Water and Sewer Apps

Water and Sewer Connection Inspection Form

When a water and sewer connection is made or repaired, it is important to conduct a thorough inspection from the start of the connection or repair to the completion of backfilling. Use this Water and Sewer Connection Inspection mobile form to document all information necessary such as the diameter and material of the sewer, depth to connection invert, and gather GPS coordinates of the water and sewer connections. Customize this form to accommodate your specific inspection requirements. This mobile form works in both on and offline environments.

Water and Sewer Connection Inspection Form iPhone, iPad Water and Sewer Connection Inspection Form Android Water and Sewer Connection Inspection Form Web, Desktop
Water and Sewer Connection Inspection Form

General

Date

Applicant/Owner

Date of miss utility notification

Work order #

Address

Date by which work must be completed

Address/parcel ID#

Description of parcel

Sewer Connection

Location of connection

Is location consistent with that specified in initial site visit?

Upstream to downstream manhole numbers of section receiving connection

Diameter of sewer

Material of sewer

Diameter of lateral

Material of lateral

Depth to connection invert

Was a riser used?

Method of Connection

Bedding material

Backfill material

Is texture of bedding and backfill material acceptable

Was trench over-excavated?

Is compaction required?

If yes, what density?

Water Connection

Location of connection

Is location consistent with that specified in initial site visit?

Diameter of water main

Material of water main

Diameter of service line

Material of service line

Is wet-tap NSF/AWWA approved?

Is corporation stop of acceptable quality and installed at 45 degree angle?

Location of meter box

Is location consistent with that specified in initial site visit?

How many taps within box?

Was double check valve(s) used?

Was box installed on appropriate bedding?

Is box clean and free of debris?

Signature