CDOT Form 80 Traffic Signal Preventive Maintenance Report - Colorado

CDOT Form 80 or the "Traffic Signal Preventive Maintenance Report" is a form issued by the Colorado Department of Transportation.

Download a PDF version of the CDOT Form 80 down below or find it on the Colorado Department of Transportation Forms website.

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COLORADO DEPARTMENT OF TRANSPORTATION
TRAFFIC SIGNAL PREVENTIVE MAINTENANCE REPORT
Location
Mile post
Date
Time started
Time completed
Conflict Monitor Check out. Conflict each opposing phase.
Clean control box.
Recaulk and replace filter if needed.
Check controller for correct functions and timing intervals.
Check detector amplifiers for proper operation. Retune if needed.
Check coordination or special equipment for operation.
Check pedestrian buttons for proper operation, repair if needed.
Check signal face alignment, correct if needed.
Check control box, poles, spanwire, mast arms, and signal heads for damage or wear.
Check lamps, replace if needed.
Check advance warning flashers if used.
If repairs are made or parts are used complete Signal Service Call Report. (CDOT Form #79)
Controller type and serial number:______________________________________________________________
Conflict monitor type and serial number:__________________________________________________________
Comments or other work required:
Title
Work completed by
Title
Date
Approved by
CDOT Form #80
3/02
COLORADO DEPARTMENT OF TRANSPORTATION
TRAFFIC SIGNAL PREVENTIVE MAINTENANCE REPORT
Location
Mile post
Date
Time started
Time completed
Conflict Monitor Check out. Conflict each opposing phase.
Clean control box.
Recaulk and replace filter if needed.
Check controller for correct functions and timing intervals.
Check detector amplifiers for proper operation. Retune if needed.
Check coordination or special equipment for operation.
Check pedestrian buttons for proper operation, repair if needed.
Check signal face alignment, correct if needed.
Check control box, poles, spanwire, mast arms, and signal heads for damage or wear.
Check lamps, replace if needed.
Check advance warning flashers if used.
If repairs are made or parts are used complete Signal Service Call Report. (CDOT Form #79)
Controller type and serial number:______________________________________________________________
Conflict monitor type and serial number:__________________________________________________________
Comments or other work required:
Title
Work completed by
Title
Date
Approved by
CDOT Form #80
3/02

Download CDOT Form 80 Traffic Signal Preventive Maintenance Report - Colorado

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