Title Page
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Ref:
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Address on Permit:
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Conducted on
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Checks Done By:
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Details of Assets Checked:
Asset
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Address of Asset:
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Asset Type:
- Fire Hydrant
- Valve
- Wash Out
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Cans The Asset Be Found? (Attach Photo if Yes)
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Comment if No or N/A
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Is the Asset Operable/Working
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Does the Asset Require Any Work or Repairs?
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If Yes Select The Relevant Options:
- Chamber Needs Replacing
- Fitting Needs Replacing
- Chambers Needs Resetting
- Spindle Needs Replacing
- Fitting has A Leaking Re-Pack
- Fitting Has Been Concreted In or Tarmac Over
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If Additional Fittings Are Found, Use This to Sketch:
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Signature Required