Template

Service Inspection Checklist

10+

Use this Service Inspection checklist to document utility service readiness during construction. Capture building permit details, address, inspector, and date; assess water service (meter setter with frost protection, curb stop location, line size, temporary backflow), verify sanitary sewer pressure test and street cleanout, confirm storm connection, and coordinate operations to pull plugs and turn on water. Record status, sign-off, and inspector name.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template

Sewer Lateral Inspection Checklist

This sewer lateral inspection checklist helps verify key elements of a private sewer connection before approval or maintenance. Inspectors can confirm cleanout accessibility, identify connection points and tap locations, and document whether a drop-in is installed at the manhole. It also covers property line cleanouts, pipe type approvals, multiple structures served, and the presence of a working backflow prevention device. The checklist flags illegal connections such as sump pumps, roof gutters, foundation drains, and heat pumps, and prompts inclusion of a site drawing showing buildings, roads, water lines, and the proposed lateral path. Use the corrective actions and comments sections to capture issues and resolutions, and record inspector details and timestamps.

by Arber Himaj, from the Community

30+

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Template

Backflow Inspection Checklist

Use this backflow inspection template to document backflow prevention devices across your site. Record asset numbers, make and model, device type and location, capture photos, note defects, estimate repair budgets, and document required works. Support plumbing compliance, water safety, and facility maintenance with clear reports and sign off.

by Cardinia Campeyn Group, from the Community

20+

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Template

Utility Work Record (Water Mains)

This utility work record template helps water utility teams capture complete site information for main and service works. Log client, job number, location, activity type, pipe and outlet diameters, valve operations, and pressure test details including pressure, duration, and results. Record arrival and completion times, add notes, attach site photos, and sign off for clear documentation and traceability.

by Matthew Flight, from the Community

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Template

Water and Sewer General Inspection Record

Use this general inspection record to document water and sewer works across development phases, including pre-start, construction, pre-connection, live connection, practical completion, and maintenance. Capture details on meters, hydrants, valves, manholes, sewer mains, CCTV results, approvals, GIS references, and SEQ Code compliance. Record safety, environmental and community concerns, traffic management, permits, SWMS, ITPs, and redlined drawings. Attach notes and photos, verify markers and road markings, and log final results and signatures for both the contractor and Development Services inspector.

by Lyndon Hockey, from the Community

10+

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Template

PM Service Audit Checklist

This PM Service Audit checklist supports gas utility service work by standardizing reviews of key records and tests. Verify service type, termination and pipe details, gas test results, and any supply interruptions. Capture Service Layer details, assess Transfer Following Relay (TFR) items including gas test and supply interruption records, and confirm private reinstatement is documented. Record project identifiers such as unique ID, project number, address, and test date, and ensure the service card is signed off by the relevant site manager. Use this template to drive consistent compliance and quality across gas service operations.

by kane richardson, from the Community

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Template

Monthly Storm Water Inspection

This monthly storm water inspection checklist helps facilities verify storm water controls and meet SWPPP and environmental compliance. Inspect access roads, parking lots, curb lines, drains and outfalls, spill kits, loading and unloading zones, industrial material and waste storage, secondary containment, stockpiles, fueling stations, repair shops, and washing areas. Identify unauthorized non-storm water discharges, document abnormal conditions and BMP deficiencies, and record corrective actions with implementation dates.

by Jessee McClellan, from the Community

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