ITP DCVA BOOSTER ASSEMBLY

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Zone

VERIFICATION:

• Construction drawings approved for use

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• DCDA Required

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Materials approved for use

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

SETOUT

• Location as per drawing

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Pipe work is in correct location

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

INSTALLATION:

• Installed as per drawing

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Installed at correct height

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Pipe bracketed as required

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• All pipework completed in area

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Storz connectors fitted

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• All valves locked with 003 locks

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

TESTING:

• All pipe work pressure tested

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Pipe work checked for leaks

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Pipe commissioned ready for use

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

DCVA

• Installed with minimum clearance of 450mm beneath

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Isolation valves installed as required

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

• Tested and report submitted to Sydney water

  Select Yes No N/A Re-Inspect OK

  • Yes
  • No
  • N/A
  • Re-Inspect OK

Comments, Date and Signature

• Comments

Checked By

• Signature

  Sign

• Date

  Date

Reviewed By

• Signature

  Sign

• Date

  Date