Traffic Camera Status Report Form
Report the operational status, issues, and recent maintenance details of a traffic camera.
Camera Location
*
Camera ID
*
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspector Name
*
Operational Status
*
Fully Operational
Intermittent Issues
Offline
Damaged
Type of Issue (if not fully operational)
*
Please Select
No Issue
Power Failure
Lens Obstruction
Network Connectivity
Physical Damage
Other
Upload Photo of Camera or Issue
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Is Maintenance Required?
*
Yes
No
Date of Last Maintenance
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments
Submit Report
Should be Empty: