Backwater Valve Inspection Log
Know the backwater valve works before the sewer backs up, not when it does. Each line dates one opening, cleaning and check of the gate and seal.
HS-17 1 page
Home systems · HS-16
Drain and Sewer Lateral History Record
A free printable drain and sewer lateral record: a sketch of the route and access points, then every blockage, camera survey and repair in date order.
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2 pages. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.
Print it and write on it
Fill it in type and save
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
What this sheet is for
Turn repeat drain blockages into a dated pattern a plumber or insurer can follow. A camera survey or a repair quote can then be read against the line's whole history.
Who it is for
Homeowners and landlords responsible for a private drain or sewer lateral, especially where trees grow near the line.
How to use it
- Sketch the route from the house to the public sewer and number every cleanout, chamber and rodding eye.
- Ask the water company, sewer district or council where your part ends, and write it down with who told you.
- After every blockage, clearance or camera survey, fill a line: symptom, cause found, method, contractor and cost.
- Record repairs and relining with the guarantee end date, and keep the reports with the sheet.
What is on the sheet
2 pages, in this order:
Page 1
Printed under the title: The private drain from the house to the public sewer: its route and access points on this page, then every blockage, survey and repair in date order, so a problem that keeps coming back shows as a pattern.
Where your part ends. Who is responsible for which length of the drain is not the same everywhere. Ask your water company, sewer district or council where your part ends, and write the answer below with who gave it. Keep camera survey reports and contractor invoices with this sheet.
Write-on lines: Property · Pipe material · Pipe size · Laid
Route and access points — sketch from the house to the public sewer and number each access point
Squared grid
Write-on lines: Your part ends at · Confirmed with · Trees or shrubs near the line
Table, 4 rows: No. · Where · Type · Cover or cap · Depth · Notes
Page 2
Blockages, clearances and surveys — one line per call-out or camera survey
Table, 13 rows: Date · Symptom · Fixtures · Cause found · Method · By · Cost · Survey
Repairs, relining and replacement
Table, 4 rows: Date · Work done · Length and where · Contractor · Cost · Guarantee · Report
Questions
Who is responsible for the sewer pipe outside my house?
It depends on where you live: the split between the property owner and the sewer authority is drawn differently from place to place. Ask your water company, sewer district or council, and write their answer and the date on the sheet so it is not asked twice.
Why record the method used each time?
Because roots cut back by rods or jetting can grow back, and a line cleared the same way again and again points to a repair rather than another clearance. Seeing the method and the cause side by side is what makes that visible.
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