QA/QC Maintain and Construct Inspection Form

Auditor

CNG Inspector

Is work being done in the vacinity of traffic?

Have Traffic flow controls been implemented correctly?

Is a flag person utilized when required?

Is a flag person using proper equipment?

Have pedestrian traffic flow controls been implemented?

Is a combustible gas indicator availble on site?

Is the combustible gas indicator calibrated?

Is the Corning Natural Gas O&M available on site? Are all operatives aware of it?

Are all operatives OQ qualified to perform the task? (Check ID cards)

Are the lavatory facilities adequate and is there appropriate first aid provision on site?

Is the site tidy and free from trip hazards and is there safe access and egress available for all?

Have all overhead and underground services been identified and marked?<br><br>Are the markings clearly visible?

Is project bid document and design drawings on site?

Is installation being completed according to the project bid documents and design drawings?

Is crew aware of operating and relief setpoint pressures?

Is permit on site?

Is pipe being handled correctly?

Is pipe print line being recorded on inspection log?

Is hard hat worn as required?

Is safety eyeware worn as required?

Has hearing protection been worn as required?

Is safety footwear worn as required?

Is FR outerwear worn as required?

Is Hi-Viz worn as required?

Is respirator worn as required?

Is safety gloves worn as required?

Is vehicle operation being witnessed?

Is seat belts/harness being worn for the safe operation of all vehicles?

Is backup assistance provided when backing up equipment or vehicles?

Is cargo secured safetly?

Are operational emergency lights being used as required?

Is the crew using approved fuel can?

Are wheel chocks being used?

Is first aid kit available?

Is fire extinguisher available?

Is Plastic Fusion being performed?

Is power generator output sufficient for activity being performed?

Is equipment in good conditions?

Has the equipment passed an active inspection ?

Are proper clamp allignment tools in use?

Are proper fusion/joining proedures followed?

Is pyrometer utilized?

Is a visual inspection being completed on the completed fusion/joining?

Was mechanical fittings installed properly?

Are stab/reference marks accurate?

Is an open excavation present?

Is the excavations safely supposed if required?

Is the excavation properly barricaded?

Is the access and egress for excavation safely maintained?

Is an excavation currenly being worked on?

Were all underground facilities within the tolerance zone exposed by hand implement tooling prior to utilization of powered/mechanized equipment?

Is spoil setback maintained as required?

Is the operator aware of any above ground facilities hazards in the work space?

Is service pipe being installed?

Is proper protection being provided for shear points and casing ends?

Was the service installed with minimum cover requirements met?

Is the service riser valve installed to be accessible and operable?

Was there proper seperations between above-grade gas and other facilities or structures?

Was system operating pressure verified during service installation?

Is the regulator vent installed correctly?

Is EFV installed correctly?

Is main being installed?

Was main installed with minimum cover requirements met?

Was main installed by CNG approved method?

Was the old main properly retired?

Was the gas main valve box installed correctly?

Is/has a meter been installed?

Has the meter been properly supported?

Was the meter installed plumb and square?

Was the meter piping and fittings propertly coated?

Were protectection posts installed at hazardous meter locations?

Is a meter currently being tested after installation?

Is the dial test performed per CNG procedure?

Was the purge procedure followed?

Was CNG relighting customer procedure followed?

Was a check for gas leakage performed?

Has a pressure test been completed?

Was pressure testing procedure followed?

Was the pressure test documented on all appropraite forms?

Is suitable backfill material being used?

Is the pipe gettting installed with 6" of sand on all sides?

Is pavement restoration started?

Does pavement conform with permit requirements?

Is the compaction process correctly performed?

Has restoration started?

Is the site stabilized?

Has seed and mulch been applied to disturbed areas?

Is water drainage returned to pre-construction routes?

Is the condition of worksite left clean?

Was buried warning tape installed as required?

Has coating been installed correclty?

Was cathodic protection installed as required?

Type of installation?

Is tracer wire installed as required?

Was continuity test performed on tracer wire?

Has coating been inspected(jeeped)?