Non-Scheduled Diversion Meter Reading

Meter Reading Report

• Conducted on

  Date
• Location
  Address

• Prepared by

• Client / Site

• •Before you start work •After an extended break or •When circumstances change

• Are you doing high risk construction work?

  Yes

  No

  N/A

• Identify threats

  Select No threats - Good to Go 1 or 2 Threats - Proceed with Caution More than 3 Threats - Stop

  • No threats - Good to Go
  • 1 or 2 Threats - Proceed with Caution
  • More than 3 Threats - Stop

• 

• Meter Serial No 1

• Serial No Photo No 1

  Media

• Meter Reading (ML) No 1

• Meter Reading Photo No 1

  Media

• Is there a datalogger installed at this meter?

  Yes

  No

  N/A

• Is the datalogger working?

  Yes

  No

  N/A

• Datalogger reading/ other comments

• Has datalogger been updated to match meter reading?

  Yes

  No

  N/A

• Meter Serial No 2

• Serial No Photo No 2

  Media

• Meter Reading (ML) No 2

• Meter Reading Photo No 2

  Media

• Is there a dataloger installed at this meter?

  Yes

  No

  N/A

• Is the datalogger working?

  Yes

  No

  N/A

• Datalogger reading/ other comments

• Has datalogger been updated to match meter reading?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Meter Serial No 3

• Serial No Photo No 3

  Media

• Meter Reading (ML) No 3

• Meter Reading Photo No 3

  Media

• Is there a datalogger installed at this meter?

  Yes

  No

  N/A

• Is the datalogger working?

  Yes

  No

  N/A

• Datalogger reading/ other comments

• Has datalogger been updated to match meter reading?

• Meter Serial No 4

• Serial No Photo No 4

  Media

• Meter Reading (ML) No 4

• Meter Reading Photo No 4

  Media

• Is there a datalogger installed at this meter?

  Yes

  No

  N/A

• Is datalogger working?

  Yes

  No

  N/A

• Datalogger reading/ other comments

• Has datalogger been updated to match meter reading?

  Yes

  No

  N/A

Additional Photo details

• Would you like to add any more photos?

Photo

• Other Photos

  Media

Additional Comments

• Additional comments: