Drainage and Sewer Inspection

• Project Name

• Job Number

• Conducted on

  Date
• Location
  Address

• Weather

  Sunny

  Rain

  Cloudy

• Prepared by

• Signature

  Sign

• Which of the following control measurements have been done ?

  Select Rumble Strip Deflection Bank Silt Fence Turf Strips Filter Socks Hay Bales

  • Rumble Strip
  • Deflection Bank
  • Silt Fence
  • Turf Strips
  • Filter Socks
  • Hay Bales

• Have roads been boxed out ?

  Yes

  No

  N/A

LINE A

• A-1

  Yes

  No

  N/A

• A-2

  Yes

  No

  N/A

• A-3

  Yes

  No

  N/A

• A-4

  Yes

  No

  N/A

• A-4A

  Yes

  No

  N/A

LINE B

• B-1

  Yes

  No

  N/A

LINE C

• C-1

  Yes

  No

  N/A

LINE D

• D-1

  Yes

  No

  N/A

LINE E

• E-1

  Yes

  No

  N/A

LINE H

• H-1

  Yes

  No

  N/A

• H-2

  Yes

  No

  N/A

• H-3

  Yes

  No

  N/A

• H-4

  Yes

  No

  N/A

• H-5

  Yes

  No

  N/A

• H-5A

  Yes

  No

  N/A

LINE N

• N-1

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• N-2

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• N-3

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• N-4

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• N-5

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• N-6

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• N-7

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• N-8

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

LINE W

• W-1

  Yes

  No

  N/A

LINE Z

• Z-1

  Yes

  No

  N/A

• Z-2

  Yes

  No

  N/A

S1

• S1-1

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• S1-2

  Yes

  No

  N/A

• Has 2 spur been connected?

  Yes

  No

  N/A

• S1-3

  Yes

  No

  N/A

• S1-4

  Yes

  No

  N/A

• Has 3 spur been connected?

  Yes

  No

  N/A

• S1-5

  Yes

  No

  N/A

• Has 3 spur been connected?

  Yes

  No

  N/A

• S1-6

  Yes

  No

  N/A

• Has 4 spur been connected?

  Yes

  No

  N/A

• S1-7

  Yes

  No

  N/A

• Has 2 spur been connected?

  Yes

  No

  N/A

• S1-8

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• S1-9

  Yes

  No

  N/A

• Has 7 spur been connected?

  Yes

  No

  N/A

• S1-10

  Yes

  No

  N/A

• Has 8 spur been connected?

  Yes

  No

  N/A

• S1-11

  Yes

  No

  N/A

• Has 4 spur been connected?

  Yes

  No

  N/A

• S1-12

  Yes

  No

  N/A

S2

• S2-1

  Yes

  No

  N/A

• Has 3 spur been connected?

  Yes

  No

  N/A

• S2-2

  Yes

  No

  N/A

• Has one spur been connected?

  Yes

  No

  N/A

• S2-3

  Yes

  No

  N/A

S4

• S4-1

  Yes

  No

  N/A

• Has 2 spur been connected?

  Yes

  No

  N/A

• S4-2

  Yes

  No

  N/A

• S4-3

  Yes

  No

  N/A

• Has 3 spur been connected?

  Yes

  No

  N/A

• S4-4

  Yes

  No

  N/A

• Has 4 spur been connected?

  Yes

  No

  N/A

• S4-5

  Yes

  No

  N/A

• Has 3 spur been connected?

  Yes

  No

  N/A

• S4-6

  Yes

  No

  N/A

• Has 3 spur been connected?

  Yes

  No

  N/A

• S4-7

  Yes

  No

  N/A

• Has 3 spur been connected?

  Yes

  No

  N/A

• S4-8

  Yes

  No

  N/A

• Has 5 spur been connected?

  Yes

  No

  N/A

• S4-9

  Yes

  No

  N/A

S5

• S5-1 EX

  Yes

  No

  N/A

• S5-2

  Yes

  No

  N/A

• Has 1 spur been connected?

  Yes

  No

  N/A

• S5-3

  Yes

  No

  N/A

• S5-4

  Yes

  No

  N/A