running through elevated highways, overpasses, or navigable waterways?
Yes
No
Does the pole support electrical conductors crossing limited-access highways, overpasses, waterways, or railroads?
Yes
No
Is the pole located within the boundary of a ROW, shared driveway, long driveway, or any private land?
Yes
No
Is the pole, a double or H-frame pole, supporting transformers, switches (air break switch) or supporting spans longer than 100m?
Yes
No
Will testing beyond normal standards be required?
Yes
No
Upload photo of pole showing pole ID
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload photo showing the full pole including the top of the pole
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: