Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Mechanical Contractor

  • Is piping installed and layout checked?

  • Are hangers/piping supports properly installed and spaced?

  • Are valves properly located and installed?

  • Is heating water piping completed and tested to all equipment?

  • Is the make up water piping system complete and operational?

  • Is pressure relief valve installed and piped to a safe location?

  • Has piping been completed, tested, and inspected by City/Owner?

  • Is vibration isolation installed installed on piping and equipment?

  • Are all temperature control wells and valves installed?

  • Has all equipment utilizing heating water been checked?

  • Sufficient load for Boilers as required for complete start-up?

  • Are low point equipment drains installed?

  • Is chemical treatment installed and ready?

  • Is access for service provided?

  • Is unit installed per manufacturer instructions?

  • Is gas piping completed, tested, and inspected by city and owner?

  • Is gas pressure verified to be at listed inlet pressure on boiler?

  • Is gas pressure regulator vent piped to outside?

  • Has the manufacturer start up request sheet been completed?

  • Add signature

Electrical Contractor

  • Are power requirements for controls completed and turned on?

  • Is power available to disconnect/starter on boiler?

  • Is access to electrical clear and per NEC?

  • Is permanent lighting in place and powered on?

  • Add signature

Control Contractor

  • Is access to controls provided?

  • Has control contractor completed point to point check?

  • Are control panel terminations complete and is panel clean?

  • Add signature

Insulation Contractor

  • Is piping insulation complete per spec?

  • Add signature

Chemical Treatment Contractor

  • Are chemical feeder and glycol pump ready for use?

  • Are system chemicals onsite with MSDS sheets?

  • Add signature

QMS

  • Submitted Model #

  • Submitted Voltage

  • Has system check been completed?

  • Add signature

Commissioning Authority

  • Is system ready for start-up?

  • All must sign off before start-up.

  • Add signature

General Conditions, Photos and Misc Notes

  • Add media

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