Name

Required
Optional
Conditional

Edits/Business Rules

Name of Permittee

R

Name of Applicant/Owner who was granted the permit.

Application ID

R

Number of the permit application assigned when it was created.

Permit# (Number)

C

Number assigned when permit was generated. The number will be validated when the form is uploaded.

Contractor's Name(s)

R

Multiple allowed. Name of contractor(s) for the project site.

Weather Condition (AM/PM)

R

Full day inspections require both AM and PM entry of Weather Conditions. Select an option from the drop-down list.

Temperature (AM/PM)

R

Full day inspections require both AM and PM entry of Temperature. Enter the temperature in degrees Fahrenheit.

District

R

Engineering district number where work will be performed.

County

R

Name of County where work will be performed.

Traffic Control Checked AM

C

At least one, AM or PM, needs to be selected from the drop-down list.

Traffic Control Checked PM

C

At least one, AM or PM, needs to be selected from the drop-down list.

Corrective Action Taken?

O

Select Yes or No from drop-down list.

Any Work Zone Traffic Control Corrective Action?

R

Select Yes or No from drop-down list.

Work Start Time

R

Time of day work started HH:MM in 24-hour format.

Work Stop Time

R

Time of day work ended HH:MM in 24-hour format.

Meal Duration

R

Length of time used for lunch.

Odometer Start

R

Record vehicle odometer mileage at start of day.

Odometer End

R

Record vehicle odometer mileage at end of day.

Name of Visitors

R

Free form field. Name of visitors at the site during inspection.

Equipment Used

R

Types of equipment listed by category; Power Tools, Hand Tools, Trucks, Motorized, and General.

Qty (Quantity of Equipment used)

R

Enter the quantity of each piece of equipment used for the inspection.

Labor Classifications

R

Types of labor listed by classification; Labor Class Groups, Operator Group, Equipment Operators, Skilled, General.

Qty (Quantity of Labor Classifications used)

R

Enter the number used for each type of labor.

PSA Comments

R

Text for Comment; can be modified by the user logged on. 2000 is the maximum number of characters allowed for a comment description.

PSA Work - Location Detail

R

Identify the Segment(s) (from and to) and Offset(s) (from and to).

Segment From

R

Multiple allowed.

Segment To

R

Multiple allowed.

Offset From

R

Multiple allowed.

Offset To

R

Multiple allowed.

Work Description

R

Type of work, type of materials, depths, widths.

Inspection Date (MM/DD/YYYY)

R

Date the inspection was completed.

Inspector First Name

R

The first name of the inspector.

Inspector Last Name

R

The last name of the inspector.

Inspector EPS User Id

R

The inspector's user id number.

Inspector Email

R

Email address for the inspector.