Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Add location
  • Initial inspection

  • Follow up Inspection

Safety/housekeeping

  • Is everyone wearing all the required PPE

  • Is a hot work permit filled out

  • Is a dig permit filled out

  • Add media

Products

  • PVC

  • Copper or Ductile (waterline)

Before Work Starts

  • Reviewed IWP

  • Is IWP signed by all on site employees (crews)

  • Have you checked all on site materials against what was approved

  • Do you have install drawings?

Installation

  • Is piping installed per the coordination drawings?

  • Are site utilities connected to the DW system and have an 8" expansion

  • Do all joints on the piping have initials

  • 4" pipe and greater have a slope of 1/8" fall per foot

  • 3" pipe and smaller have a slope of 1/4" fall per foot

  • Is grease waste pipe have1" insulation

  • Is there a floor drain in the boiler room?

  • Provide 8" of squeegee below and above all piping in amenities

  • If in amenities provide an expansion connection in the thru slab installation

  • Tested for 2hrs @ 150 psi or 10' head

Storage/Protection

  • Is all un used piping capped

  • All stored materials organized kept neat

  • Add media

Required Testing

  • Received 95% compaction on soil testing

Misc

  • Add drawing

  • Add media

  • Add media

RK Signature

  • Add signature

Mortenson Signature

  • Add signature

Other witnesses

  • Add signature

  • Add signature

  • Have all "no" items been moved to the Quit log

  • Percentage complete

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.