Light Pole Maintenance Checklist
Document inspection and maintenance details for each light pole.
Pole Location
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Visual Condition
*
Good
Minor Issues
Major Issues
Electrical Function
*
Operational
Intermittent
Not Working
Fixture/Bulb Status
*
Working
Needs Replacement
Missing/Damaged
Physical Stability
*
Stable
Slightly Loose
Unstable
Actions Taken / Repairs Performed
Bulb Replaced
Fixture Cleaned
Wiring Repaired
Pole Stabilized
Other
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