Drainfield Inspection Form
Use this form to record a drainfield inspection, site conditions, findings, and recommended next steps.
Inspection Details
Inspection date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection time
*
Hour Minutes
AM
PM
AM/PM Option
Property/site address
*
Inspector name
*
Drainfield Conditions
Drainfield Type
*
Please Select
Conventional
Mound
Chamber
Pressure Distribution
Sand Filter
Other
Unknown
Surface Condition
*
Please Select
Normal
Ponding
Wet Areas
Odor Present
Lush Grass Growth
Erosion
Other
Evidence of Backup or Overflow
*
Yes
No
Distribution Box / Lines Condition
*
Please Select
Normal
Damaged
Blocked
Crushed
Displaced
Unknown
Other
Inspection Findings
Overall inspection result
*
Please Select
Pass
Needs maintenance
Needs repair
Further evaluation recommended
Comments / observations
Recommended next action
*
Please Select
Monitor
Pump septic tank
Repair components
Schedule follow-up
Other
Submit Inspection
Should be Empty: