Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Make

  • Model

  • Serial Number

  • Date of Calibration

  • TMV location

  • Asset No.

  • TMV picture

  • What is the temperature of the cold feed(pipe)?
  • What is the reason for the temperature being out of specified range?

  • What is the temperature of the hot feed(pipe)?
  • What is the reason for the temperature being out of specified range?

  • What is the temperature of the mixed hot?
  • What is the reason for the temperature being out of specified range?

  • What is the temperature of the mixed cold?
  • Are there any strainers?

  • Have you cleaned the strainers?

  • Why have you not cleaned the strainers?

  • Has the TMV passed the failsafe test?

  • If FAIL, what is the reason for this and what action is required?

  • Are there any remedials required?

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