Roadside Feature Inspection Form
Use this form to record roadside feature inspection details, assess condition, document issues, and note required follow-up actions.
Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Inspection Type / Purpose
*
Please Select
Routine inspection
Follow-up inspection
Post-incident inspection
Pre-maintenance inspection
Special assessment
Other
Weather / Road Conditions at Time of Inspection
*
Please Select
Clear and dry
Wet roadway
Light rain
Heavy rain
Fog or low visibility
Snow or ice
Windy
Other
Site and Feature Identification
Road Name or Route
*
Segment / Start-End Reference
Nearby Landmark or Mile Marker
Municipality / Area
*
Roadside Feature Category
*
Please Select
Guardrail
Signage
Shoulder
Drainage
Lighting
Barrier
Sidewalk
Vegetation
Other
Feature Condition Assessment
Overall Condition Rating
*
1
2
3
4
5
Condition Status
*
Please Select
Excellent
Good
Fair
Poor
Critical
Visible Damage
Cracks
Corrosion
Deformation
Wear
Missing Parts
Water Damage
Other
Operational or Visibility Issues
Blocked View
Restricted Access
Non-Operational
Loose/Faulty
Obstructed
Intermittent Function
Other
Feature Elements Assessment
Rows
Condition
Issue Observed
Notes
Structure
1
2
3
Surface
4
5
6
Hardware/Fasteners
7
8
9
Signage/Markings
10
11
12
Surrounding Area
13
14
15
Findings and Required Actions
Description of Defects or Hazards Found
*
Immediate Safety Concern
*
Please Select
Yes
No
Recommended Corrective Action
*
Responsible Party / Department
Please Select
Maintenance
Operations
Engineering
Contractor
Other
Target Completion Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Information
Inspector Name
*
First Name
Middle Name
Last Name
Role / Title
*
Organization / Department
*
Contact Email
example@example.com
Submit Inspection
Should be Empty: