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Capture pipeline photos on-site with the mobile app. Annotate images with pipe location and defect codes, then sync to your report.
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CCTV Survey Report
Create a comprehensive CCTV survey report to assess the structural and service condition of sewer pipelines. This template helps you record pipeline details, condition grades, defects, and recommendations.
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The full inspection cycle — in one service
Take photos of the object in the mobile app, complete the inspection report from the template, and download the finished photo report as Word or PDF.
Inspection report
Complete the document from this template: sections, fields, photo documentation, and signatures.
Photo Report Generator
Use the photo report generator to create CCTV survey reports with embedded images from the inspection. Attach screenshots or photos of defects.
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Document Preview
Review the structure, sections, and fields before proceeding to fill out the document.
CCTV Survey Report
No.CCTV-2026-0714
1. General Information
The inspection was conducted in accordance with the applicable regulations and standards for sewerage systems.
| Inspection date | 7/14/2026 | Address | Sewer Line Section A, Oak Avenue, Manchester |
Expert James Carter , CCTV Surveyor
The overall condition of the sewerage networks has been assessed and documented.
2. Object of Inspection
The object of inspection includes the sewerage networks, comprising pipelines, manholes, and associated structures.
| Object name | Oak Avenue Sewer Main | Technical condition | not filled in |
The inspected sewerage networks are identified and described in this section.
3. Pipeline Details
The main parameters of the sewerage networks, such as diameter, material, and depth, were determined based on design documentation and field measurements.
| Pipe Location | Oak Avenue, between MH-12 and MH-14 | Pipe Material | PVC |
| Pipe Diameter | 300 | Pipe Length | 150 |
| Survey Direction | Downstream |
The main parameters were verified and found to be consistent with the design values.
4. Condition Assessment
Record each defect or observation with standard defect codes, structural and service grades, and attach CCTV footage references or photos.
| No. | Damage description | Photos |
|---|---|---|
| 1 | - 0.3 | not filled in |
| 2 | - 10 | not filled in |
| 3 | - 2 | not filled in |
5. Additional Information
Provide an overall condition summary, recommendations, and priority repairs.
| Identification was carried out | Pipeline identified as PVC DN300, length 150m |
| There are remarks | Overall condition assessed as fair with minor defects. |
6. Inspection Participants
List the CCTV operator, surveyor, and asset manager involved in the survey.
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | James Carter | CCTV Operator | Operated the CCTV equipment |
| 2 | Sarah Mitchell | Surveyor | Conducted the survey and produced the report |
| 3 | Robert Davies | Asset Manager | Reviewed the survey report |
Signatures
Capture the signatures of the surveyor and reviewer to confirm the report.
______________________________
James Carter, CCTV Surveyor
______________________________
James Carter
______________________________
Sarah Mitchell
______________________________
Robert Davies
Report
Purpose and Procedure for Drafting the Document
What Is a CCTV Survey Report?
A CCTV survey report documents the condition of sewer pipelines using closed-circuit television inspection. It includes pipeline details, structural and service grades, defect codes, and overall conclusions. The report supports asset management and repair planning.
Who Uses This Report?
CCTV operators, surveyors, and asset managers use this report to record inspection findings and prioritize pipeline maintenance. It is essential for condition assessment programs.
Key Sections of the Report
The report includes survey identification, pipeline details, condition assessment, conclusions, and signatures. Each pipeline section is assessed with structural and service grades.
Condition Assessment Programs
Municipalities and utilities conduct CCTV surveys as part of regular condition assessment programs. This report documents the condition of each pipeline section.
Reactive Investigations
When a sewer problem is reported, a CCTV survey helps identify the cause. This report records the findings and recommended actions.
Pre-Repair Planning
Before undertaking pipeline repairs or rehabilitation, a CCTV survey provides detailed condition data. This report helps engineers plan the most effective repair strategy.
Regulatory Compliance
Some environmental or infrastructure regulations require periodic CCTV surveys. This report serves as documented evidence of compliance.
- 1
Survey Planning
Plan the CCTV survey by identifying pipeline sections to be inspected, scheduling, and preparing equipment.
- 2
CCTV Inspection
Deploy CCTV camera through the pipeline, capture video footage, and note observations. Record pipe material, diameter, and survey direction.
- 3
Data Analysis and Reporting
Analyze footage to assign structural and service grades, identify defects, and document observations. Complete the report with conclusions and recommendations.
Photo Report Generator
Use the photo report generator to create CCTV survey reports with embedded images from the inspection. Attach screenshots or photos of defects.
Create Photo ReportMobile Photo Documentation App
Capture pipeline photos on-site with the mobile app. Annotate images with pipe location and defect codes, then sync to your report.
Mobile AppDocument Sections
Click a section to jump to it in the sample document.
General Information
The inspection was conducted in accordance with the applicable regulations and standards for sewerage systems.
Object of Inspection
The object of inspection includes the sewerage networks, comprising pipelines, manholes, and associated structures.
Pipeline Details
The main parameters of the sewerage networks, such as diameter, material, and depth, were determined based on design documentation and field measurements.
Condition Assessment
Record each defect or observation with standard defect codes, structural and service grades, and attach CCTV footage references or photos.
Additional Information
Provide an overall condition summary, recommendations, and priority repairs.
Inspection Participants
List the CCTV operator, surveyor, and asset manager involved in the survey.
Signatures
Capture the signatures of the surveyor and reviewer to confirm the report.
Document Fields and Columns
General Information
- Inspection date
- Date when the CCTV survey was conducted.
- Address
- Location or address of the surveyed pipe section.
- Expert
- Name of the CCTV survey contractor.
Object of Inspection
- Object name
- Name or identifier of the sewer pipeline.
- Technical condition
- Overall technical condition of the pipeline.
Condition Assessment
- No.
- Sequential number of the defect or observation.
- Element
- Pipe section or component where the defect was observed.
- Defect
- Standard defect code or type.
- Damage description
- Detailed description of the defect.
- Photos
- Photograph or CCTV footage reference.
Inspection Participants
- No.
- Sequential number of the participant.
- Full name
- Name of the participant.
- Position / status
- Role or position of the participant.
- Comment
- Additional comments about the participant.
Frequently Asked Questions about Photo Reports and Photo Tables
What are structural and service grades?
Structural grade assesses the physical integrity of the pipe (e.g., cracks, collapses), while service grade evaluates operational condition (e.g., blockages, infiltration). Both are rated from 1 (Excellent) to 5 (Critical).
Can I include CCTV footage references?
Yes, the template includes an optional field for CCTV footage reference. You can link to video files or timestamps for further review.
What defect codes are used?
Defect codes can follow standards such as EN 13508-2 or WRC. The template allows you to enter codes as text, making it flexible for different standards.
Who signs the survey report?
The surveyor and a reviewer (e.g., asset manager) sign the report. Their signatures confirm the accuracy of the survey findings.
How do I start using this template?
Click 'Use this template' to open it in the online editor. Fill in the survey details, pipeline information, and condition assessment, then generate the report.
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Enter inspection details and generate a ready-to-download document.