Contractor

  • Installed By(Company Name)

  • Installed By (employee Name)

Location

  • Address

  • Latitude/Longitude

Date - Time

  • Select date

Specific task being Inspected

  • Butt Fusion

  • Add media

  • Saddle Tap Tee

  • Add media

Pipeline type

  • Add media

  • Pipeline Size

  • Pipeline Type

  • Visual scrape marks present

  • Add media

  • Fuser Initial or Other Markings

  • Add media

  • Bead Size

  • Correct beads on saddle tap base

  • Proper Pipe alignment

  • Add media

  • Add media

Visual Inspection

  • Pass Visual inspection per ASTM 2620-13

Pipeline Safety

  • Was exposed pipeline report completed

  • Caution tape present

  • Add media

  • Tracer wire present

  • Add media

Damage found as a result of initial installation

  • Add media

Additional Comments

  • Third Party Inspector:

  • Certified inspector

  • Certified inspector

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