Proactive Leak inspection version 3 - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General introduction

• Has this site got an internal DX plantroom

  Yes

  No

Plantroom

• Pipe penetrations are they sleeved or insulated and what with ?

  Yes

  No

• Pipe penetrations through floors are they well insulated

  Yes

  No

• Any hydrozorb clamps loose

  Yes

  No

• Does this site have a valve header station ?

  Yes

  No

• Any hydrozorb clamps loose. any vibration on pipework due to loose clamps

  Yes

  No

• Pipe penetrations through floors are they insulated and what with ?

  Yes

  No

• Pipe penetrations in general are they sleeved or insulated and what with ?

  Yes

  No

• Does this site have any remote condensers

  Yes

  No

Condensers

• Pipe penetrations are they sleeved or insulated and what with ?

  Yes

  No

• Any plant/packs hydrozorb clamps loose. any vibration on pipework due to loose clamps

  Yes

  No

• Pipe penetrations through floors are they well insulated

  Yes

  No

• Does this site have any remote chillers (Gen1,2,3)

  Yes

  No

Chillers

• Pipe penetrations are they sleeved or insulated and what with ?

  Yes

  No

• Pipe penetrations through floors are they well insulated

  Yes

  No

• Any hydrozorb clamps loose. any vibration on pipework due to loose clamps

  Yes

  No

Coldrooms back of house

• Pipe penetrations are they sleeved or insulated and what with ?

  Yes

  No

• Pipe penetrations through floors are they well insulated

  Yes

  No

• Any hydrozorb clamps loose

  Yes

  No

High level pipework

• Warehouse pipe work on tray/hangers properly supported

  Yes

  No

• Any evidence of rubbing of services on traywork

  Yes

  No

• Are pipework hangers insulated and what with ?

  Yes

  No

• Check high level ball valves where possible

  Media

Shop floor

• Pipework on top of cases/islands secured with no movement, case entry points protected

  Yes

  No

• Show tops of cases how pipes are supported

  Media

• Pipework below cases secured with no movement, case entry points protected

  Yes

  No

• PRV Check

  Yes

  No

  N/A

• Are PRV's labelled and in date

  Yes

  No

  N/A

• If no labels please add photo

  Media

• Have PRV's been leak tested and no leaks found.

  Yes

  No

  N/A

• If leak found please add photo

  Media

• Pressure lines

  Are pressure lines in good condition

  If no please add photo

• Signature and print

  Sign