Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Service

Existing Equipment

Metering Station:

  • DRV Manufacturer:

  • Manufacturers Reference:

  • DRV Size

  • Flange to Flange length

  • No. of Bolts:

  • Bolt Size and Length

  • Line Size Before (Coil Side)

  • Line Size After (System Side)

Condition

  • Any signs of leaks?

  • Does the valve operate?

  • Does the coil drain fully?

  • Condition of Existing Bolts (Live Side)

  • Can the valve be retained?

Scope before and after.

  • Distance from downstream (coil side) bend to DRV & New Metering Station

  • Distance from downstream (system side) bend to DRV Outlet

  • Are there any other Valves/Vents/Drains/Tappings or equipment in the pipework between the Outlet of the DRV and nearest flange/union

  • Notes:

Control Valve Replacement

Existing Isolation Valve

  • Isolation Valve Manufacturer

  • Isolation Valve Type

  • Isolation Valve Size

  • Isolation Valve Reference

  • Number of Bolts

  • Size of Bolts and Length

  • Flange Table

  • Line Size Before (System Side)

  • Existing Control Valve Line Size:

  • Existing Control Valve Length

  • New Control Valve Line Size

  • New Control Valve Length

  • Line Size After (Coil Side)

  • Number of Bolts

  • Bolt Size and Length

  • Flange Table

  • Distance from outlet side of Isolation Valve to the Outlet side of the Control Valve

  • Are there any other Valves/Vents/Drains/Tappings or equipment in the pipework between the Outlet of the Isolation Valve and the Outlet of the Control Valve

  • Notes:

  • Do any ancillaries need to be replaced? I.E Doc's/Air Vents/Test Points

Existing Coil

  • Coil Connection Size

  • Coil Connection Type

Photos

  • Add media

  • Add media

  • Add media

  • Add media

  • Add media

General Notes

  • Access?

  • De-merchandise?

  • Any other considerations?

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.