Vehicle Barrier Inspection Form
Please complete this form to record the inspection details and safety assessment of the vehicle barrier.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Barrier Location or ID
*
Barrier Type
*
Please Select
Automatic Rising Arm
Manual Swing Gate
Sliding Gate
Bollard
Other
Physical Condition of Barrier
*
Excellent (No visible damage or wear)
Good (Minor wear, fully functional)
Fair (Some damage, still operational)
Poor (Significant damage, needs repair)
Operational Status
*
Fully operational
Intermittent issues
Non-operational
Safety Features Functioning
*
Warning lights
Audible alarms
Emergency stop
Safety signage
None present
Obstructions or Hazards Present
*
No obstructions or hazards
Minor obstructions (do not affect operation)
Major obstructions/hazards (affect operation)
Inspection Result
*
Pass – Barrier is safe and operational
Fail – Barrier is unsafe or non-operational
Inspector Comments / Recommendations
Submit Inspection
Should be Empty: