CCTV drain survey report: free blank PDF
Download a printable cctv drain survey report for England, Wales, Scotland, Northern Ireland. The PDF contains the record sections shown below and writing space for the actual findings.
Download the blank printable PDF for free.
Free blank CCTV drain survey report form
Print the blank record and keep the completed copy with the job. The preview shows the actual blank download.
Blank CCTV Drainage Survey Report form
Record scope and contents
England, Wales, Scotland, Northern Ireland. The trained surveyor recording the inspection and coding used.
- Record Details: Certificate number, Survey date, Standard
- Work location: Work jurisdiction
- Survey contractor: Company name, Company address, Company postcode, Phone
- Client: Client name, Client address, Client postcode, Phone
- Site: Site address, Site postcode
- Survey purpose and drainage layout: Purpose of Inspection, Instruction, Use of Drain/Sewer, Type of Drain/Sewer, Land Ownership, Pre-cleaned, Method of Inspection, Direction, Manhole references, Equipment used
- Observations
- Overall condition and recommendations: Internal condition grade, Recommendations
- Surveyor: Coded to the standard, Adequately trained, Name of Surveyor, Surveyor qualification, Surveyor signature, Date
Primary source for this record · checked 2 October 2026
What the CCTV drain survey report covers
Record the drainage runs, survey method, direction, observations, condition grades and recommendations with footage references. The surveyor supplies the actual coding and evidence. The blank record does not teach or replace the controlled WRc coding manual.
Who needs one
- The trained surveyor recording the inspection and coding used.
- Record scope: England, Wales, Scotland, Northern Ireland.
- Keep the completed record with the source documents, findings and job reference.
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