Title Page

  • Facility

  • API

  • Facility Sign

  • Conducted on

  • Inspection Completed By

  • Location

AVO Inspection

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

AUDIO

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

OLFACTORY

  • Was an olfactory inspection conducted for unusual or strong odors

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

  • LEAKS
  • Leaking Componenet

  • Leaking Equipment Type

  • Describe Leak

  • Leak Picture

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

PNUEMATICS

  • Pneumatic controllers were inspected and are in good working order

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

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

Verification

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.