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DA FORM 5457-R Potable Water Container Inspection Mobile App

The DA FORM 5457-R Potable Water Container Inspection mobile app is designed to simplify the process of ensuring the safety of local water supply containers. A helpful tool for mobile units, potable water tank owners and the local inspection agency, the Potable Water Container Inspection app makes it easy to complete a thorough inspection of potential water supply locations from anywhere in the field.

Simply open the safe drinking water app using a smartphone or tablet, generate a new form and you'll be prompted to inspect a customizable list of questions regarding emergency equipment, source water containment, water source chemical levels and more. It's the easiest and fastest way to perform potable drinking water inspections and the results are saved electronically for your records.

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Included Features

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Included Fields

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For use of this form see TB MED 577; the proponent of this form is the Office of The Surgeon Gene...
REPORT DATE
TO
FROM
INSPECTION RATING
SERIAL NUMBER
MAP COORDINATE LOCATION
OWNING UNIT
MAINTENANCE NCO
UNIT REPRESENTATIVE
INSPECTION UNIT
DATE/TIME GROUP
INSPECTED BY
1. CONTAINER EXTERIOR
a.
b.
2. MANHOLE COVERS
a.
b.
c.
d.
3. DISPENSING SPIGOTS
a.
b.
c.
d.
4. DRAIN
a.
...and More!