Fountain Inspection Checklist
Complete this checklist to document the condition and maintenance needs of the fountain during your inspection.
Inspector Full Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Fountain Location/Identification
*
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Fountain Condition Assessment
*
Rows
Good
Needs Attention
Not Applicable
Structure/Surface Integrity
1
2
3
Pump Operation
4
5
6
Water Quality/Clearness
7
8
9
Electrical System
10
11
12
Lighting
13
14
15
Filtration System
16
17
18
Water Level
19
20
21
Safety Features (e.g., fencing, signage)
22
23
24
Cleanliness (debris, algae)
25
26
27
Surrounding Area Condition
28
29
30
Are there any immediate safety hazards present?
*
No hazards observed
Yes, hazards present (describe below)
Describe any observed safety hazards or urgent issues (if applicable)
Is the fountain currently operational?
*
Yes, operating normally
No, not operational
Partially operational
Are maintenance or repairs required?
*
No maintenance required
Yes, maintenance needed (describe below)
List any maintenance actions or repairs needed
Additional Comments or Observations
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: