Quality Control Report Copy

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Underground plumbing pre-inspection

• Does layout appear to meet plans & specifications

  Yes

  No

  N/A

• Are all laterals below FP

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Are pipes shaded with joints exposed for inspector

  Yes

  No

  N/A

• If caps are glued have burp screws been installed

  Yes

  No

  N/A

• If performing water pressure test has 10' riser been installed and topped off with water

  Yes

  No

  N/A

• From the top of the invert to FF this measurement is @ or near 42"

  Yes

  No

  N/A

• Have all direct slab penetrations Been wrapped (3 layers)

  Pass

  Fail

• Are any leaks present or visible

  Pass

  Fail

• If 3" (or less Diameter)ABS is used is slope at least .25" per ' or 2%

  Pass

  Fail

• Installation meets or exceeds Kautaq Quality Control Standards

  Yes

  No

  N/A

• Add media

  Media

• Add media

  Media

• All deficiencies (if noted) in this report have been addressed , remedied or otherwise no longer exist.

  Yes

  No

  N/A

Conclusion

• Add signature

  Sign