Title Page
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Site
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Date and Time of Inspection
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Plumber in Charge (Full Name)
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Location
General Information
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Description of work
Threats and Sources
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Identify the threats and their sources
- Faulty connections, fittings and valves
- Failing or freezing pipes
- At-risk water supply or return lines
- Uncapped sprinkler lines
- Clogged drains
- Leaky roofs and small drips
- Primary plumbing walls
- Faulty construction
- Fluid hammer effect
- Storage tanks
- A/C units
- Others
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Please specify
Areas of Concern
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Observations
Solution
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Recommendations
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Estimated budget cost
Completion
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Plumber in Charge (Full Name and Signature)
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Officer in Charge (Full Name and Signature)