Title Page

  • Document No.

  • Conducted on

  • Area

  • Prepared by

Drywall

  • Rated walls are properly labeled

  • All penetrations are sealed

  • Fire caulking installed

Fire Sprinkler

  • Piping is properly supported

  • Sprinkler piping not supported any wires, conduits, cabling, etc.

  • Drains installed where required

Plumbing / HVAC Piping

  • Piping is properly labeled

  • Valve tags are installed

  • Pipe insulation correct and complete

  • Insulation shields installed

  • Graded piping properly sloped

  • Piping properly supported

  • Seal pipes through floors and walls

  • Valves are operable and accessible

  • Med gas piping isolated from other materials

  • Framing for access doors

  • Roof drain bodies are properly insulated

  • High point vents and low point drains installed

  • Drain pans installed and piped where required

  • All piping tested and inspected

HVAC

  • Service clearance for equipment

  • Fire and fire / smoke damper access doors installed and labeled

  • Wall angles installed around dampers

  • Insulation properly terminated at fire and fire / smoke dampers

  • Breakaway connection at damper correct

  • Duct insulation correct and complete

  • Duct is properly supported

  • Damper quadrants installed and marked

  • Equipment identification installed

  • All systems tested and inspected

Electrical

  • Equipment and boxes properly labeled

  • Box knockout seals installed

  • Covers installed on boxes

  • Conduit bushings installed

  • Conduit, boxes, and fixtures installed and supported

  • Ground wire installed in boxes

  • Boxes are accessible

Low Voltage

  • Wiring is properly supported

  • Wiring is not touching sprinkler piping

  • Wiring has been properly terminated

  • Photos

  • Add media

Signoff

  • NRMC Engineering Department

  • Painter

  • Life Safety for Sprinkler Piping

  • HVAC for Piping

  • Electrician

  • Phone/Data

Failed Items / Action Plan

  • Painter

  • Life Safety

  • HVAC

  • Electrician

  • Phone/Data

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