Subway Tunnel Safety Inspection Form
Please complete the following inspection form to ensure safety standards are met.
Inspector Full Name
First Name
Last Name
Inspection Date
-
Month
-
Day
Year
Date
Tunnel Location
Structural Integrity Rating
1
1
2
3
4
Best
5
1 is , 5 is Best
Lighting Condition
Adequate
Inadequate
Needs Repair
Ventilation Condition
Adequate
Inadequate
Needs Repair
Water Leakage
None
Minor
Moderate
Severe
Cleanliness
Clean
Moderate
Dirty
Safety Equipment Condition
Good
Needs Maintenance
Broken
Additional Comments
Inspector Signature
Submit
Should be Empty: