Sewer Drain Inspection Report Form
Complete this form to document the details of a sewer drain inspection. All fields are required for a thorough report.
Inspection Location (Address or Description)
*
Inspector Name
*
First Name
Last Name
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Drain or Line Inspected (ID or Description)
*
Inspection Method Used
*
Please Select
Visual
CCTV Camera
Smoke Testing
Dye Testing
Other
Observed Condition
*
Please Select
Good
Minor Issues
Blockage Present
Structural Damage
Other
Blockage or Damage Details
Recommended Corrective Action
Final Overall Status or Notes
Upload Supporting Photos or Documents (if any)
Upload a File
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of
Submit Report
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