排水沟自检表
填写说明：
1. 本自检表适用于排水沟的日常自检工作，旨在确保排水沟的正常运行和安全使用。
2. 根据实际情况，填写相应的内容，如有需要，可在备注栏中进行补充说明。
3. 填写时应认真仔细，如有问题或异常情况，应及时采取相应的措施进行处理。
4. 填写完毕后，应及时上报相关部门，并妥善保存。
自检表格：
序号：_________ 日期：_________ 填表人：_________
一、基本信息：
1. 排水沟名称：_________
2. 排水沟位置：_________
3. 排水沟长度：_________ 米
4. 排水沟宽度：_________ 米
5. 排水沟深度：_________ 米
二、自检内容：
1. 排水沟外观检查：
a. 排水沟是否有明显的破损或变形情况？
b. 排水沟是否有积水或堵塞现象？
c. 排水沟是否有明显的泥沙淤积？
d. 排水沟是否有杂草丛生或其他异物堆积？
2. 排水沟水流检查：
a. 排水沟水流是否畅通？
b. 排水沟水流是否有明显的变慢或停滞现象？
c. 排水沟水流是否有明显的漩涡或涡流现象？
d. 排水沟水流是否有明显的波浪或溅起水花？
3. 排水沟边坡检查：
a. 排水沟边坡是否有明显的塌方或滑坡现象？
b. 排水沟边坡是否有明显的裂缝或沉降现象？
c. 排水沟边坡是否有明显的松动或脱落现象？
d. 排水沟边坡是否有明显的植被破坏或侵蚀现象？
4. 排水沟护坡检查：
a. 排水沟护坡是否完好无损？
b. 排水沟护坡是否有明显的破损或变形现象？
c. 排水沟护坡是否有明显的松动或脱落现象？
d. 排水沟护坡是否有明显的植被破坏或侵蚀现象？
5. 排水沟设施检查：
a. 排水沟是否有明显的设施损坏或缺失？
b. 排水沟设施是否有明显的老化或腐蚀现象？
c. 排水沟设施是否有明显的松动或倾斜现象？
d. 排水沟设施是否有明显的漏水或渗水现象？
三、备注：
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