Information
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Project Name
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Conducted on
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Prepared by
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Personnel
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This audit is for personnel performing annual valve maintenance which includes the following: Visual inspection of the valve, greasing the valve operator, greasing the ball valve body, and bleeding the body to verify this valve will seal, and any necessary cleanup thereafter.
VALVE MAINTENANCE
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VALVE NUMBER
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Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
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Valve Model #
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Valve Serial #
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Valve MFGR.
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Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
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What is the MAOP? (Max allowable operating pressure)
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What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
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Condition of Valve
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Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
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Picture of the Valve
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Inspect Another Valve?
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VALVE NUMBER
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Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
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Valve Model #
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Valve Serial #
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Valve MFGR.
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Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
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What is the MAOP? (Max allowable operating pressure)
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What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
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Condition of Valve
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Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
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Picture of the Valve
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Inspect Another Valve?
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VALVE NUMBER
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Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
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Valve Model #
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Valve Serial #
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Valve MFGR.
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Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
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What is the MAOP? (Max allowable operating pressure)
-
What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
-
Condition of Valve
-
Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
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Picture of the Valve
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Inspect Another Valve?
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VALVE NUMBER
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Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
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Valve Model #
-
Valve Serial #
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Valve MFGR.
-
Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
-
What is the MAOP? (Max allowable operating pressure)
-
What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
-
Condition of Valve
-
Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
-
Picture of the Valve
-
Inspect Another Valve?
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VALVE NUMBER
-
Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
-
Valve Model #
-
Valve Serial #
-
Valve MFGR.
-
Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
-
What is the MAOP? (Max allowable operating pressure)
-
What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
-
Condition of Valve
-
Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
-
Picture of the Valve
-
Inspect Another Valve?
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VALVE NUMBER
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Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
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Valve Model #
-
Valve Serial #
-
Valve MFGR.
-
Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
-
What is the MAOP? (Max allowable operating pressure)
-
What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
-
Condition of Valve
-
Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
-
Picture of the Valve
-
Inspect Another Valve?
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VALVE NUMBER
-
Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
-
Valve Model #
-
Valve Serial #
-
Valve MFGR.
-
Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
-
What is the MAOP? (Max allowable operating pressure)
-
What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
-
Condition of Valve
-
Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
-
Picture of the Valve
-
Inspect Another Valve?
-
VALVE NUMBER
-
Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
-
Valve Model #
-
Valve Serial #
-
Valve MFGR.
-
Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
-
What is the MAOP? (Max allowable operating pressure)
-
What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
-
Condition of Valve
-
Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
-
Picture of the Valve
-
Inspect Another Valve?
-
VALVE NUMBER
-
Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
-
Valve Model #
-
Valve Serial #
-
Valve MFGR.
-
Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
-
What is the MAOP? (Max allowable operating pressure)
-
What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
-
Condition of Valve
-
Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
-
Picture of the Valve
-
Inspect Another Valve?
-
VALVE NUMBER
-
Is the person conduction task qualified in accordance with the Company Operator Qualification Program? If no, do not proceed with inspection.
-
Valve Model #
-
Valve Serial #
-
Valve MFGR.
-
Valve Size
- 2 INCH
- 3 INCH
- 4 INCH
- 6 INCH
- 8 INCH
- 10 INCH
- 12 INCH
- 16 INCH
-
What is the MAOP? (Max allowable operating pressure)
-
What Maintenance was Performed?
- Greased Valve Operator
- Greased Body
- Drain the Valve
- Operate the Valve
-
Condition of Valve
-
Explain the unsatisfactory condition needing repair, attention, or replacement. (immediately notify supervisor)
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Picture of the Valve
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Inspector Signature