• Well and Septic System Evaluation Checklist Form

    Use this form to record a property inspection of the well and septic system, document observed conditions, and note any recommended next steps.

  • Property and Inspection Details

  • Inspection Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Property Systems Present*

  • Well Evaluation Checklist

  • Visible Wellhead Condition*
  • Water Flow / Pressure Adequacy*
  • Water Clarity / Odor Concerns*

  • Septic Evaluation Checklist

  • Septic tank access / condition*
  • Drain field condition*
  • Signs of backup or leakage*

  • Overall Rating and Next Steps

  • Overall System Evaluation*
  • Immediate Safety Concern*
  • Should be Empty:
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