Storm Drain Maintenance Checklist Form
Storm Drain Maintenance Checklist Form — Complete this checklist to document storm drain inspection, maintenance status, observed issues, cleanup, and follow-up actions.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Storm Drain Location/ID
*
Is the storm drain free of debris?
*
Yes
No
Condition of grate/covers
*
Please Select
Good
Damaged
Missing
Sediment buildup observed?
*
None
Minor
Significant
Structural integrity (cracks, breaks, or collapse)?
*
No issues
Minor damage
Major damage
Actions taken (cleaning, repairs, etc.)
Observed issues or concerns
Are follow-up actions required?
*
Yes
No
Submit Maintenance Record
Should be Empty: