Defect Reported By
Type of Defect/Failure
Site Location & Coordinates

Description of Fault

Photo of the Defect/Fault

What Action is Required to Rectify the Fault (please give as much detail as possible)

Risks associated with defect .

Further Comments (if needed)

Estimated costs

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.