Valve Information
Size
Select
2"
4"
6"
8"
10"
Other
If "Other" please explain
Type
Select
Relieve Valve
Ball Valve
Mainline Valve
Other
Relieve Valve/Ball Valve
Grove Valve
Relieve Valve Ball Valve Mainline Valve Other Relieve Valve/Ball Valve Grove Valve
If "Other" please explain
Valve Number
Operating Condition
Select
1. Valve Operates Freely
2. Valve Inoperative - Repair / Replace
3. Closed Valve - Did Not Operate
1. Valve Operates Freely 2. Valve Inoperative - Repair / Replace 3. Closed Valve - Did Not Operate
Valve Operator Condition
Select
1. Operator Works
2. Operator Needs Repair
1. Operator Works 2. Operator Needs Repair
External Leaks
Select
1. No Leaks
2. Stern Seal Leak
3. Bonnet Leak
4. Flange Leak
5. Other
1. No Leaks 2. Stern Seal Leak 3. Bonnet Leak 4. Flange Leak 5. Other
If "Other" please explain
Coating
Select
1. Coating/Paint is Good
2. Needs Paint
3. Air-To-Ground Needs Repair
1. Coating/Paint is Good 2. Needs Paint 3. Air-To-Ground Needs Repair
Security
Select
1. Valve Site Secured
2. Lock (s) Needs Secured
3. Fence /Gate Needs Repair
4. Barrier Needs Repair
1. Valve Site Secured 2. Lock (s) Needs Secured 3. Fence /Gate Needs Repair 4. Barrier Needs Repair
Signs/Location Condition
Select
1. Signs/Location Good
2. Sign Needs Replaced/Installed
3. Location Needs Work
1. Signs/Location Good 2. Sign Needs Replaced/Installed 3. Location Needs Work
Inspection Date
Date
Pictures
Media
Remarks/Comments
Employee Conducting the Inspection
Sign
Supervisors Signature
Sign
Date
Date
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Casey Campbell
Chaparral Energy Valve Inspection Report
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