Stormwater Discharge Point Inspection Form
Log routine inspections for stormwater discharge points. Please complete all sections based on your site observations.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Inspector Name
*
First Name
Last Name
Discharge Point ID or Location
*
Weather Conditions
*
Please Select
Clear
Cloudy
Rain
Snow
Fog
Other
Receiving Water or Body of Water
*
Visual Condition of Discharge Point
*
Good – No visible issues
Minor debris present
Obstructed or blocked
Damaged structure
Other
Evidence of Discharge or Flow
*
Yes – Flow observed
No – Dry
Trickle or damp
Visible Pollutants, Debris, or Oil Sheen
*
None observed
Trash/debris
Sediment
Oil sheen
Discoloration
Odor
Other
Corrective Actions or Notes
Is Follow-up Required?
*
Yes
No
Submit Inspection
Should be Empty: