• Job Number

  • Job Name

  • Report Prepared By

  • Select date

  • Floor

  • Area

  • Room/Corridor

Domestic Water Piping

  • Layout and sizing verified with contract and shop drawings?

  • Pipes Straight and Square?

  • Brazing or soldering is visually inspected?

  • All valves and components lead free as required?

  • Picture of lead free valve

  • All valves and components accessible?

  • Picture of access to valves and components

  • Balancing Valves are installed on hot water return?

  • Picture of balancing valves

  • Check Valves in correct direction/position?

  • Picture of check valves

  • All future valves installed and capped?

  • Picture of capped future valve

  • Back flow preventers installed at 5' AFF or less

  • Back flow drain installed/ran to floor sink?

  • Piping has been hydro tested per spec?

  • Inspection drawings are up to date and signed?

  • Picture of inspection drawing

  • Water hammer arrestors/trap primers installed?

  • Access Panels are laid out?

  • Dissimilar metals have been isolated?

  • Picture of dissimilar metal isolation?

Water Hangers

  • Hangers installed at locations/spacing per spec?

  • Hanger size and model per submittal?

  • Vertical hanger rods are plumb?

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

  • Picture of Inserts and Shields

  • All hanger rod nuts and cross bolts are tight?

  • Seismic/Sway bracing installed as required?

  • Picture of Seismic/Sway Bracing

In-Wall Strapping

  • Piping secured per spec and is not loose

  • Dissimilar metals have been isolated?

  • All stub outs are secure?

  • Picture of stub outs

  • All stub out heights have been verified?

  • Riser clamps are installed as required?

  • Picture of riser clamp installation

  • All fixture backing installed as required?

Insulation

  • Insulation installation complete per spec?

  • Shields and inserts installed if required?

  • Pictures of shields and inserts

  • Fire/sound caulking is installed correctly?

  • Picture of fire/sound caulking

  • Labels and directional arrows are correct?

  • Picture of labels and directional arrows

  • Notes, Impacts, or Comments:

  • Signature of report preparer

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.