Drainage Inspection Checklist

• Client / Site

• Personnel

• Date and Time of Inspection

  Date
• Location
  Address

General Information

• Drainage area

  Inside Property

  Outside Property

  Public Footpath / Road

  Communal Area

  Other

• Please specify

• Drain Ownership

  Public

  Private

• Pipe length

• Pipe size

• Distance to blockage from the manhole

• Is this a recurrence of an incident?

  No

  Yes

  N/A

Nature of Incident

• Consequence of problem

  Select Blockage Flooding Pollution Odor Overflowing drain Blocked sink Others

  • Blockage
  • Flooding
  • Pollution
  • Odor
  • Overflowing drain
  • Blocked sink
  • Others

• Please specify

• Flooding Extent

  Select Garden Internal Watercourse Highway Public / Open Space

  • Garden
  • Internal
  • Watercourse
  • Highway
  • Public / Open Space

• Content of blockage

  Select Grease Roots Sanitary products Wet wipes Brick, rock or rubble Hair Others

  • Grease
  • Roots
  • Sanitary products
  • Wet wipes
  • Brick, rock or rubble
  • Hair
  • Others

• Structual Causes

  Select Interceptor Trap Broken Pipe / Displaced Joint Broken Pipe Material Or Bricks At The Blockage Site Other

  • Interceptor Trap
  • Broken Pipe / Displaced Joint
  • Broken Pipe Material Or Bricks At The Blockage Site
  • Other

• Please specify

Work Undertaken

• Action Taken

  Select Rodded Jetted Aborted Visit Washed Down Drain Chemicals Plunger / Drain Wire Other

  • Rodded
  • Jetted
  • Aborted Visit
  • Washed Down
  • Drain Chemicals
  • Plunger / Drain Wire
  • Other

• Please specify

• Outcome Of Work

  Select Drain Unblocked Public Drain Unable To Clear Blockage In Neighbours Property Revisit Other

  • Drain Unblocked
  • Public Drain Unable To Clear
  • Blockage In Neighbours Property
  • Revisit
  • Other

• Please specify

• Further Action Required

  No

  Yes

  N/A

• Further Action Taken

  Select Revisit Cctv Inspection Check Drain Cleared After Chemicals Other

  • Revisit
  • Cctv Inspection
  • Check Drain Cleared After Chemicals
  • Other

• Please specify

Completion

• Recommendations

• Personnel (Full Name and Signature)

  Sign