Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

PROJECT:

  • Project name

  • Client

  • Client representative

  • Location on site

VERIFICATION:

  • Construction drawings approved for use

  • Drw number

  • Rev

Material

  • Material approved for use

  • Material brand

  • Material type

  • Pipe work installed as per drawing

  • Pipe bracketed as required

  • Pipe labels fitted as required

Final Checks:

  • 1. copper Pipe work not touching metal frames

  • 2. Hot water pipe work insulated

  • 3. All pipe work fastened and secured correctly

  • 4. Pressure tested and checked for leaks

  • 5. Test pressure KPA

Sign off

  • Installed by

  • Checked by

  • Signature

  • Date

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.