Stormwater Vault Maintenance Checklist Form
Use this form to document your stormwater vault inspection and maintenance visit. Ensure all findings and actions are recorded in the Stormwater Vault Maintenance Checklist Form.
Inspector Name(s)
*
First Name
Last Name
Date and Time of Inspection
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Stormwater Vault (Address or Site Name)
*
Weather Conditions During Inspection
Please Select
Clear
Cloudy
Rainy
Snowy
Other
Inspection Checklist (Select all items completed)
*
Checked vault access and safety
Inspected for sediment accumulation
Inspected for debris or blockages
Checked for structural damage
Inspected inlet/outlet condition
Other
Defects or Issues Identified (describe any problems found)
Maintenance Actions Performed (Select all that apply)
*
Removed sediment
Removed debris
Repaired structural components
Cleared inlets/outlets
Other
Disposal Method for Removed Materials
Please Select
Disposal at approved facility
On-site storage
Other
Notes or Additional Comments
Follow-Up Actions Needed?
No follow-up needed
Schedule re-inspection
Repair required
Notify supervisor/management
Other
Submit Checklist
Should be Empty: