Barnard Sav-A-Valves / Pin off tees - duplicate

• Job Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Saftey

• JHA filled out and signed by crew? On display for visitors?

  Yes

  No

  N/A

Working On Mueller Fitting

• OQ's verified?

  Yes

  No

  N/A

• Inspector present?

  Yes

  No

  N/A

• Line pressure verified?

  Yes

  No

  N/A

• Threads checked on Mueller fittings before begining work?

  Yes

  No

  N/A