Information
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Document No.
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Inspection Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Witnessed by
Inspection Request
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Have a physical inspection been preformed
Inspection Request
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Type of Inspection
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Reference
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Description
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Requested by
Inspection Report
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Item Inspected
Visual
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Picture
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Quantity
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Type of valve
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Description
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Nominal Bore (DN)
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Pressure Rating (Class/PN)
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Table Drilling
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Corrosion Protection
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Closing Method
Dimensional
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Face to face (mm)
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Flange dimensions
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PCD (mm)
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Number holes drilled (99 x 99mm)
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Number of holes tapped (99xM99)
Conclusion
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Acceptable
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Comments
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Inspected by
FINAL CONCLUSIONS
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Order Accepted/Released
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Summary
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Released by
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Witnessed by