Rebar Inspection Survey Form
Please complete the following fields to document your on-site rebar inspection.
Inspection Site Name or ID
*
Area or Asset Inspected
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Rebar Type / Specification
*
Please Select
Grade 40
Grade 60
Epoxy-Coated
Stainless Steel
Other
Measured Rebar Diameter (mm)
*
Measured Rebar Spacing (mm)
*
Overall Rebar Condition
*
Good
Minor Defects
Major Defects
Compliance with Specifications
*
Compliant
Non-Compliant
Partial Compliance
Issues Found and Recommendations
Submit Inspection
Should be Empty: