Home Inspection

Inspect Private Wells & Septic Systems Before You Buy

Document well flow rates, water sampling, septic tank condition, and pumping history in one checklist built for pre-purchase home inspections.

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Homebuyer Pre-Purchase Private Well Water & Septic System Inspection Checklist
Inspector Name
· · ·
Homebuyer / Client Name
· · ·
Property Address
· · ·
Submit

The Homebuyer Pre-Purchase Private Well Water & Septic System Inspection Checklist gives inspectors a structured way to evaluate two of the most important systems on rural and off-grid properties. It covers property and client details, inspection date, and which systems were inspected. It also includes a dedicated section for the private well. Inspectors can record the well type, component condition, and measured flow rate in gallons per minute. They can also note the distance between the well and the septic tank or drainfield, and track which water samples were sent to a certified laboratory.

The septic section captures the system type, tank capacity, and component condition. It also records whether the tank was pumped during the inspection and the date of last pumping from seller records. Photo uploads and attachment fields for lab results and permit records keep all supporting evidence with the report. This template is designed for home inspectors, well and septic contractors, real estate agents, and buyers' representatives who need a reliable record before closing.

Hidden problems with a well or septic system can lead to costly repairs, health risks, and failed lending requirements. Examples include contaminated water, low yield, or a failing drainfield. This checklist helps catch those issues early and document them in a consistent format. Buyers get clear information to help them negotiate or move forward with confidence. Fill it out on a phone or tablet in the field, then share a clean digital report with clients in minutes. You can customize fields to match local codes and your own inspection standards.

4 Pages
21 Questions
~7min To complete
Free Included on every plan
Field types number ×3 Full Name ×2 Date ×2 Dropdown ×2 choicematrix ×2 Address Single Choice Multiple Choice Yes / No File Upload Priority Selection Long Text currency termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Property & Inspection Details 5 questions
Property & Inspection Information
1 Inspector Name * Full Name
2 Homebuyer / Client Name * Full Name
3 Property Address * Address
4 Inspection Date * Date
5 Systems Inspected * Single Choice
Page 2 Private Well Inspection 5 questions
Private Well Water System
Document the well's construction type and the visible condition of its components. Record field measurements and identify any water samples collected for analysis by a certified laboratory.
1 Well Type * Dropdown
2 Well Component Condition * choicematrix
3 Measured Flow Rate (Gallons per Minute) number
4 Distance from Well to Septic Tank or Drainfield (feet) number
5 Water Samples Collected for Lab Testing * Multiple Choice
Page 3 Septic System Inspection 6 questions
Septic System Evaluation
1 Septic System Type * Dropdown
2 Septic Tank Capacity (gallons) number
3 Septic Component Condition * choicematrix
4 Was the Tank Pumped During This Inspection? * Yes / No
5 Date of Last Pumping (per Seller Records) Date
6 Inspection Photos, Lab Results & Permit Records File Upload
Page 4 Findings & Certification 5 questions
Inspection Findings & Inspector Certification
1 Overall Repair Urgency * Priority Selection
2 Deficiencies Found & Recommended Repairs * Long Text
3 Estimated Repair Cost currency
4 I certify that this inspection reflects the visible and accessible conditions of the well and septic systems on the inspection date. I understand that this report is not a guarantee of future performance, and that water quality results are pending laboratory analysis where applicable. * termsandconditions
5 Inspector Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.

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Category Inspection & Audit
Subcategory Home Inspection
Theme Teal
Price Free
Coding required None

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