Wastewater Process Assessment Form
Use this form to assess wastewater treatment process conditions, performance, issues, and recommended follow-up actions.
Process Context
Facility or Plant Name
*
Process Stage Being Assessed
*
Influent
Primary Treatment
Biological Treatment
Clarification
Filtration
Disinfection
Sludge Handling
Other
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Operating Conditions and Performance
Average influent flow rate (with unit below)
*
Current operating status
*
Please Select
Normal
Reduced capacity
Unstable
Shutdown
Other
Key performance indicators
*
Rows
Poor
Fair
Good
Very Good
Excellent
Odor
1
2
3
4
5
Turbidity / clarity
6
7
8
9
10
Solids separation
11
12
13
14
15
Aeration / biological stability
16
17
18
19
20
Chemical dosing effectiveness
21
22
23
24
25
Effluent quality
26
27
28
29
30
Compliance status
*
Please Select
Within target
Minor deviation
Major deviation
Unknown
Issues, Maintenance, and Follow-up
Issues observed
Foaming
Odor
Sludge bulking
Carryover
Clogged screens
Equipment failure
Sensor drift
Chemical imbalance
Pump issues
Other
Maintenance needed
Recommended corrective action / follow-up action
Assessor comments or notes
Submit
Should be Empty: