Dam Maintenance and Rehabilitation Checklist Form
Use this checklist to document routine inspection and rehabilitation needs for dam maintenance. Dam operators and maintenance teams should complete all sections during each inspection.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Dam Name or Location
*
Inspector or Maintenance Team Name
*
Structural Integrity (cracks, erosion, settlement)
*
No issues observed
Minor issues (monitor)
Major issues (immediate action required)
Seepage or Leakage Observed
*
None
Minor (monitor)
Major (repair needed)
Spillway and Outlet Condition
*
Clear and functioning
Partially obstructed
Blocked or damaged
Vegetation and Debris Management
*
No excessive vegetation/debris
Vegetation requires trimming
Debris removal needed
Mechanical and Electrical Systems Status
*
Operational
Requires maintenance
Not functioning
Emergency Equipment Availability
*
All equipment present and functional
Some equipment missing/needs repair
Comments and Rehabilitation Needs
Submit Checklist
Should be Empty: