Request for Initial In-Service Inspection
All structures over 20 feet in length require an in-service bridge inspection.  This form is to request an Initial In-Service Inspection of a project where bridges were built or rehabilitated.  It is highly encouraged to schedule this inspection before traffic is opened to the structure or with the project final punch list walk through.   It will automatically notify the Structures Inspection Manager, Jera Irick and  Inspection Team Leader, Chad Cornia. If you have any questions please contact Jera Irick, 307.679.2801,
Sign in to Google to save your progress. Learn more
Email *
Requester *
Firm / Agency
Phone Number *
Project PIN (Type in Other Field) *
Project Name *
Proposed Inspection Date (May change, need two weeks notice if possible) *
Is there any safety or other project requirements needed for our inspectors to be on site? *
Who should the inspection team coordinate with?  (Name, Company, Phone, Email) *
Structure Number(s) *
Route/Feature Over Structure *
Milepost over Structure
Feature Crossed *
Milepost under Structure
Is there construction phasing?
Clear selection
Clear form
Never submit passwords through Google Forms.
This form was created inside of State of Utah. Report Abuse