Leak detection report

• Address

• Instruction Date

  Date

• Policyholder

• Prepared by

• Reference Number

Visit details

• Visit date and time

  Date

• Technician on site

• Rough age of house

• Is there a fault with the installation

  Yes

  No

  N/A

• Is the site safe to enter

  Yes

  No

  N/A

• Does the technician have their RAMS/CPP

  Yes

  No

  N/A

Site Notes

• Brief description of the damage

• Areas checked

• Equipment used

  Select Thermal image Pressure test Gas trace Dye Test Endoscope Asbestos survey Moisture meter

  • Thermal image
  • Pressure test
  • Gas trace
  • Dye Test
  • Endoscope
  • Asbestos survey
  • Moisture meter

• Findings - present in chronological order

Step by step

• Visual inspection

  Yes

  No

  N/A

• Asbestos noted?

  Yes

  No

  N/A

• Thermal imaging

  Yes

  No

  N/A

• Moisture meter testing

  Yes

  No

  N/A

• Endoscope survey

  Yes

  No

  N/A

• Heating system inspection

  Yes

  No

  N/A

• Pressure testing

  Yes

  No

  N/A

• Gas tracer pressure test

  Yes

  No

  N/A

• Gas tracer detection

  Yes

  No

  N/A

• Further Photos of visit

  Media

• Please describe the cause of the leak and if it has been accessed

• Further recommendations

• Job Status

  Select Found and repaired Found - Requires repair Found - further visit required Not found - further visit required Not found - further visit not required Found - Cause not covered

  • Found and repaired
  • Found - Requires repair
  • Found - further visit required
  • Not found - further visit required
  • Not found - further visit not required
  • Found - Cause not covered