Site Identification

  • Site ID:

  • Date and Time of Installation

  • Prepared by (Full Name)

  • Location

General Info and Site Preparation

General

  • Site ID:

  • Amazon POC:

  • POC Phone:

  • POC Email:

  • AHP Site Supervisor(s):

  • AHP Site Technician(s):

Work Area Preparation

  • Working Area Identified with Caution Tape/Barrier (20' Radius):

  • Staging area for materials identified?

  • Are all materials accounted for on-site?

  • What additional material is needed?

  • Lift Inspection Complete:

  • LOTO procedure completed:

  • All personnel outfitted with proper PPE?

  • AHP Site Supervisor:

General

  • Has the compressor been energized by an approved compressor representative?

  • Compressor Representative Signature

  • LOTO signage confirmed?

  • RME representative aware of functionality?

  • RME Representative Signature

  • LOTO signage affixed to all equipment disconnect points (Electrical and Pneumatic)?

Production Point

  • All wires and cables are secured with Velcro straps to avoid damage?

  • All cables secured properly?

  • All cables are covered and routed properly?

  • Has the compressor been permitted for use by local authority having jurisdiction?

  • Does each compressor have independent electrical disconnect?

  • Are Arc Flash Labels installed on all compressor panels and disconnects?

  • Are electrical panels free and clear of obstruction?

  • Are bollards installed correctly (24" from compressor system and no less than 24" between each bollard)?

  • Debris Filter Line and Condensate Return Line separated?

  • Weatherproof Knock-Out(s) Installed?

  • Condensate Container placed and labeled?

  • Condensate Container placed in Spill Tray?

  • E-Stop buttons validated? (Red Button / Yellow Background, Not Recessed)

  • Compressor secured/anchored in place to avoid shift or tipping?

  • Air Shut-Off Valves integrated with locking handle?

  • Proper LOTO documentation displayed on all Air shut-Off Valves?

Distribution Network

  • Air Piping secured and routed properly (Free of bends and restrictions)?

  • Header piping diameter confirmed and within spec (Min: 3/4" or 20mm)?

  • Drop/Supply piping diameter confirmed and within spec (Min: 1/2" or 13mm)?

  • Vertical piping secured to column or strut?

  • Air Piping installed at ceiling level free and clear of obstructions (Fans, Cabinets, Lighting etc.)?

  • All Air Piping clearly labeled as "Compressed Air" with directional flow arrows?

Point of Use

  • Flex hose from Supply to regulator secured and routed properly?

  • Regulator is maintaining 60psi reading while system is running.

  • After releasing air from regulator to 50psi, validate low compression fault.

  • induct lines, at regulator, has isolation valve, valve is accessible and lockable

Functional Test

System PSI (Commission)

  • ADTA(s) Isolated?

  • Header Isolated?

  • Compressor Isolated?

  • Baseline PSI Reading:

  • 5 Minute Reading:

  • 10 Minute Reading:

  • 20 Minute Reading:

  • Are compressor clocks synced?

  • Amazon Site Representative/ RME:

  • AHP Site Supervisor:

  • Decibel Test: Must not exceed an equivalent-continuous sound pressure level<br>(Leq) of 77 dBA at a distance of 1 meter (39.37 in) and impulse sound pressure<br>levels shall not exceed a peak sound pressure level of 130dBC an LpC peak of<br>130 dBA at any time during operation

  • Verify with the leader or PM for the supplier that the compressors controllers<br>have been set to cycle between compressors every other day at noon (12:00<br>PM).<br>Visually verify the compressor controller operations at the display screen.<br>Verify from the menu screen that the compressors are set to Local Mode, and<br>operating in pA/pB cycle with the following parameters:<br>- pA: 125psi<br>- pB: 120psi<br>- Start time: 12:00PM<br>- Duration: 24 hours

Final House Keeping

Completion

  • Work area free of waste and cleaned?

  • Lifts returned to staging area (If applicable):

  • If no, explain:

  • Amazon Site Represenative / RME:

  • AHP Site Supervisor:

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.