Title Page

  • GIS ID

  • Work Order Number

  • Valve number

  • Date and time

  • Address
  • Person conducting audit

  • Is access to asset possible?

  • Photos of approximate location

  • Measuring points

    no label
  • Measurements at midpoint (mm)

  • Starting point: Photo of 3 o'clock position (Centre)

  • 3 o'clock

  • 6 o'clock

  • 9 o'clock

  • 12 o'clock

  • Deepest rust pothole (if applicable)

  • Measurements at branch/pipe join (mm)

  • Starting point: Photo of 3 o'clock point (branch/pipe joint)

  • 3 o'clock

  • 6 o'clock

  • 9 o'clock

  • 12 o'clock

  • Deepest rust pothole (if applicable)

  • Orientation

  • Photos (North Face)

  • Photos (West Face)

  • Photos (South Face)

  • Photos (East Face)

  • Final comments

  • Additional photos

  • Photo
  • Add media

  • All information in the form has been completed and is accurate to the best of my knowledge

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.