Water and Sewer Apps

Building Sanitary Sewer Inspection Form

To adequately evaluate the internal conditions of a sewer lateral, it is crucial to conduct sewer inspections using a closed circuit television camera (CCTV). Use this Building Sanitary Sewer Inspection form to ensure compliance to building code and that any system defects are repaired as needed. Ensure that the sewer lateral is free of any fats, oils, or grease (FOG), is not missing relief valves or backwater valves, it is equipped with a standard clean-out, and more. Customize this form to accommodate your specific inspection needs and you can use this app in both on and offline environments.

Building Sanitary Sewer Inspection Form iPhone, iPad Building Sanitary Sewer Inspection Form Android Building Sanitary Sewer Inspection Form Web, Desktop
Building Sanitary Sewer Inspection Form

Property information

Property address

Property owners name

Property type

Number of units served

Mailing address of owner

City

State

ZIP Code

Owner contact phone number

Inspector information

Company name

Inspector name

Company address

Contact phone

Email address

Inspector pipeline assessment certification #

Inspection

Date of inspection

Pipe size

Pipe material

CCTV date

Time

Camera direction

Length

Cause of overflow

There is a standard clean-out in the sidewalk area

Clean-out is accessible outside of building

There is a sewer lift station (pump) at this property

Property has been verified as not requiring a backwater valve

Property has been verified as having a working backwater valve

Property needs a backwater valve

Property has been verified as having no outside drains or sump pumps connected to the building sanitary sewer

Cause of Overflow

Roots

Faulty clean-out

Offset joint

Grease

Structural

Signature

Date