Sewer Lateral CCTV Inspection Report

Inspection template for documenting sewer lateral CCTV findings, including PACP-style condition coding, distance from cleanout, defects, and rehabilitation recommendations.

Inspection Job Details

• Inspection ID recorded
  Unique tracking identifier for this CCTV inspection submission.
• Property or service address recorded
  Service address or asset location for the lateral inspected.
• Inspector name and certification status
  Name of the inspector and whether PACP-certified or otherwise qualified.
• Inspection date and time
  Date and time the CCTV inspection was performed.
• Lateral ownership or asset type
  Ownership or asset classification for the lateral.
• Inspection direction
  Direction of the camera run, measured consistently from the chosen starting point.
• Start point verified at cleanout or access point
  Confirms the run begins at the intended cleanout or other designated access point.

Equipment Setup and Inspection Quality

• Camera head and cable appropriate for pipe diameter and material
  Confirms equipment selection matches the lateral size and material.
• Image clarity sufficient to identify defects and pipe features
  Overall video quality for defect identification and coding.
• Distance counter zeroed at start point
  Confirms the distance counter was reset at the start of the inspection.
• Flow conditions documented
  Observed flow condition during the CCTV run.
• Obstructions or conditions limiting inspection noted
  Documents any debris, roots, standing water, offset, collapse, or other condition that limited the inspection.

Pipe Condition and PACP-Style Defect Coding

• Pipe material identified
  Primary pipe material observed in the lateral.
• Pipe diameter recorded
  Measured or documented lateral diameter.
• Primary pipe condition code
  Overall condition assessment for the inspected lateral segment.
• Defect type observed
  Observed defects or anomalies present in the line.
• Defect location from cleanout
  Distance from the cleanout or starting point to the defect location.
• Defect severity rating
  Severity of the primary defect at the recorded location.
• PACP-style code or observation note
  Free-text field for PACP-style coding notes, defect narrative, or coding reference used by the operator.
• Additional defect locations documented
  Indicates whether additional defects were observed and recorded elsewhere in the report.

Connections, Serviceability, and Rehabilitation Recommendation

• Main connection observed and documented
  Confirms the connection to the main was observed or the termination point was documented.
• Service lateral is structurally serviceable
  Overall serviceability determination based on observed defects.
• Recommended rehabilitation method
  Recommended corrective or rehabilitation action based on the inspection findings.
• Recommendation justification
  Brief narrative explaining why the selected rehabilitation method is recommended.
• Urgent safety hazard present
  Indicates whether the inspection revealed an immediate hazard such as collapse, severe blockage, or active sanitary release.

Report Sign-Off

• Inspection findings reviewed for completeness
  Confirms the report includes the required job details, condition observations, and recommendation.
• Photos attached for key defects and termination points
  Confirms photo evidence is attached for the start point, major defects, and end point or main connection.
• Inspector comments
  Additional notes, limitations, or follow-up items for the report.
• Inspector signature
  Inspector sign-off confirming the accuracy of the report.