Water well inspection

• Customer

Address

• undefined

• Date

  Date

• Prepared by

Switch

• Inspect pressure switch check point for Wear and make sure switch is free if debris.

  Yes

  No

  N/A

• What type of switch is installed on well

  30/50

  40/60

• Tank

• What type of tank is on well

  Galvanized

  Bladder

• If bladder what is air pressure in tank

• What is condition of tank

  New

  Fair

  Poor

  Faulty

• Reason tank is faulty

  Bustedbladder

  Tank rusted

  Other

Wire

• Inspect wire for bare spots, cracks in insulation,or loose connection at switch.

  Safe

  At Risk

  N/A

Size of wire

• What size wire is the supply

  12/2

  10/2

  8/2

• What size is wire from switch to pump

  12/2

  10/2

  8/2

Pipe,and fittings

• Inspect pipe and fittings for damage, leaks ,rust or corrosion. What type of pipe was used.

  Select Cooper Steel Pvc Pex Polly Brass

  • Cooper
  • Steel
  • Pvc
  • Pex
  • Polly
  • Brass

• Size of pipe used

  Select 1/2" 3/4" 1" 11/4" 11/2" 2"

  • 1/2"
  • 3/4"
  • 1"
  • 11/4"
  • 11/2"
  • 2"

What is condition of pipe and fittings.

• Condition of pipe

  New

  Fair

  Poor

  Faulty

undefined

• Condition of fittings

  New

  Fair

  Poor

  Faulty

• New

  Fair

  Poor

  Faulty

inspect well seal and casing to insure bolts are free of rust and debris

• Condition of well seal

  New

  Fair

  Poor

  Faulty