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Leak Inspection Checklist

Leak Inspection Checklist

This leak inspection checklist is used to evaluate pipeline systems for possible leakage and help determine possible causes.

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or download pdf
Leak Inspection Checklist

This leak inspection checklist is used to evaluate pipeline systems for possible leakage and help determine possible causes.

Use this template
or download pdf

About the Leak Inspection Checklist

Assess your property for signs of leaks, such as standing water, cracks in the walls and floors, and stains and slopes. Record where the leak first occurred and whether it’s the result of corrosion, clogged lines, broken seals, damaged pipe joins, or other causes.

Related categories

  • Health and safety management templates
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  • General templates
  • Incident management templates
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Preview of the template
Inspection
General Information
Description of work
Property Assessment
No evidence of standing water
No leaks from septic tanks or leech fields
No stains on floors, walls or ceilings
No significant cracks in walls or ceilings
Visible pipes: no damage, no evidence of leaks, no signs of stains on materials near pipes; drain pipes slope slightly down towards outlet to septic/sewage system
Water pump: does not short cycle
Galvanized pipes do not restrict water flow
Origin and Causes of Leak
Location
Take a photo (if applicable)
Cause of Leak
Please specify
Recommendation
Repair works
Estimated time to finish the job
Sign-off
Officer in Charge
Plumber in Charge
This template was downloaded 16 times

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Leak Inspection Checklist
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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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