Audit

Add location
Select date
Identify type of infringement?

Infringement notes:

Is the infringement over the pipeline?

If no, distance to nearest point on the pipeline?

Additional comments regarding proximity?

Pipeline information?

Site contact details?

Actions taken?

Advice given?

Photographs:
Site sketch (if applicable):
Name & Signature:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.