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Construction Site Inspection Report Template

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Construction Site Inspection Report Template Powered By Docstoc
					This Construction Site Inspection Report Template is a template for an inspector to use
when inspecting a construction site. It includes a management practices checklist
regarding erosion control measures, sediment control measures, and run-on and run-off
and good site management. Additionally, this template makes room for the user to mark
whether the site is compliant with applicable law, regulation and custom; whether the
site requires maintenance; and additionally it has space for comments, notes and
recommendations. The template also includes a line for enforcement and follow-up
procedures and an inspector certification.
    Project:               ___________ [Instruction: Insert Project Name]

    Project Description: ___________ [Instruction: Insert Project Description]

    Contractor:            ___________ [Instruction: Insert Contractor Name]
                           ___________ [Instruction: Insert Address 1]
                           ___________ [Instruction: Insert Address 2]
                           ___________ [Instruction: Insert Phone Number]

    Project/Permit #:      ___________ [Instruction: Insert Project or Permit Number]
    Permit Type:           ___________ [Instruction: Insert Permit Type]

                          CONSTRUCTION SITE INSPECTION REPORT

    1. Inspection Date:                 ___________ [Instruction: Insert Date]

    2. Inspection Time:                 ___________ [Instruction: Insert Time]

    3. Inspection By:                   ___________ [Instruction: Insert Inspector Name]

    4. Inspection Type:                  ___________ [Instruction: Insert Type, i.e. routine, pre-
    rain, during rain, after rain, follow up, other]

    5. Current Weather Condition:       ___________ [Instruction: Insert Date]

    6. Days Since Last Rainfall:        ___________ [Instruction: Insert Amount]

    7. Inches of Last Rainfall:         ___________ [Instruction: Insert Amount]

    8. Present Phase of Construction:   ___________ [Instruction: Insert Description of Present
    Phase]

    9. Erosion Control Measures: [Instruction: fill out chart]

BMP                                Compliant   Maintenance       Comments/Notes/Recommendations
                                   (Y or N)    Required
                                               (Y or N)
Jute Netting / Fiber Blankets
Mulch
Hydroseed / Soil Binder /
Compost Blanket
Mark Areas to be Preserved
Tree Protection Fencing
Riparian Area Barrier
Other
    10. Sediment Control Measures: [Instruction: fill out chart]

BMP                                   Compliant   Maintenance      Comments/Notes/Recommendations
                                      (Y or N)    Required
                                                  (Y or N)
Wattles / Fiber Rolls /Compost
Socks
Silt Fences / Compost Berms
Sedimentation Basin
Intlet filters (Bags, sand, gravel)
Dust Control
Stabilized construction entrance
Check Dams
Street Sweeping
Earth Dikes / Drainage Swales
Other

    11. Run-on and Runoff Control: [Instruction: fill out chart]

BMP                                   Compliant   Maintenance      Comments/Notes/Recommendations
                                      (Y or N)    Required
                                                  (Y or N)
Earth Dikes / Drainage Swales

Sampling conducted
Other

    12. Good Site Management: [Instruction: fill out chart]

BMP                                   Compliant   Maintenance      Comments/ Recommendations
                                      (Y or N)    Required
                                                  (Y or N)
Petroleum Products (oil, fuel,
etc . . .)
Construction Materials (wood,
cement, etc . . .)
Hazardous materials (paint,
solvents, etc . . .)

Waste Systems Management
Soil Stockpiles
Vehicle Servicing
Other
13. Additional Comments/Notes/Recommendations: ___________ [Instruction: Insert any
additional comments/notes/recommendations]

14. Enforcement/Follow-ups: ___________ [Instruction: Insert any enforcements or follow
up procedures]

15. Certification: I certify under penalty of law that this report was prepared by me or under my
direction or supervision. The information submitted is, to the best of my knowledge and belief,
true, accurate, and complete.



________________________________ [Instruction: sign]
INSPECTOR SIGNATURE

Dated: ___________ [Instruction: Insert Date]

				
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Description: This Construction Site Inspection Report Template is a template for an inspector to use when inspecting a construction site. It includes a management practices checklist regarding erosion control measures, sediment control measures, and run-on and run-off and good site management.  Additionally, this template makes room for the user to mark whether the site is compliant with applicable law, regulation and custom; whether the site requires maintenance; and additionally it has space for comments, notes and recommendations. The template also includes a line for enforcement and follow-up procedures and an inspector certification.