Template

Utility Work Record (Water Mains)

by Matthew Flight, from the Community

This utility work record template helps water utility teams capture complete site information for main and service works. Log client, job number, location, activity type, pipe and outlet diameters, valve operations, and pressure test details including pressure, duration, and results. Record arrival and completion times, add notes, attach site photos, and sign off for clear documentation and traceability.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
USE Work Record
This USE Work Record template helps water utility crews document field work on mains and services. Record parent main and outlet diameters, valve operation cycles and turns, and note whether pressure testing was required, including test pressure, duration, and results. Log arrival and completion times, add notes, capture site photographs, and collect digital signatures. Ideal for standardizing site records, ensuring traceability, and improving compliance across water network maintenance and repair jobs.
by Joseph Hammock, from the Community
Downloads: 0
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Template
Utility Work Record for Water Mains
Use this utility work record to document planned activities on water mains and service connections. The template covers title page details, client and job info, pre-start safety checks, RAMS and CoSHH confirmation, permits from the asset owner, PPE and competency, excavation and confined space requirements, traffic management per Chapter 8, rescue arrangements, and site security. Capture pressure test parameters and results, and complete handover with signatures to ensure traceable, compliant field work.
by Joel Kingsbury, from the Community
Downloads: 10+
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Template
Utility Audit and Meter Inspection Checklist
This utility audit checklist helps teams record and verify utility meters across a site. Capture a location map and photos, log each meter with the utility served, take clear photos of current readings, and note accessibility details including keys, cages, and locks. Add comments and additional information as needed, repeat for multiple meters, and include a final site photo indicating meter locations. Designed for consistent data capture and easier utility reporting across facilities.
by Dean Haley, from the Community
Downloads: 20+
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Template
Utility Damage Report Form
Use this Utility Damage Report Form to record utility strikes in the field and standardize incident investigations. Log dates and times, location and site address, team members, and the utility owner. Capture what happened when the asset was struck, injuries and environmental impact, and the type of utility affected such as LV, HV, service, or main. Verify plans, CAT and Genny use, safe digging practices, air lancing, and trial holes. List equipment, document immediate causes, conclusions, and attach risk assessments, photos, and additional notes. Export reports to PDF for compliance and lessons learned.
by Alan Milford, from the Community
Downloads: 0
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USE Work Record

This USE Work Record template helps water utility crews document field work on mains and services. Record parent main and outlet diameters, valve operation cycles and turns, and note whether pressure testing was required, including test pressure, duration, and results. Log arrival and completion times, add notes, capture site photographs, and collect digital signatures. Ideal for standardizing site records, ensuring traceability, and improving compliance across water network maintenance and repair jobs.

by Joseph Hammock, from the Community

Get

Template

Utility Work Record for Water Mains

Use this utility work record to document planned activities on water mains and service connections. The template covers title page details, client and job info, pre-start safety checks, RAMS and CoSHH confirmation, permits from the asset owner, PPE and competency, excavation and confined space requirements, traffic management per Chapter 8, rescue arrangements, and site security. Capture pressure test parameters and results, and complete handover with signatures to ensure traceable, compliant field work.

by Joel Kingsbury, from the Community

10+

Get

Template

Utility Audit and Meter Inspection Checklist

This utility audit checklist helps teams record and verify utility meters across a site. Capture a location map and photos, log each meter with the utility served, take clear photos of current readings, and note accessibility details including keys, cages, and locks. Add comments and additional information as needed, repeat for multiple meters, and include a final site photo indicating meter locations. Designed for consistent data capture and easier utility reporting across facilities.

by Dean Haley, from the Community

20+

Get

Template

Utility Damage Report Form

Use this Utility Damage Report Form to record utility strikes in the field and standardize incident investigations. Log dates and times, location and site address, team members, and the utility owner. Capture what happened when the asset was struck, injuries and environmental impact, and the type of utility affected such as LV, HV, service, or main. Verify plans, CAT and Genny use, safe digging practices, air lancing, and trial holes. List equipment, document immediate causes, conclusions, and attach risk assessments, photos, and additional notes. Export reports to PDF for compliance and lessons learned.

by Alan Milford, from the Community

Get

Utility Work Record (Water Mains)

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You might also like

USE Work Record

Utility Work Record for Water Mains

Utility Audit and Meter Inspection Checklist

Utility Damage Report Form

You might also like

USE Work Record

Utility Work Record for Water Mains

Utility Audit and Meter Inspection Checklist

Utility Damage Report Form