Blackhawk AVO Inspection

• Facility

• API

• Facility Sign

  Media

• Conducted on

  Date

• Inspection Completed By

• Location
  Address

VISUAL

• Was visual inspection performed for defects, which may include cracks, holes, or gaps in piping or covers; loose connections; liquid leaks; broken or missing caps; broken, cracked or otherwise damaged seals or gaskets; broken or missing hatches; or broken or open access covers or other closure or bypass devices

  Yes

  No

  N/A

AUDIO

• Was an audio inspection of the site conducted for pressure leaks and liquid leaks

  Yes

  No

  N/A

OLFACTORY

• Was an olfactory inspection conducted for unusual or strong odors

  Yes

  No

  N/A

• Were any leaks discovered as a result of the AVO inspection of this location?

  Yes

  No

  N/A
LEAKS

• Leaking Componenet

  Select

• Leaking Equipment Type

  Select

• Describe Leak

• Leak Picture

  Media

• Does this location have natural gas powered pneumatic control devices?

  Yes

  No

  N/A

PNUEMATICS

• Pneumatic controllers were inspected and are in good working order

  Yes

  No

  N/A

• Pneumatic controllers were maintained in accordance with the manufacturer's recommendations

  Yes

  No

  N/A

• Pneumatic controllers were not venting in excess of what is required for normal operation

  Yes

  No

  N/A

• Signature

  Sign