Water Leak Inspection Checklist
Customer Name
First Name
Last Name
Plumber Name
First Name
Last Name
Job description
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of Work
Cause of Leak
Specify the Areas of Concern
Please provide a photo document that illustrates the work required, if applicable?
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Leak checklist
Yes
No
Notes
There is visual sign of the leak?
Is there visual damages from the leak?
Is the leak in the wall?(If “No” then it’s in the floor)
Upon inspection of the visible pipes, there is no damage, evidence of leaks, or stains on the surrounding materials.
The water damage is urgent and need immediate attention!
Did you use Thermal Camera?
Did you use Geological equipment?
Did you use Gas leak detection ?
Estimated Date To Start The Work Required
-
Month
-
Day
Year
Date
Date of ending the job
-
Month
-
Day
Year
Date
Signature from customer
Date of inspection
-
Month
-
Day
Year
Date
Signature of Plumber
Submit
Submit
Should be Empty: