Title Page
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Conducted on
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Prepared by
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Location
Qaulity Assurance Inspection Form - Industrial low temp application
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JOB #:
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JOB NAME:
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JOB DESCRIPTION
MATERIAl RECEIVING
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Are materials correct per the scope of work?
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Are materials all accounted for/backlogged on the shipper?
MOBILIZATION/SAFETY
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Has foremen received proper information for work location, safety ect?
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Has jobsite hazards been identified?
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Does crew have PTP cards prior to Job startup?
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Are the proper safety precautions in place (I.E. Fall Protection)
MATERIAL INSPECTION
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Are ends square?
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Is factory applied Vapor Barrier intact and puncture free?
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Has material been stored in a dry secure location?
PIPING INSULATION APPLICATION
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Has the piping system been bought off with a written release?
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Is the correct piping insulation and thickness applied to the service?
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If it is a double layer application, are joints staggered correctly?
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If applicable, have joints been buttered with specified joint sealant?
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Has vapor barrier been installed and inspected?
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Has protective jacketing system been installed correctly?
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If applicable, Is band spacing correct?
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If applicable, has PVC weld adhesive been applied as specified?
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Has overall jacketing system been installed weathertight and sealed?
EQUIPMENT INSULATION APPLICATION
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Has the item been bought off with a written release?
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Is the correct insulation and thickness applied to the service?
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If it is a double layer application, are joints staggered correctly?
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If applicable, have joints been buttered with specified joint sealant?
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Has vapor barrier been installed and inspected?
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Has protective jacketing system been installed correctly?
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If applicable, Is band spacing correct?
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If applicable, has PVC weld adhesive been applied as specified?
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Has overall jacketing system been installed weathertight and sealed?
DEMOBILIZATION
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Has any installed work been damaged?
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Has the work area been cleaned and swept of work related debris?
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Are all tools accounted for and sent to the warehouse?
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QA/QC Signature:
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DATE: