A communication hole inspection device for inspecting a communication hole in a structure, a casting surface being formed on an inner surface of the hole, said communication hole inspection device having: a light-emitting body that is arranged in a portion of the communication hole and emits a beam of light; a light-receiving body that is arranged in a different portion of the communication hole and receives the light beam from the light-emitting body; a rotation mechanism for changing the rotation angle of the light-emitting body and thereby changing the light beam received by the light-receiving body; and a determination unit for determining the open state of the communication hole at least on the basis of based on the light beam received by the light-receiving body when the rotation angle of the light-emitting body is set at a first angle, and at a second angle different from the first angle.