Information
-
Audit Title
-
Document No.
-
Client / Site / Job #
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Select date
-
Add location
-
Locate ticket number
-
Was the Utility located ?
-
Was utility located correctly ?
-
What utility was damaged ?
- Electric
- Gas
- Water
- Telephone
- Cable TV
- Sewer
-
Name of Utility Company Representative.
-
Dig ticket number
-
Describe events leading up to damage
-
What factors contributed to the damage?
-
Picture of Damage (Take at least 10 pictures)
-
Add signature
