Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

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  • Was the burst pipe immediately reported to the relevant personnel?

  • How would you rate the condition of the pipes in the affected area?

  • Can you provide a detailed description of the location where the burst pipe occurred?

  • How many gallons of water were estimated to have leaked from the burst pipe?

  • Have temporary repairs been completed to stop further water damage?

  • What date and time was the burst pipe discovered?

  • Please provide a photo of the burst pipe and the surrounding area.

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