Domestic Water Rough in

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Job Number

• Job Name

• Report Prepared By

• Select date

  Date

• Floor

• Area

• Room/Corridor

Domestic Water Piping

• Layout and sizing verified with contract and shop drawings?

  Yes

  No

  N/A

• Pipes Straight and Square?

  Yes

  No

  N/A

• Brazing or soldering is visually inspected?

  Yes

  No

  N/A

• All valves and components lead free as required?

  Yes

  No

  N/A

• Picture of lead free valve

  Media

• All valves and components accessible?

  Yes

  No

  N/A

• Picture of access to valves and components

  Media

• Balancing Valves are installed on hot water return?

  Yes

  No

  N/A

• Picture of balancing valves

  Media

• Check Valves in correct direction/position?

  Yes

  No

  N/A

• Picture of check valves

  Media

• All future valves installed and capped?

  Yes

  No

  N/A

• Picture of capped future valve

  Media

• Back flow preventers installed at 5' AFF or less

  Yes

  No

  N/A

• Back flow drain installed/ran to floor sink?

  Yes

  No

  N/A

• Piping has been hydro tested per spec?

  Yes

  No

  N/A

• Inspection drawings are up to date and signed?

  Yes

  No

  N/A

• Picture of inspection drawing

  Media

• Water hammer arrestors/trap primers installed?

  Yes

  No

  N/A

• Access Panels are laid out?

  Yes

  No

  N/A

• Dissimilar metals have been isolated?

  Yes

  No

  N/A

• Picture of dissimilar metal isolation?

  Media

Water Hangers

• Hangers installed at locations/spacing per spec?

  Yes

  No

  N/A

• Hanger size and model per submittal?

  Yes

  No

  N/A

• Vertical hanger rods are plumb?

  Yes

  No

  N/A

• Inserts and Shields are installed on Hot Water if required?

  Yes

  No

  N/A

• Picture of Inserts and Shields

  Media

• All hanger rod nuts and cross bolts are tight?

  Yes

  No

  N/A

• Seismic/Sway bracing installed as required?

  Yes

  No

  N/A

• Picture of Seismic/Sway Bracing

  Media

In-Wall Strapping

• Piping secured per spec and is not loose

  Yes

  No

  N/A

• Dissimilar metals have been isolated?

  Yes

  No

  N/A

• All stub outs are secure?

  Yes

  No

  N/A

• Picture of stub outs

  Media

• All stub out heights have been verified?

  Yes

  No

  N/A

• Riser clamps are installed as required?

  Yes

  No

  N/A

• Picture of riser clamp installation

  Media

• All fixture backing installed as required?

  Yes

  No

  N/A

Insulation

• Insulation installation complete per spec?

  Yes

  No

  N/A

• Shields and inserts installed if required?

  Yes

  No

  N/A

• Pictures of shields and inserts

  Media

• Fire/sound caulking is installed correctly?

  Yes

  No

  N/A

• Picture of fire/sound caulking

  Media

• Labels and directional arrows are correct?

  Yes

  No

  N/A

• Picture of labels and directional arrows

  Media

• Notes, Impacts, or Comments:

• Signature of report preparer

  Sign