Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Do all materials meet relevant standards or Hydraulic Engineers Specifications

  • Have all gas lines been ran according to hydraulic drawings?

  • Plan Revision Number

  • Have all gas lines been tested to relevant standards?

  • Have all trenches been compacted and warning/marking tape placed at correct depth?

  • Have all suspended gas lines been clipped correctly as per relevant standards or manufactures standards?

  • Do all pipes that penetrate through fire rated walls or ceilings have fire collars or fire caulk around them?

  • Inspection/Audit/Observation/Discussion

  • McPherson Representative conducting Inspection

  • Site Supervisor Conducting Inspection

  • Non Conforming Items

  • Non Conforming Items Signed off by Site supervisor

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.