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Dam Inspection Form

A technical record for documenting a dam's physical condition, safety rating, and maintenance status during a scheduled inspection.

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Dam name

National Inventory of Dams ID

Inspection date

Next inspection date

Name of inspector

First Name

Last Name

Name of consultant

Hazard code

Dam location

Overall physical condition of dam

Good Fair Poor

Spillway capacity (% SDF)

Adequate Marginal Inadequate

Design methodology

Current Outdated Unknown

Level of maintenance

Good Fair Poor

Emergency action plan

In place Needs update

Seepage (embankments, foundations, and abutments)

Good Fair Poor

Embankment condition

Good Fair Poor

Concrete condition

Good Fair Poor

Low-level outlet discharge capacity

Adequate Marginal Inadequate

Low-level outlet physical condition

Good Fair Poor

Spillway design flood capacity

Adequate Marginal Inadequate

Overall safety rating of dam

Satisfactory Fair Unsatisfactory

Photos of dam

Max 10 MB per file

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