Water Intake System Inspection Checklist
Complete this checklist to document your inspection of the water intake system. Ensure all items are reviewed and findings are clearly noted.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Site/Location
*
System/Asset Identifier
*
Inspection Type/Frequency
*
Please Select
Daily
Weekly
Monthly
Quarterly
Annual
Other
Intake Screen Condition
*
Clean and free of debris
Obstructed or damaged
Pump Operation
*
Operating normally
Unusual noise/vibration
Leak detected
Valve and Piping Condition
*
No leaks or corrosion
Leak present
Corrosion observed
Electrical/Control Panel Status
*
Normal operation
Alarms present
Panel damage
Findings / Notes
Corrective Actions / Follow-Up Status
Submit Inspection
Should be Empty: