Right-of-Way Inspection Checklist Form
Document inspection findings, compliance, and follow-up actions for right-of-way areas.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Inspection Location (Address or Description)
*
Asset or Area Inspected
*
Please Select
Roadway
Sidewalk
Easement
Utility Corridor
Drainage Ditch
Other
Overall Condition Assessment
*
Excellent
Good
Fair
Poor
Compliance Checklist (Select all that apply)
*
Clear of obstructions
Proper signage present
No encroachments observed
Vegetation managed
Drainage functioning
Other
Safety Hazards Observed?
*
None observed
Trip hazards
Blocked access
Exposed utilities
Other
Rate Overall Compliance
*
Not compliant
1
2
3
4
Fully compliant
5
1 is Not compliant, 5 is Fully compliant
Inspection Notes / Findings
Recommended Follow-up Actions
Submit Inspection
Should be Empty: