Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job Number

  • Job Name

  • Report prepared by:

  • Select date

  • Floor:

  • Area:

  • Room/Corridor

  • Material inspected for damage upon delivery?

  • Pipe and fittings are stored in a dry location protected from sunlight?

  • Was the pipe machine, pipe and fittings brought to the same temperature prior to fusing?

  • All pipe is cut square?

  • Outside cut ends are chamfered?

  • Inside cut ends have been reamed?

  • Pipe ends have been sanded with 60 grit abrasive cloth?

  • Sanded pipe ends have been cleaned with Isopropyl Alcohol Prior to fusing?

  • Inside sockets of fittings have been cleaned with Isopropyl Alcohol prior to fusing?

  • Pipe marked for insertion depth?

  • Fusion collar placed in an easily accessible location?

  • Was pipe inserted into the fitting and insertion depth verified?

  • Was the fusion collar fully seated on the hub of the fitting socket?

  • Was the fitting clamp tight prior to fusing?

  • Was a continuity check performed on the collar prior to fusing?

  • Ensure the fusion cables are connected to the collar

  • Check to ensure the maximum number of joints to be fused is not exceeded per size

  • After fusing tighten 1-2 clicks

  • Allow the joint to cool before handling and testing

  • Notes, Impacts, or Comments

  • Signature of report preparer

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