Waterproofing Inspection Report
Waterproofing Inspection Report
General Information
Project Name/Owner
Location Tracking No.
Date of Inspection Start/End Time
Inspector’s Name(s)
Inspector’s Title(s)
Describe present phase of construction
Describe Scope & Location of Structural Inspection:
2 Were the flood test conducted Yes No N/A Yes No
for at least 72 hours?
3 You certify that you did not Yes No N/A Yes No
notice any form of leaks during
and after the flood test?
Non-Compliance
Describe any incidents of non-compliance not described above:
CERTIFICATION STATEMENT
“I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. The information
submitted is, to the best of my knowledge and belief, true, accurate, and complete.”
Signature:_________________________________________________________ Date:_____________________