Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

PROJECT:

  • Job site

  • Location

  • Client

CHECKLIST

  • Construction drawings approved for use

  • Drg. No

  • Rev. No.

VERIFICATION:

  • 2. Pipe

  • 3. Materials approved for use

PIPE WORK:

  • 1 Pipe install as per drawing

  • 2. Pipe bracketed as required

  • 3. All pipework completed in area

  • 4. Pipe label’s fitted as required

HOSE REEL:

  • 1. Hose reel install at correct height

  • 2. Hose reel fixed with correct brackets

  • 3. Hose reel fitted with maintains tags

  • VALVES:

VALVES:

  • Valves installed as per drawing

  • Valves installed in correct location

COMMISSIONING:

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

  • 2. All debris flushed from system

  • 3. All air bled from system

  • 4. System flow tested and recorded

CHECKED BY:

  • Date

  • Signature

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