Agriculture Form

Free Fillable Irrigation Audit

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AG-0640 fieldscompliance

Project Information

Project Name*

Grower / Client Name*

Auditor Name*

Audit Date*

Field ID / Name*

System ID / Irrigation Set*

Irrigated Acres

Crop Being Irrigated

System Type & Pressure

Irrigation System Type*

Water Source

Pump Capacity (gpm)

Design Operating Pressure (psi)

Measured Operating Pressure (psi)

Operating Pressure Status

Filter Type / Mesh Size

Backflow Preventer InstalledBackflow Preventer Installed

Chemigation / Fertigation CapableChemigation / Fertigation Capable

Uniformity Coefficient

Uniformity Test Method

Number of Catch Cans Used

Test Duration (minutes)

Uniformity Coefficient (CU or EU, %)

Uniformity Rating

Low Quarter Application Rate (in/hr)

Flow Rate Measurements

Calibrated Flow Meter InstalledCalibrated Flow Meter Installed

Measured Flow Rate (gpm)

Design Flow Rate (gpm)

Application Rate (in/hr)

Typical Run Time (hours per event)

Estimated Seasonal Water Use (acre-in)

Water Right / Allocation (acre-ft)

Maintenance Observations

Clogged Nozzles / Emitters ObservedClogged Nozzles / Emitters Observed

Broken / Damaged Components ObservedBroken / Damaged Components Observed

Leaks ObservedLeaks Observed

Nozzle Wear ObservedNozzle Wear Observed

Last Maintenance / Inspection Date

Maintenance Observations & Deficiencies

Recommended Repairs / Improvements

Regulatory / Water Management Compliance Notes

Photos

Location

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