Title Page
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Audit Title
Job/Fuser Information
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Ticket Number
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Company on Site
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Fuser ID #
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Fuser Name
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Peer Emp #
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Peer Fuser
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Pipe Size
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Address
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County
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Inspection Date and Time
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Con Ed Supervisor/Inspector's Emp #
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M&S Plate
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Number of Fuses Inspected
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Pressure
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Year Installed
Pipe Inspection
- Add a Fuse
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Joining Type
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Type of Inspection
Process Inspection
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Is Iron free of scratches?
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Fuse Failed!
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Is the Fuser OQ'd in Butt Fusion?
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Fuse Failed!
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We're the correct temperatures used?
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Fuse Failed!
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Was the iron Temperature checked?
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Fuse Failed!
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We're the proper pressures used?
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Fuse Failed!
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Was the fuse peer inspected and signed by peer inspector?
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Instruct them that this is required for every fuse or mechanical joining.
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Was the fuse signed by the Fuser?
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Instruct them that this is required for every fuse or mechanical joining.
Visual Inspection
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Uniform Roll Back completely around pipe?
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Fuse Failed!
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Is the Fuser OQ'd in Butt Fusion?
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Fuse Failed!
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High/Low Okay?
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Fuse Failed!
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Properly aligned pipe? (No miter Joints)
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Fuse Failed!
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Is bead size sufficient for size of the pipe?
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Fuse Failed!
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Fusion clear of any contamination?
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Fuse Failed!
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Was the fuse signed by the Fuser?
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Instruct them that this is required for every fuse or mechanical joining.
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Was the fuse signed by the peer inspector?
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Instruct them that this is required for every fuse or mechanical joining.
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Any other visual indications of a poor fuse observed? If yes, please make documentation below
Process Inspection
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Is Iron free of scratches?
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Fuse Failed!
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Is the Fuser OQ'd in Butt Fusion?
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Fuse Failed!
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We're the correct temperatures used?
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Fuse Failed!
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Was the iron Temperature checked?
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Fuse Failed!
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We're the proper pressures used?
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Fuse Failed!
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Uniform Roll Back completely around pipe?
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Fuse Failed!
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High/Low Okay?
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Fuse Failed!
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Properly aligned pipe? (No miter Joints)
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Fuse Failed!
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Is bead size sufficient for size of the pipe?
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Fuse Failed!
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Fusion clear of any contamination?
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Fuse Failed!
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Was the fuse peer inspected and signed by peer inspector?
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Instruct them that this is required for every fuse or mechanical joining.
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Type of Electrofuse?
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Type of Inspection
Process Inspection
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Was the pipe properly faced?
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Fuse failed! Needs to be fuse out and redone.
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Was the pipe properly cleaned? Removed all debris and wiped with an alcohol pipe that meets standards.
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Fuse failed! Needs to be fuse out and redone.
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Was the pipe properly measures and marked?
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Fuse failed! Needs to be fuse out and redone.
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Did the Fuser check to ensure pipe meets dimensional requirements? Does not exceed 5% ovality.
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Fuse failed! Needs to be fuse out and redone.
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Was pipe properly marked?
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Fuse failed! Needs to be fuse out and redone.
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Was pipe properly scraped?
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Fuse failed! Needs to be fuse out and redone.
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Is fusing equipment current on inspections and calibrations?
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Fuse failed! Needs to be fuse out and redone.
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We're clamps used sufficiently to ensure proper alignment?
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Fuse failed! Needs to be fuse out and redone.
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Was fuse allowed specified amount of time to cool?
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Fuse failed! Needs to be fuse out and redone.
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Was fuse marked with time to remove clamps?
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Fuse failed! Needs to be fuse out and redone.
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Was fuse Peer checked?
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Fuse failed! Needs to be fuse out and redone.
Visual Inspection
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Proper alignment?
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Fuse failed! Needs to be fuse out and redone.
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Was the pipe properly scraped?
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Fuse failed! Needs to be fuse out and redone.
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Pipe inserted properly?
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Fuse failed! Needs to be fuse out and redone.
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Did the Fuser sign the pipe properly?
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Fuse failed! Needs to be fuse out and redone.
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Was the fuse peer checked and signed?
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Fuse failed! Needs to be fuse out and redone.
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Was the fuse signed by the Fuser?
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Instruct them that this is required for every fuse or mechanical joining.
Process Inspection
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Was the pipe properly faced?
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Fuse failed! Needs to be fuse out and redone.
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Was the pipe properly cleaned? Removed all debris and wiped with an alcohol pipe that meets standards.
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Fuse failed! Needs to be fuse out and redone.
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Was the pipe properly measures and marked?
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Fuse failed! Needs to be fuse out and redone.
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Did the Fuser check to ensure pipe meets dimensional requirements? Does not exceed 5% ovality.
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Fuse failed! Needs to be fuse out and redone.
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Was pipe properly marked?
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Fuse failed! Needs to be fuse out and redone.
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Was pipe properly scraped?
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Fuse failed! Needs to be fuse out and redone.
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Is fusing equipment current on inspections and calibrations?
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Fuse failed! Needs to be fuse out and redone.
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We're clamps used sufficiently to ensure proper alignment?
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Fuse failed! Needs to be fuse out and redone.
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Was fuse allowed specified amount of time to cool?
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Fuse failed! Needs to be fuse out and redone.
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Was fuse marked with time to remove clamps?
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Fuse failed! Needs to be fuse out and redone.
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Was fuse Peer checked?
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Fuse failed! Needs to be fuse out and redone.
Visual Inspection
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Proper alignment?
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Fuse failed! Needs to be fuse out and redone.
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Was the pipe properly scraped?
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Fuse failed! Needs to be fuse out and redone.
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Pipe inserted properly?
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Fuse failed! Needs to be fuse out and redone.
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Did the Fuser sign the pipe properly?
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Fuse failed! Needs to be fuse out and redone.
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Was the fuse peer checked and signed?
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Fuse failed! Needs to be fuse out and redone.
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Was the fuse signed by the Fuser?
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Instruct them that this is required for every fuse or mechanical joining.
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Add media
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Pipe Size