Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Pond location
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Pond Depth
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Pond Area
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Date pond was put into service
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Date of Recent Rainfall
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Quantity of recent rainfall
Visual Inspection
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Visual Inspection has been done here before
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Date of previous visual inspection
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Has it rained in the last 48 hours at this location?
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Based on Visual inspections, have corrective actions occurred
- Yes
- No
- I don't know
Access
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Access to the drainage is
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If obstructed, the obstruction is
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Access to the pond is
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If obstructed, the obstruction is
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Inlet structures
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Are any of the inlet structures blocked
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Are any of the inlet structures damaged
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Water and Storage
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Does the water have
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Is there evidence of illicit discharges?
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Does the pond smell like gasoline or oil?
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Does the pond have
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Sediment deposition in excess of 50% of storage
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Describe source
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Erosion or channelization
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Excessive or undesirable vegetation
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Bare soil and lack of vegetation
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Litter or debris
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Side slope damage
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Describe damage
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Other
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Outlet Structures
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How many outlet structures are present
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Are any outlets blocked
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Are any outlets damaged
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Recommendation
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When is maintenance needed
