Pontoon Bridge Inspection Survey Form
Please complete this survey to assess the current condition and safety of the pontoon bridge.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Bridge Location
*
Condition of Pontoon Flotation Units
*
1
2
3
4
5
Decking Surface Condition
*
1
2
3
4
5
Joints and Connections Integrity
*
1
2
3
4
5
Safety Features Present (e.g., guardrails, signage)
*
Guardrails
Warning Signs
Reflective Markings
Lighting
Any visible signs of damage or wear?
*
None
Minor
Moderate
Severe
Obstructions or debris present on or near the bridge?
*
No obstructions
Minor debris
Major debris
General Comments or Observations
Submit Inspection
Should be Empty: