Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
Audit team
Audit team leader:
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Title:
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Name:
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ID:
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Signature
Audit team:
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Title:
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Name:
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ID:
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Signature
Assets under inspection:
Physical status
Physical structure.
Valve status
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Status of main valve1.
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Problem
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Status of main valve 2.
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Problem
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Status of main valve 3.
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Problem
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Status of upstream valve 711 .
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Problem
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Status of downstream valve 711.
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Problem
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Status of upstream valve 712.
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Problem
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Status of downstream valve 712.
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Problem
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Status of upstream valve 713.
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Problem
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Status of downstream valve 713.
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Problem
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Status of bypass valve 711.
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Problem
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Status of bypass valve 712.
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Problem
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Status of bypass valve 713.
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Problem
Water motor alarm.
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Status of water motor alarm.
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Problem
Automatic system
Automatic control system.
Delay time.
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Delay time of D.V. of V-711.
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OpeningTime:
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Delay time of D.V. of V-712.
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OpeningTime:
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Delay time of D.V. of V-713.
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OpeningTime:
Confirmation and detection
Pressure switches
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Pressure switches run specifically:
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Problem description
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P.S.L of D.V if V-711 on setting:
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Pressure setting:
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P.S.L of D.V if V-712 on setting:
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Pressure setting:
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P.S.L of D.V if V-713 on setting:
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Pressure setting:
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P.S.H of D.V if V-711 on setting:
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Pressure setting:
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P.S.H of D.V if V-712 on setting:
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Pressure setting:
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P.S.H of D.V if V-713 on setting:
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Pressure setting:
Compressed line:
Compressed pipe lines status:
Deluge valve of V-711:
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Pipe line status:
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Position of problem:
Pipe line
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Position
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Add media
Deluge valve of V-712:
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Pipe line status:
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Position of problem:
Pipe line
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Position
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Add media
Deluge valve of V-713:
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Pipe line status:
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Position of problem:
Pipe line
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Position
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Add media
Quartizoid bulb status:
Deluge valve of V-711:
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Quartizoid status:
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Position of problem:
Quartizoid bulb
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Position
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Image
Deluge valve of V-712:
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Quartizoid bulb status:
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Position of problem:
Quartizoid bulb
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Position
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Image
Deluge valve of V-713:
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Quartizoid bulb status:
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Position of problem:
Quartizoid bulb
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Position
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Image
Dry line:
Dry pipe lines status:
Deluge valve of V-711:
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Pipe line status:
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Position of problem:
Pipe line
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Position
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Add media
Deluge valve of V-712:
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Pipe line status:
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Position of problem:
Pipe line
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Position
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Add media
Deluge valve of V-713:
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Pipe line status:
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Position of problem:
Pipe line
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Position
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Add media
nozzles status:
Deluge valve of V-711:
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nozzles status:
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Position of problem:
nozzles
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Position
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Image
Deluge valve of V-712:
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nozzles status:
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Position of problem:
nozzles
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Position
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Image
Deluge valve of V-713:
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nozzles status:
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Position of problem:
nozzles
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Position
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Image
