Get Inspection Report Form (field Use) - Ct.gov

This guide aims to assist users in completing the Inspection Report Form (Field Use) efficiently and accurately. By following the provided steps, users can ensure that all necessary information is captured for regulatory inspections.

Follow the steps to expertly fill out the Inspection Report Form.

1. Press the ‘Get Form’ button to obtain the Inspection Report Form and open it for completion.
2. In Part I, input the dam name, inspection dates, and any alternate names. Record the CT Dam ID number and the location, including municipality. Describe the temperature and weather conditions during the inspection.
3. Indicate whether the dam is registered by selecting 'Yes' or 'No.' If registered, provide the nine-digit registration number mentioned in the notification letter. Fill in the pool level and specify if there is an Emergency Action Plan in place.
4. Complete the 'Impoundment Use' section by referring to the detailed options provided in the instructions. Indicate if a hydraulic and hydrologic analysis or stability analysis has been conducted.
5. Assess and record the overall condition of the dam according to the standards listed in Appendix A. Use clear references to any established conditions.
6. List all persons present at the inspection, including their names, titles, and who they represent, adding new rows as needed.
7. Proceed to Part II to provide general dam information such as hazard classification, dam height, length, and spillway details. Ensure to include measurements where applicable.
8. Insert an aerial photo or location map in Part III, following the specific guidelines in the instructions.
9. In Part IV, provide detailed information about the dam, embankments, and dikes. Comment on various conditions such as concrete quality and vegetation cover.
10. Continue to follow the template in subsequent parts to document principal and auxiliary spillways, downstream channels, intake structures, and outlet structures, ensuring all sections are filled accurately.
11. Use Part XI to reassess the downstream hazard classification based on the collected data, referencing the criteria detailed in Appendix B.
12. In Part XII, provide numbered recommendations based on the inspection findings.
13. Insert photographs and sketches as required throughout the document, ensuring they comply with the instructions found in Parts XIII and XIV.
14. Obtain the required certifications in Parts XV and XVI from a licensed professional engineer and the dam owners. Ensure their signatures and dates are included.
15. Once all fields are completed, save the changes. You may download, print, or share the form electronically as needed, including sending it via email to DEEP.

Complete the Inspection Report Form online for efficient and thorough documentation.