Jet Blast Drain Cleaning - Water Leak Report

• Customer reference number

• Customer/company

• Date and Time of Inspection

  Date

• Inspectors name

• Location
  Address

• Street View (Google Maps)

  Media

• Targeted work area

• SWMS completed

  Yes

  No

  N/A

• Additional permits required

  Yes

  No

  N/A

General Information

• Description of work

Threats and Sources

• Identify the threats and their sources

  Select Faulty connections, fittings and valves Tiled surfaces and membrane At-risk water supply or return lines Broken drain pipe Clogged drains Leaky roofs and small drips Primary plumbing walls Faulty construction Fluid hammer effect Leaking shower breach Burst water supply pipe Leaking shower screen External cladding Water proofing membrane/tanking Pipe seal (rubber ring) other

  • Faulty connections, fittings and valves
  • Tiled surfaces and membrane
  • At-risk water supply or return lines
  • Broken drain pipe
  • Clogged drains
  • Leaky roofs and small drips
  • Primary plumbing walls
  • Faulty construction
  • Fluid hammer effect
  • Leaking shower breach
  • Burst water supply pipe
  • Leaking shower screen
  • External cladding
  • Water proofing membrane/tanking
  • Pipe seal (rubber ring)
  • other

Areas of Concern

• Observations

• Damage caused by leak

  Select Black mould Damage to carpet Plaster damage Damage to ceiling below Multiple properties affected Damage to tiles and grout Flooding Damage to skirting and architraves Swelling cabinetry Damaged floor boards Electrical damage Rising damp Damaged to brick work including cement bed joins

  • Black mould
  • Damage to carpet
  • Plaster damage
  • Damage to ceiling below
  • Multiple properties affected
  • Damage to tiles and grout
  • Flooding
  • Damage to skirting and architraves
  • Swelling cabinetry
  • Damaged floor boards
  • Electrical damage
  • Rising damp
  • Damaged to brick work including cement bed joins

Testing

• Pressure test

  Pass

  Fail

  N/A

• Flood testing

  Pass

  Fail

  N/A

• Spray testing

  Pass

  Fail

  N/A

• Gas testing

  Pass

  Fail

  N/A

• Drain test

  Pass

  Fail

  N/A

• Thermal Imaging inspection

  Required

  Not required

• Number of areas inspected

• Area 1

• Photo

  Media

• Area 2

• Photo

  Media

• Area 3

• Photo

  Media

• Area 4

• Photo

  Media

• Area 5

• Photo

  Media

• Area 6

• Photo

  Media

• Area 7

• Photo

  Media

• Area 8

• Photo

  Media

• Area 9

• Photo

  Media

• Area 10

• Photo

  Media

• Area 11

• Photo

  Media

• Area 12

• Photo

  Media

• Area 13

• Photo

  Media

Method of leak detection used

• Equipment used

  Select Acoustic leak detection equipment Hydrogen tracer gas system Thermal imaging camera Drain Camera Drain dye Smoke testing Spray testing Pressure Gauge Compressed Air Other

  • Acoustic leak detection equipment
  • Hydrogen tracer gas system
  • Thermal imaging camera
  • Drain Camera
  • Drain dye
  • Smoke testing
  • Spray testing
  • Pressure Gauge
  • Compressed Air
  • Other

• If other, what method of leak detection was used?

Solution

• Recommendations

• Estimated budget cost

Completion

• Plumber conducting leak inspection report (Full Name and Signature)

  Sign