Telecommunication Tower Structural Integrity Assessment

Tower ID/Name Location Date of Assessment Assessor Name

Tower Type Lattice Monopole Guyed Self-Supporting

Tower Height (m) Tower Age (years)

Foundation Condition Good Minor Issues Major Issues Notes

Structural Condition Good Surface Corrosion Severe Corrosion Deformation/Cracking Notes

Guy Wires (if applicable) Not Applicable Intact Loose Damaged/Corroded Notes

Connections & Bolts Secure Loose Missing/Damaged Notes

Antenna & Attachments Secure Loose Damaged Notes

Recommendations

Overall Structural Assessment Safe Monitor Requires Repair Unsafe/Dangerous