Run Storm Damage Assessment Patrol Form — Free

Patrol Identification

Patrol date and time recorded critical (required)

Inspector or crew lead name recorded critical (required)

Service territory, circuit, feeder, or patrol route identified critical (required)

Weather event and patrol reason documented

GPS coordinates or nearest landmark captured critical (required)

Damage Observations

Downed conductor or line present critical (required)

Document any downed overhead or service conductors, including whether the line is on the ground, across a roadway, or contacting structures or vegetation.

Yes No N/A

Photo evidence (optional)

Broken, leaning, or damaged pole observed critical (required)

Include wood, steel, or composite poles with visible fracture, severe lean, base failure, or structural instability.

Yes No N/A

Photo evidence (optional)

Damaged transformer, switchgear, or pad-mounted equipment observed critical (required)

Yes No N/A

Photo evidence (optional)

Damaged insulators, crossarms, or hardware observed

Yes No N/A

Photo evidence (optional)

Vegetation contact or tree-on-line condition observed critical (required)

Yes No N/A

Photo evidence (optional)

Public Safety and Access Hazards

Roadway obstruction or traffic hazard present critical (required)

Yes No N/A

Photo evidence (optional)

Customer property damage or third-party hazard observed

Yes No N/A

Photo evidence (optional)

Access to damaged asset is blocked or restricted critical (required)

Note flooded roads, fallen trees, debris, locked gates, washed-out shoulders, or other conditions preventing safe crew access.

Yes No N/A

Immediate public safety isolation or barricading needed critical (required)

Yes No N/A

Emergency services or law enforcement notified

Yes No N/A

Damage Severity and Restoration Priority

Damage severity rating critical (required)

Estimated outage impact critical (required)

Restoration priority assigned critical (required)

Estimated crew type needed

Note (optional)

Documentation and Sign-Off

Photo documentation captured for all major damage points critical (required)

Yes No N/A

Photo evidence (optional)

Notes include asset identifiers and exact location details critical (required)

Record pole numbers, asset tags, circuit identifiers, spans, mile markers, or other traceable location references.

Yes No N/A

Corrective actions and escalation notes documented critical (required)

Yes No N/A

Inspector signature critical (required)

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Run: Storm Damage Assessment Patrol Form

Patrol Identification

Damage Observations

Public Safety and Access Hazards

Damage Severity and Restoration Priority

Documentation and Sign-Off

Get your results