Run Wood Pole Groundline Inspection and Treatment Record — Free

Inspection Details

Inspection date and time recorded critical (required)

Pole asset identifier recorded critical (required)

Pole location and circuit/route identified critical (required)

Inspector identified as qualified/authorized person critical (required)

Inspection cycle or due date documented

Pre-Inspection Safety and Access

Work area secured and traffic/public exposure controlled critical (required)

Yes No N/A

Required PPE worn for inspection and treatment tasks critical (required)

Note (optional)

Ground conditions safe for excavation or probing critical (required)

Yes No N/A

Overhead and underground utilities identified before digging or boring critical (required)

Yes No N/A

Lockout-tagout or equivalent controls applied where required critical (required)

Yes No N/A

Visual and Sounding Inspection

Pole base and groundline inspected for cracks, splits, checks, and mechanical damage critical (required)

Yes No N/A

Photo evidence (optional)

Evidence of decay, rot, fungal growth, or soft wood observed at or near groundline critical (required)

Yes No N/A

Photo evidence (optional)

Insect activity, boring dust, or infestation signs observed

Yes No N/A

Photo evidence (optional)

Sounding test performed around circumference at groundline critical (required)

Yes No N/A

Sounding indicates hollow, punky, or abnormal response critical (required)

Yes No N/A

Visible shell condition at groundline assessed

Note (optional)

Bore and Excavation Findings

Bore inspection performed at specified test location(s) critical (required)

Yes No N/A

Measured shell thickness at bore point critical (required)

Note (optional)

Excavation or probe depth to expose groundline completed as required critical (required)

Yes No N/A

Photo evidence (optional)

Decay extent below groundline documented

Photo evidence (optional)

Note (optional)

Remaining structural capacity judged adequate for continued service critical (required)

Yes No N/A

Preservative Treatment and Reinforcement

External preservative treatment applied to exposed groundline area critical (required)

Yes No N/A

Photo evidence (optional)

Internal treatment or fumigant applied where required critical (required)

Yes No N/A

Photo evidence (optional)

Treatment product and application method recorded critical (required)

Reinforcement or repair decision documented critical (required)

Note (optional)

Follow-up treatment or replacement schedule assigned

Note (optional)

Results, Deficiencies, and Sign-Off

Deficiencies or non-conformances documented

Immediate corrective actions completed or assigned

Inspection result critical (required)

Note (optional)

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: Wood Pole Groundline Inspection and Treatment Record

Inspection Details

Pre-Inspection Safety and Access

Visual and Sounding Inspection

Bore and Excavation Findings

Preservative Treatment and Reinforcement

Results, Deficiencies, and Sign-Off

Get your results