Inspection Report Form: Sewer Video

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

Signature to confirm receipt of the report. Sewer Video Inspection Report Form

Scale of 1–5 (1: Minor, 5: Critical/Immediate Failure). Description: Structural: Cracks, fractures, collapses, or offset joints. This section is typically a table where the

2–4 high-resolution stills of the most critical defects found. 6. Sign-off Technician Signature: Confirms accuracy of the field data. Within 30 days

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

Name of the operator performing the CCTV scan.

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