Residential Septic Tank Inspection Checklist

• Client Name

• Address
  Address

• Inspector

• Conducted on

  Date

General Information

• Number of bedrooms

• Capacity of septic tank

• System type

  Select Gravity Pressurized Sandfilter Mound Cesspool Dry Well Holding Tank

  • Gravity
  • Pressurized
  • Sandfilter
  • Mound
  • Cesspool
  • Dry Well
  • Holding Tank

• Location of the system

Septic Tank

• Are the manhole covers exposed to allow for a complete inspection of the septic tanks and its components?

  Yes

  No

  N/A

• Are manhole covers functional and without damage?

  Yes

  No

  N/A

• Was the septic tank pumped at the time of inspection to allow for an interior tank inspection?

  Yes

  No

  N/A

• Does the septic tank appear to free of apparent visible physical damage?

  Yes

  No

  N/A

• Are the inlet and outlet baffles present and with out visible damage or deterioration?

  Yes

  No

  N/A

• If an effluent filter is present, does it appear functional?

  Yes

  No

  N/A

• Does the current effluent level and scum line appear to be normal within the septic tank?

  Yes

  No

  N/A

• The construction material of the septic tank

Pump Tank

• Does the pump chamber appear structurally functional?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Do the electrical connections appear undamaged and functional to the effluent pump within the pump chamber?

  Yes

  No

  N/A

• Do the activation floats for the effluent pump appear functional?

  Yes

  No

  N/A

• Is the pump elevated 6” off the bottom of the pump chamber?

  Yes

  No

  N/A

• Is there a functional warning alarm present? And does it go off at 75% capacity?

  Yes

  No

  N/A

Drainfield

• Is the drainfield (absorption) area able to be located?

  Yes

  No

  N/A

• Was a load test able to be performed?

  Yes

  No

  N/A

• Was functional flow observed from the dwelling to the septic tank without signs of back-ups or effluent break out onto the surface of the ground?

  Yes

  No

  N/A

• Are the lateral clean-outs visible and do the lateral clean-outs appear function and in tact?

  Yes

  No

  N/A

• Was the drainfield able to be probed?

  Yes

  No

  N/A

• Did the drainfield appear functional without signs of saturation?

  Yes

  No

  N/A

• If used, did the dye stay contained and not visibly break-out onto the surface?

  Yes

  No

  N/A

• Was the septic tank absent of back flow from the outlet line or drainfield?

  Yes

  No

  N/A

• Is the maintained area of the lawn absent of lush green grass or vegetation?

  Yes

  No

  N/A

• Does grey water discharge into the septic system and not on the ground or in a near by stream?

  Yes

  No

  N/A

• Does the effluent appear to distribute evenly the drainfield?

  Yes

  No

  N/A

Sign Off

• Additional Observations

• Statement of Condition

  Pass

  Fail

  Inconclusive

• The sewage disposal system did not pass all the criteria for this inspection. The system is in need of further evaluation and/or repairs by a qualified/certified/licensed septic contractor or by an officer of the local jurisdictional authority.

• No visible indication of any malfunctions seemed present upon visual inspection. Functional drain flow was observed inside the structure at various fixtures. System drainage was not stopped and there was no effluent breakout at the surface in the maintained area of the yard, in the reported septic area. We did not detect odors nor see effluent in the maintained area of the yard. It is still possible that the septic system is in need maintenance or service, as key system components are buried.

• The inspector is unable to verify if the system is functioning properly at this time, further investigation and/or return visits at a later date are necessary. There was not insufficient information or accessibility available to make an evaluation.

• Inspector Name & Signature

  Sign
Other Inspector

• Name & Signature

  Sign