Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
PROJECT:
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Project name
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Client
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Client representative
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Location on site
VERIFICATION:
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Construction drawings approved for use
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Drw number
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Rev
Material
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Material approved for use
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Material brand
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Material type
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Pipe work installed as per drawing
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Pipe bracketed as required
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Pipe labels fitted as required
Final Checks:
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1. copper Pipe work not touching metal frames
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2. Hot water pipe work insulated
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3. All pipe work fastened and secured correctly
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4. Pressure tested and checked for leaks
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5. Test pressure KPA
Sign off
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Installed by
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Checked by
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Signature
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Date