Concrete slab scan report

• Report number

• Builder / Client

• Site Address
  Address

• Site Contact

• Client Email Address

• Prepared By

  Select

• Date

  Date

• Pictures

  Yes

  No

  N/A

Penertration

• Location

• Level

  Select

• Plane of penertration

  Vertical

  Horizontal

• Material to be penertrated

  Select Concrete Brick Precast concrete Hebel Hollow block work Concrete filled block work Other

  • Concrete
  • Brick
  • Precast concrete
  • Hebel
  • Hollow block work
  • Concrete filled block work
  • Other

• Estimated thickness of material to be penertrated

• Core hole diameter

  Select

• Piping material

  Select

• Size of service

  Select

Scan info

• Steel reo found

  Yes

  No

• Electrical cables found

  Yes

  No

• Water or gas services found

  Yes

  No

• Photo of scanned area

  Media