Title Page

  • Burst Type

  • Potable or raw water?

  • Conducted on

  • Prepared by

  • Location
  • Description of burst site

  • Who is carrying out the repair?

  • Has this burst been logged?

  • Please log the burst in the spreadsheet at the earliest convenience. Please check the checkbox when complete, then send the document to the Environmental Team to log in the relevant folder.

  • Please send this report to the Environment Team Inbox for this document to be saved in the relevant folder.

Burst Information

Location

  • Distance to nearest surface water feature (could include ditch). Any surface water drainage eg. road gulley should also be identified and distance from burst reported.

  • Is the burst located within any Designated land?

  • What designation is the burst within?

  • Have the relevant statutory bodies been informed?

  • Is supervision required?

  • What type of habitat is the burst located in?

  • Has the burst impacted the visual habitat?

  • Please explain and attach photos

  • Will the repair works require the removal or destruction of any habitat (trees, hedges, scrub, impact to river banks etc.)

  • Please explain.

  • Has a habitat and wildlife survey been conducted?

  • Please explain why. If one was conducted at a later time please include in explanation.

  • How has the habitat been affected by the leak? How will the habitat be affected by the repair works?

  • Has any wildlife been identified? What is there a potential for? How will the wildlife be affected by the repair works?

  • Is there any sediment in the watercourse?

  • How much is there? What sediment is in the watercourse? Please attach photos of the sediment.

Environment Agency

  • Have the EA been informed of the leak?

  • Why not?

  • Have chlorine tests been conducted by a technician?

  • Why not?

  • What were the results? (can fill in once results have been obtained)

  • Have other samples been taken?

  • If yes, what?

  • Have the EA been sent the following: Observations, Photos, Sample Results?

Repair Works

  • Who is conducting the repair?

  • Who is the site supervisor?

  • Are appropriate environmental mitigations in place?

  • Please explain:

  • Please list environmental mitigations in place. Please attach photos:

  • Please note down (with images) the description and process of the repair works occurring:

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