Irrigation Water Usage Reporting Checklist
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This Template was installed 4 times.
Preparation & Planning
Initial steps and planning for accurate reporting.
Reporting Period Start Date
Reporting Period End Date
Total Area Irrigated (in Acres/Hectares)
Reporting Entity Type
Brief description of farming practices impacting water use (e.g., drip irrigation, flood irrigation)
Is this the first reporting period?
Estimated Annual Rainfall (inches/mm)
Water Source Identification & Measurement
Ensuring accurate measurement and identification of all water sources used for irrigation.
Primary Water Source Type
If 'Other' selected above, please specify water source:
Well Flow Rate (Gallons per Minute - if applicable)
Surface Water Intake Capacity (Gallons per Minute - if applicable)
Meter Size (Diameter in Inches) for Source Measurement
Attach Photo of Water Source Meter (if available)
Meter Reading Start Date (MM/DD/YYYY)
Meter Reading (Gallons or Cubic Meters) - Beginning of Reporting Period
Irrigation System Monitoring
Tracking water usage from each irrigation system in operation.
Irrigation System ID
Date of Irrigation
Start Time of Irrigation
End Time of Irrigation
Water Volume Used (gallons/liters)
Irrigation Area Covered (acres/hectares)
Irrigation Method Used
Notes/Observations during Irrigation (e.g., leaks, system performance)
Data Recording & Calculations
Documenting daily/weekly/monthly water usage and performing necessary calculations.
Reporting Period Start Date
Reporting Period End Date
Total Water Used (Gallons/Liters)
Water Used - Field 1 (Gallons/Liters)
Water Used - Field 1 (Gallons/Liters)
Water Used - Field 2 (Gallons/Liters)
Irrigation Method Used
Notes/Comments on Water Usage
Reporting Submission & Documentation
Preparing and submitting the required water usage report to the appropriate authority and maintaining supporting documentation.
Report Submission Date
Reporting Period (e.g., Monthly, Quarterly, Annually)
Total Water Usage (Volume)
Summary of Irrigation Practices During Reporting Period (Optional)
Supporting Documentation (e.g., Meter Readings, Spreadsheets)
Report Submission Method
Notes/Comments (If Applicable)
Confirmation of Accuracy
Record Keeping & Verification
Maintaining complete records and implementing verification processes to ensure data accuracy.
Date of Record Review
Total Water Volume Recorded (Units: e.g., acre-feet, gallons)
Percentage Discrepancy from Predicted Usage (if applicable)
Explanation for Discrepancies (if applicable)
Areas Verified (e.g., Meter Readings, Calculations, System Logs)
Verification Method Used
Notes on Verification Process
Verification Signature
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