close
lumiform
Lumiform Mobile audits & inspections
Get App Get App

Well inspection checklist

Downloaded 0 times
Page 1
General Information
Well Name
Well Number
Lease Name
Operator
Location
Surface Equipment
Wellhead in good condition
Valves and fittings not leaking
Aboveground piping in good condition
Pumping unit / engine in good condition
Tanks in good condition
Containment areas free of leaks
Safety
Correct warning signs posted
Proper safety equipment available
Access road in good condition
Environmental
No spills or leaks observed
Proper disposal of waste
No excessive noise or odors
General Observations
Additional Comments
Share this template:

Well inspection checklist

Safeguard your water source and the environment! Do it the professional way and uncover hidden risks with a data-driven well inspection checklist! A standard well inspection checklist equips your team to conduct responsible well maintenance. This proactive approach minimizes the risk of contamination, protecting both your water supply and the surrounding ecosystem.

Using a well Inspection checklist for well safety 

An effective and data-driven well inspection checklist offers a systematic approach to inspecting and maintaining wells, ensuring they remain in optimal condition. Regular inspections are crucial for preventing contamination and preserving the well’s structural integrity.    For water safety specialists, the resource helps them effortlessly track maintenance activities, spot potential issues early, and stay compliant with regulatory standards. This proactive approach not only safeguards the health and safety of everyone relying on the well but also significantly extends its lifespan. With a digital and customizable checklist in your toolbox, you can ensure your well operates efficiently, providing clean and safe water for years to come.   Maintenance requirements of an effective well inspection checklist Great well inspection checklists should meet these requirements for safety inspection:
  • Well Inspection Documentation: Record the well site, date, and inspector details. Accurate documentation is essential for tracking inspection history and ensuring accountability, making it easier to monitor the well’s condition over time.
  • Safety and Compliance Assessment: Evaluate the well’s condition, type, depth, and adherence to standards. Assess the location for safety requirements. Early identification of non-compliance can prevent costly repairs and hazards.
  • Component Integrity Check: Inspect the casing, cap, and other components for damage or wear. Early detection of issues prevents contamination and maintains the well’s integrity.
  • Efficient System Operation: Monitor the pump’s pressures and pressure differential. Efficient pressure systems ensure consistent water supply and reduce energy costs.
  • Water Quality Assurance: Determine if a water sample is needed and document flow test results. Regular testing ensures water safety and prevents health risks.
  • Inspection Accountability: Include comments and the inspector’s name, position, and signature to finalize the report, ensuring thoroughness and accountability.

Bonus Features

  • Make it Yours! Customize the template to fit your specific needs.
  • Work Automation Features: Assign tasks and set automatic reminders to keep your team focused and accountable.

Get started with Lumiform’s well inspection checklist

Ensure your well’s safety and efficiency with Lumiform’s comprehensive well inspection checklist. Download the free PDF now to streamline your inspections, track maintenance activities, and ensure compliance with regulatory standards.  Start using our checklist today to maintain a safe and reliable water supply for years to come!
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
This site is registered on wpml.org as a development site. Switch to a production site key to remove this banner.