Dam Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Crest

• Surface Cracking?

  Yes

  No

  N/A

• Animal Burrows?

  Yes

  No

  N/A

• Low areas / puddling?

  Yes

  No

  N/A

• Vegetation Conditions?

  ok

  unacceptable

Up stream Face

• Straight water line?

  Yes

  No

  N/A

• Slips / sink holes?

  Yes

  No

  N/A

• Scarp?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Spill Way

• Vegetation present?

  Yes

  No

  N/A

• Debris?

  Yes

  No

  N/A

• Erosion?

  Yes

  No

  N/A

• Cracks in Concrete?

  Yes

  No

  N/A

Down Stream Face

• Cracking?

  Yes

  No

  N/A

• Seeping / wet spots?

  Yes

  No

  N/A

• Piping?

  Yes

  No

  N/A

• Shrubs?

  Yes

  No

  N/A

Toe

• Seeping?

  Yes

  No

  N/A

• Inspected by:

  Sign