Existing Roof Mount Flagpole Survey

Date of Survey

Time of Survey

Engineer Name

Our Job Number

Company Name

Site Address (if different)

Site Contact (if different)

Name

Contact Number:

Pole Length

Flagpole Material

Flagpole Condition

Base

Base Condition

Replacement of Finial?

Replacement of Halyard?

Halyard

Replacement of Cleat?

Roof Details

Specify Roof Details

Access to roof

Cherry Picker

Comments

Select a file

Photos Attached

Additional Information / Special Requirements

Estimated Time

Men

Day / Night Working

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