HomeMy Public PortalAboutGreen Roof - Facility ChecklistNOTE: 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 ITEMS RATING COMMENTS
Inlets blocked by plant debris/trash or plant growth hindered by debris?0 1 2 3 N/A
Drain inlet pipe in poor condition?0 1 2 3 N/A
Media clogged with sediment?0 1 2 3 N/A
Roof drains overgrown or full of organic matter?0 1 2 3 N/A
Standing water present?0 1 2 3 N/A
Erosion present at/around inflow points?0 1 2 3 N/A
Maintenance access to facility adequate?0 1 2 3 N/A
Waterproof membrane is leaking or cracked?0 1 2 3 N/A
Root barrier is perforated?0 1 2 3 N/A
Excessive trash/debris/sediment accumulation?0 1 2 3 N/A
Any erosion, rills, or small channels forming?0 1 2 3 N/A
Evidence of standing water?
(i.e. Ponding, Noticeable Odors, Water Stains)0 1 2 3 N/A
Evidence of compaction? (i.e. ponded water in areas, wet soil during
dry weather)0 1 2 3 N/A
Evidence of oil/chemical accumulation?
Vegetation coverage adequate? (see plan for approved design
vegetation)0 1 2 3 N/A
Is vegetation overgrown?0 1 2 3 N/A
Dead or diseased vegetation?0 1 2 3 N/A
Exposed soil or bare spot?0 1 2 3 N/A
Complaints from local residents? (describe if any)0 1 2 3 N/A
Any public hazards observed? (describe if any)0 1 2 3 N/A
*If any 2-3 ratings are given in Sections A-E of this checklist, list corrective actions recommended or completed during inspection.
CORRECTIVE ACTIONS
RECOMMENDED TO
OWNER COMPLETED AT TIME OF INSPECTION
Please attach photographs, with descriptions, showing current condition of the system and any defeciencies noted in this inspection.
D. CORRECTIVE ACTIONS*
E. PHOTOGRAPHS
STORMWATER MANAGEMENT FACILITY MAINTENANCE INSPECTION CHECKLIST
GREEN ROOF
C. HAZARDS
B. TREATMENT AREA AND VEGETATION
A. INLETS (GUTTERS, ETC)
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.
NOTE TO INSPECTOR: All personnel entering any confined spaces must take appropriate safety measures and follow applicable OSHA regulations.
Overall Drainage Area Conditions:
P Job Number: ____________________________________________________________
Inspector: ________________________________________________________________
Date of Inspection: _________________________________________________________
Owner Phone Number: ______________________________________________________
Site Conditions: ___________________________________________________________________________________________________________________________________________
MSD BMP Inspection Checklist Form. Rev 8/1/2016