Telescopic Pole Inspection Checklist Form
Complete this checklist to document the inspection and condition of a telescopic pole. Record all findings and actions taken.
Pole Identification Number
*
Location of Pole (Address or Coordinates)
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Overall Inspection Status
*
Please Select
Passed
Failed
Requires Follow-up
Condition Checklist (select all that apply)
*
Pole sections extend/retract smoothly
Locks and clamps are secure
No visible cracks or dents
End caps and feet intact
Labels and markings are legible
Other (please specify)
Defects or Issues Noted
Corrective Actions Taken
Upload Photo Evidence (if applicable)
Upload a File
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Choose a file
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of
Final Approval
*
Approved for Use
Not Approved
Submit Inspection
Should be Empty: