HomeMy Public PortalAbout476688NOTE: This checklist is not mandated for use by MSD and does not exempt BMP owners from design and maintenance requirements specified in the SWMFR.
Location: ________________________________________________
Owner Change since last inspection? Yes No
Owner Name:________________________________________________
Owner Address: _____________________________________________
INSPECTION RATING SYSTEM
0 = Good condition. Well maintained, no action required. Satisfactory Performance.
1 = Moderate condition. Should monitor. Satisfactory Performance.
2 = Degraded condition. Routine maintenance and repair needed. Unsatisfactory Performance.
3 = Serious condition. Immediate need for repair or replacement. Unsatisfactory Performance.
INSPECTION ITEMS RATING COMMENTS/CORRECTIVE ACTIONS NEEDED
Clear of debris and fuctional?0 1 2 3 N/A
Trash rack clear of debris and functional?0 1 2 3 N/A
Sediment accumulation? 0 1 2 3 N/A
Condition of concrete/masonry?0 1 2 3 N/A
Metal pipes in good condition?0 1 2 3 N/A
Control valve operational?0 1 2 3 N/A
Outfall channels function, not eroding?0 1 2 3 N/A
Other (describe)? 0 1 2 3 N/A
Complaints from local residents?0 1 2 3 N/A
Any public hazards observed (desribe if any)0 1 2 3 N/A
*If any 2-3 ratings are given in Sections A-B of this checklist, list corrective actions recommended or completed at the time of this inspection.
CORRECTIVE ACTIONS RECOMMENDED TO OWNER COMPLETED AT TIME OF INSPECTION
Please attach photographs, with descriptions, showing current condition of system and any defeciencies noted in this inspections
Site Conditions: ___________________________________________________________________________________________________________________________________________
C. CORRECTIVE ACTIONS*
A. STRUCTURE
D. PHOTOGRAPHS
B. HAZARDS
Overall Drainage Area Conditions:
NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations.
STORMWATER MANAGEMENT FACILITY MAINTENANCE INSPECTION CHECKLIST
INSPECTION CHECKLIST – UNDERGROUND DETENTION OPERATION AND MAINTENANCE
P Job Number: ____________________________________________________________
Inspector: ________________________________________________________________
Date of Inspection: _________________________________________________________
Owner Phone Number: ______________________________________________________
MSD BMP Inspection Checklist Form. Rev 2013