DAM INSPECTION CHECKLIST

Dam Name:

Inspection Date:

Your Name:

Provincial Dam File No.:

Was the spillway flowing?

(circle one)
Was the outlet open?

Y N If yes, what was the approximate flow rate?

If no, then how far was the reservoir drawn down below
the spillway sill level?
Y N If yes, what was the approximate discharge rate?

Are the following components of your dam in SATISFACTORY CONDITION? Yes or No? (check
one if applicable)

1.
2.
3.
4.
5.

EMBANKMENT
Y

U/S Slope
Crest
D/S Slope
D/S Toe
Drains

OUTLET
N

1.
2.
3.
4.
5.
6.
7.
8.

Outlet Pipe
Energy Dissipater
Stilling Basin
Toe Drains
Outlet Channel
Measuring Weir
Outlet Controls
Gates

SPILLWAY
Y

1.
2.
3.
4.
5.
6.
7.
8.

Debris Boom
Entrance
Sill
Apron
Walls
Channel
Channel Slopes
Gates

Were any of the following POTENTIAL PROBLEM INDICATORS found?

INDICATOR
a)
b)
c)
d)
e)
f)
g)
h)

EMBANKMENT
YES
NO

Seepage
External Erosion
Cracks
Settlement
Sloughing / Slides
Animal Activity
Excessive Growth
Excessive Debris

Comment on any deficiency found:

OUTLET
YES
NO

SPILLWAY
YES
NO

DAM INSPECTION CHECKLIST

Note: Please complete this report form annually. A copy may be requested by the Provincial Dam
Safety Officer in your Region.