Utility Pole Photo Documentation Form
Please complete all sections to document the condition of the utility pole. Upload clear photos and provide accurate details for each field.
Utility Pole ID/Number
*
Location (Address or GPS Coordinates)
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Inspection
*
Hour Minutes
AM
PM
AM/PM Option
Upload Photo: Overall Pole View
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Photo: Pole Base/Footing
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Photo: Attachments & Hardware
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Pole Condition
*
Good
Fair
Poor
Critical
Visible Issues (select all that apply)
Cracks or Splits
Leaning
Hardware Damage
Vegetation Obstruction
Insect or Animal Damage
Other
Inspector Name
*
First Name
Last Name
Submit Documentation
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