Title Page
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Audit Title
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Job No.
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Asset Number
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Job Details
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Were plans provided?
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Type of plans provided
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Describe type of plans
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Describe type of plans
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Plans provided by:
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Details of other
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Do plans indicate services in the vicinity?
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DBYD Plans required?
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Is a sketch required?
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Type of search
- Locating
- G.P.R - Utilities
- G.P.R - Concrete
- Leak Detection
- Thermal Scan
- CCTV
Area/ Location Scanned
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Add an element for every area located
Area
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Area Name
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Type of service located
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Equipment used
- Electromagnetic locating
- G.P.R
- Sonde Duct Rod
- Acoustic
- Gas
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Site marking completed?
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SUI Quality Levels
- QA-A
- QA-B
- QA-C
- QA-D
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Attach photos
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Comments
Hand-Over Sign Off
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Name of Service Locator
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Signature of Locator
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Client Representative Name
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Client Representative Position
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Client Representative Signature
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Time and Date of Signing