Lift Station Inspection Checklist
A routine inspection form completed on each visit to a lift station. File the completed copy with the station's service history.
LIFT STATION INSPECTION CHECKLIST
Complete on each visit · One form per station
Date
9/30/2026
1. Station Information
Station name / ID
Location
Date / time
Inspector
Weather / flow conditions
Last rainfall (if relevant)
2. Inspection Items
Check each item verifiedOK? (Y/N)
3. Readings
Wet well level
Pump #1 run hours
Pump #2 run hours
Discharge pressure
DP / flow meter reading
H₂S readingppm
4. Observations & Corrective Actions
Odor, debris, alarms triggered, and any follow-up work order needed.
5. Sign-off
Inspector signature
Date / time
Reviewed by
Date / time