T3054 Attachment 5 MPE Inspection Form 10.1.26.pdf
PDF 677 KB Posted
- Attached to
- Contract RFP/SC-SBE NJ|26-PROS1-146706
- Contract number
- 26-PROS1-146706
- Issued by
- New Jersey
About this file
NJDOT Direct Inspection Form Summary
This is a Direct Inspection form issued by the New Jersey Department of Transportation (NJDOT) as part of its State Safety Oversight program. The form serves as a standardized inspection documentation tool for the NJDOT to record and monitor direct field inspections conducted on November 28, 2025.
The form requires inspectors to document critical operational and safety information including inspection date, start and end times (in military time format), inspector identification, email confirmation, RFGPTS reference, type of work being performed, inspection location, responsible maintenance superintendent or Engineer-in-Charge (EIC), vehicle numbers, a summary of findings, and detailed safety concerns identified during the inspection. All fields marked with an asterisk are mandatory for form completion. The document includes designated text areas for narrative summaries and safety concern documentation, with a submit button for form transmission upon completion.
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Text version
NJDOT: Direct Inspection
Inspection Date: *
Inspection Start Time: *
Inspection End Time: *
11/28/2025
Inspector *
Email Confirmation *
RFGPTS *
Type of Work *
Location *
Maintenence Superintendent or EIC *
Vehicle Number 1
Vehicle Number 2
Summary *
-- Select one --
Enter 4 digits military time. No spaces or colons. Example:
[0000-2359]
-- Select one --
Safety Concerns *
Submit
File details come from the government source that posted it. Updated .