Select date

Job Number

Job Name

Report Prepared By




Room Number

Excavation is proper depth?

Photo of excavation

Bedding material is per spec?

Pipe Properly aligned at joints?

All pipe is marked for insertion depth into fittings?

Pipe sizing verified per shop drawings and contract?

Pipe slope verified per drawing?

Trap arms properly supported?

Pipe sleeved if required?

All pipe and fittings tested?

All riser dimensions verified per shop drawings?

All risers wrapped coming thru concrete?

Photo of wrapped riser

All floor sinks/drains blocked out?

All risers to water closet carriers blocked out?

Trap primer lines installed to all drain traps?

Trap primer lines wrapped per spec?

Pictures taken to document installation?

Photos of installation

Backfill material per spec?

Backfill compaction meets spec?

Area Clean and left as it was found?

Photo of work area

Inspection drawings complete and signed?

Photos of inspection drawings

Pour watch complete and risers verified?

Notes, Impacts, or Comments

Signature of report preparer
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.