Pothole Data Sheet

Form Template

This Pothole Data Sheet contains four sheets: General Information, Pot Hole Information, Physical Swing Tie Information, and Photo Log.

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The first sheet contains information such as Technician Name, Client Company, and Project Address. The second records data like Top (feet), Bottom (feet), Size(in), and a drawing of the pot hole. Physical Swing Tie Information is a simple list that can record No., Distance (ft), Dir., and From Permanent Existing Fixture. The photo log has description, and space for three photos.

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