Water Storage Maintenance Checklist Form
Complete this checklist to document routine water storage maintenance tasks and ensure all key operations are addressed.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Inspector
*
First Name
Last Name
Tank Exterior Condition
*
Good (no visible damage)
Minor damage (cosmetic only)
Major damage (requires repair)
Tank Interior Cleanliness
*
Clean
Some dirt/sediment
Heavy dirt/sediment (needs cleaning)
Any Signs of Leaks?
*
No leaks detected
Minor leaks (monitor)
Major leaks (immediate action required)
Inlet and Outlet Valve Operation
*
All valves operating correctly
Some valves stiff or hard to operate
Valves need repair/replacement
Water Level Within Recommended Range?
*
Yes
No (too low)
No (too high)
Sediment or Debris Present?
*
None
Minor (monitor)
Significant (cleaning needed)
Access Hatch and Security
*
Secure and locked
Unlocked (requires attention)
Damaged (repair needed)
Evidence of Pest Intrusion?
*
No evidence
Possible signs (monitor)
Confirmed intrusion (take action)
Additional Notes or Recommendations
Submit Checklist
Should be Empty: