Sump and Interceptor Inspection Checklist
Please complete this checklist to document your sump and interceptor inspection. Ensure all items are reviewed and provide comments or photos as needed.
Inspection Site Information
Enter the details of the location being inspected.
Site Name or Location
*
Inspector 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
Inspection Checklist
*
Rows
Condition
Comments
Sump/Interceptor covers present and secure
Good
Fair
Poor
N/A
Access to sump/interceptor is unobstructed
Good
Fair
Poor
N/A
No visible blockages or obstructions
Good
Fair
Poor
N/A
Liquid levels within normal range
Good
Fair
Poor
N/A
No signs of leakage or spillage
Good
Fair
Poor
N/A
No unusual odors detected
Good
Fair
Poor
N/A
Structural integrity of walls and base
Good
Fair
Poor
N/A
Presence of debris or sediment
Good
Fair
Poor
N/A
Grease/oil accumulation within acceptable limits
Good
Fair
Poor
N/A
Photographic Evidence (upload images of any issues found)
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of
Overall Condition Rating
*
1
2
3
4
5
Is immediate maintenance required?
*
Yes
No
If maintenance is required, describe the issue and recommended action
Additional Comments or Observations
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: