A pipeline fault detection system, method and sensor head suitable for use in the system are disclosed. The system comprises a vibro-acoustic sensor connectable to a fluid path of a pipeline and a remote monitoring system, the sensor being operable to measure one or more predetermined vibro-acoustic properties of the fluid and/or fluid path and communicate data on said measurements to the remote monitoring system, the remote monitoring system being arranged to monitor said data over time and being further arranged to screen the monitored data for characteristics representing a fault type to identify occurrence of a fault type in the pipeline.