Cell Tower Inspection Checklist Form
Inspector Name
First Name
Last Name
Inspection Date and Time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of the Cell Tower
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Cell Tower
Cell Tower ID No.
Inspection of Component Parts
Rows
Yes
No
N/A
Comment
Castor housings, wheel and tyres not damaged.
1
2
3
Wheels rotate freely.
4
5
6
Castor swivels rotate properly.
7
8
9
Wheel brakes function properly
10
11
12
Adjustable Legs
Rows
Yes
No
N/A
Comment
Not bent.
13
14
15
Threads undamaged.
16
17
18
Threads clean and free from debris.
19
20
21
Device to stop the leg falling out of the frame checked and functioning correctly.
22
23
24
Frames
Rows
Yes
No
N/A
Comment
Frame members are straight and undamaged.
25
26
27
Frame members free of debris or other material.
28
29
30
Spigots are straight and parallel with the axis of the column tube
31
32
33
The devices for locking frames together have been checked and are functioning correctly.
34
35
36
Platforms
Rows
Yes
No
N/A
Comment
Undamaged.
37
38
39
Frames are square and true.
40
41
42
Decks are not split or warped.
43
44
45
Deck-to-frame fixings are firm.
46
47
48
Toe board clips/fittings are undamaged and firm.
49
50
51
Outriggers and stabilizers have been checked for damage and hooks and couplers are functioning correctly.
52
53
54
Pre-use Site Checks
Rows
Yes
No
N/A
Comment
Ground is firm and level.
55
56
57
No overhead obstructions or hazards.
58
59
60
Wind and weather conditions permit safe
61
62
63
The height to base ratio is correct (check suppliers instruction manual).
64
65
66
Mobile tower is vertical and square and the horizontal braces and platform are level.
67
68
69
Outriggers or stabilisers are correctly positioned and secured.
70
71
72
All base plates or castor wheels are fully in contact with the ground, including those on stabilisers or outriggers. All castors should be properly locked.
73
74
75
All spigot and socket joint locks holding the frames together are secured.
76
77
78
All bracing members have been located exactly in accordance with the supplier's
79
80
81
Anstructions. ll guardrails, intermediate rails and toe boards are in position.
82
83
84
Access ladders in position and firmly located.
85
86
87
Barriers in place at ground level to prevent people walking into the tower or straying into the work area.
88
89
90
Suitable storage provision is made for tools and materials on the platform.
91
92
93
Further Actions Necessary and Comments
Submit
Should be Empty: