Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

PROJECT:

  • Project name

  • Client

  • Location on site

CHECKLIST

  • Construction drawings approved for use

  • Drg. No

  • Rev. No.

VERIFICATION:

  • 2. Pipe material

  • 3. Materials approved for use

PIPE WORK:

  • 1 Pipe install as per drawing

  • 2. Pipe bracketed as required

  • 3. Pipe Bracket spacing used

  • 3. All pipework completed in area

  • 4. Pipe size used

FIRE HYDRANT

  • 1. Fire Hydrants install at correct height between 7500-1200mm

  • 2. Fire hydrants install in correct location

  • Fire hydrants handle 100mm away and outlet 300mm around

  • 3. Fire hydrant with 30 DEG angle of outlet

  • 4. Fire hydrant fitted with caps

STORZ COUPLINGS

  • Storz coupling required

  • Storz coupling fitted

VALVES

  • Valves installed as per drawing

  • Valves installed in compliant location

  • Valves locked with 003 locks

COMMISSIONING:

  • 1. All pipe work pressure tested to Kpa and recorded with pressure test report

  • Kpa tested to

  • 2. All debris flushed from system

  • 3. All air bled from system

SIGNATURE: DATE:

  • Client representative

  • Client representative signature

  • Date

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