Asphalt Pavement Maintenance Checklist Form
Use this form to document inspections and task completion for asphalt pavement maintenance. Ensure all relevant sections are completed accurately.
Maintenance Location
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Pavement Section Identifier
*
Pavement Condition Observations
*
Crack Presence
Longitudinal Cracks
Transverse Cracks
Alligator Cracks
Pothole Presence
Small Potholes (<1 ft)
Medium Potholes (1-3 ft)
Large Potholes (>3 ft)
Drainage Issues
Standing Water
Blocked Drains
Erosion at Edges
Vegetation/Debris Presence
Grass/Weeds in Cracks
Loose Debris
Overhanging Branches
Maintenance Actions Performed
Crack Sealing
Pothole Patching
Debris Removal
Vegetation Control
Drainage Cleaning
Follow-up / Priority Status
Immediate Attention Required
Schedule for Maintenance
Monitor in Next Inspection
Submit Checklist
Should be Empty: