Security Light Pole Inspection Form
Use this form to document the inspection of security light poles. Please complete all relevant fields to ensure accurate and thorough reporting.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Pole Location
*
Pole Identification Number
Pole Condition
*
Good
Fair
Poor
Light Functionality
*
Operational
Flickering
Not Working
Observed Issues or Defects
Actions Taken or Recommendations
Upload Photo (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Comments
Submit Inspection
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