Sewer Video - Inspection Report Form

Signature to confirm receipt of the report.

Root intrusion, grease buildup (FOG), debris, or scale.

Locations of lateral connections (e.g., "Wye at 15ft") or changes in material. 4. Summary & Recommendations Sewer Video Inspection Report Form

This section is typically a table where the technician logs specific footage markers. The exact distance from the starting point.

Name of the operator performing the CCTV scan. Signature to confirm receipt of the report

(e.g., Within 30 days, 6 months, or Monitor annually). 5. Media Documentation Video Recording Link/USB ID: Reference to the digital file.

A comprehensive ensures that field observations are captured accurately for maintenance, real estate transactions, or municipal compliance. grease buildup (FOG)

Ground conditions (e.g., dry, heavy rain) that might affect flow. 2. Pipeline Specifications Asset ID: Manhole-to-manhole ID or specific lateral tag.