A523 Chimney instalation

• Site

  Select

• Started on

  Date

• Inspected by

• Subcontractor

• Foreman

• Works Certified

• Completed on

  Date

PRE WORK CHECKS

• PLASTER FINISH ON TOP OF CHIMNEY DONE, SQUARE & LEVEL

  Yes

  No

  N/A

• SITE CLEAN

  Yes

  No

  N/A

CHIMNEY INSTALLATION

• INTERNAL FRAME FIXED PROPERLY

  Yes

  No

  N/A

• COVER PLATE INSTALLED FLUSH & SQUARE

  Yes

  No

  N/A

• RING FLANGE INSTALLED FLUSH & LEVEL

  Yes

  No

  N/A

• FLUE PIPES INSTALLED FLUSH & LEVEL - STICKERS REMOVED?

  Yes

  No

  N/A

• FINISH SATISFACTORYWIND MASTER LEVEL & SPINNING FREELY

  Yes

  No

  N/A

• CHIMNEY TOP AT CORRECT HEIGHT

  Yes

  No

  N/A

GENERAL

• HOUSEKEEPING – ONGOING, ALWAYS DO PRE WORK CHECK AND REPORT IF WORK AREA IS NOT CLEAN. AFTER WORK HAVE STARTED HOUSEKEEPING FOR WORK AREA IS YOUR RESPONSIBILETY!!!!!

  Yes

  No

  N/A

• REQUIRED PPE

  Yes

  No

  N/A

• SAFETY FILE UP TO DATE

  Date

APPROVALS

• SUBCONTRACTOR SIGNATURE

  Sign

• FOREMAN SIGNATURE

  Sign