Road Maintenance Inspection Checklist Form
Inspection Date
Inspector Name
Location / Road Section
Weather Conditions
Inspection Item
Condition
Remarks
Pavement Condition
Good
Fair
Poor
Shoulder Condition
Good
Fair
Poor
Signage
Present & Intact
Missing
Damaged
Drainage
Clear
Blocked
Needs Cleaning
Vegetation Control
Clear
Overgrown
Guardrails/Barriers
Intact
Damaged
Missing
Summary/Additional Comments
Required Action(s)
Inspector Signature