Drain Inspection Report.

• Conducted on

  Date

• Prepared by

• Customer

• Customer reference number

• Location
  Address

• Street view (google maps)

  Media

• Objective

• SWMS completed

  Yes

  No

  N/A

• Additional permits required

  Yes

  No

  N/A

• Which additional permits are required?

• Drain blocked?

  Yes

  No

  N/A

• Cause of blockage

  Select Tree roots sanitary products dirt/silt rubbish poor drain condition lack of grade paper towel Star picket Foreign object Rocks Builders rubble Concrete Other

  • Tree roots
  • sanitary products
  • dirt/silt
  • rubbish
  • poor drain condition
  • lack of grade
  • paper towel
  • Star picket
  • Foreign object
  • Rocks
  • Builders rubble
  • Concrete
  • Other

• Consequence of spillage

  Select Internal flooding external flooding damage to carpet damage to floor boards damage to skirting multiple residences effected Sewerage overflow Mould Rising damp Slab heave Moving foundations

  • Internal flooding
  • external flooding
  • damage to carpet
  • damage to floor boards
  • damage to skirting
  • multiple residences effected
  • Sewerage overflow
  • Mould
  • Rising damp
  • Slab heave
  • Moving foundations

• Likelihood of further blockages if issues left unattended

  Select Highly unlikely Unlikely Likely Highly likely Certain Unknown N/A

  • Highly unlikely
  • Unlikely
  • Likely
  • Highly likely
  • Certain
  • Unknown
  • N/A

• Damaged sections of drain?

  Yes

  No

  N/A

• Number of damaged areas

• Area 1

  Media

• Comments

• Area 2

  Media

• Comments

• Area 3

  Media

• Comments

• Area 4

  Media

• Comments

• Area 5

  Media

• Comments

• Area 6

  Media

• Comments

• Area 7

  Media

• Comments

• Area 8

  Media

• Comments

• Area 9

  Media

• Comments

• Area 10

  Media

• Comments

• Area 11

  Media

• Comments

• Area 12

  Media

• Comments

• Area 13

  Media

• Comments

• Areas of drain with insufficient grade or falling backwards

• Area 1

  Media

• Comments

• Area 2

  Media

• Comments

• Area 3

  Media

• Comments

• Area 4

  Media

• Comments

• Area 5

  Media

• Comments

• Area 6

  Media

• Comments

• Additional Drainage Issues

  Yes

  No

  N/A

• Photos

  Media

• Comments

• Damage to property caused by drainage issues

  Yes

  No

  N/A

• Photos

  Media

• Comments

Rectification recommendations

• Storm water

• Sewer

• Mud map (if required)

  Media

• Job Complete?

  Job completed

  Return visit required

• Inspection by

  Sign