CV-23 11 00 Facilities Fuel Piping – Equipment Identification/Tag: ______ Location:_________________________ A) PRE-INSTALLATION CHECKS Questions (See details below) % 1) 2) 3) 4) 5) Date Description of Work Performed Complete Initials YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details All piping, valves, etc. are clean and free of damage prior to installation. Temporary protective coating is provided on cast iron and steel valves during storage. Temporary end caps are provided on piping and fittings until installation. Contractors installing fuel oil piping in the City of Madison are approved installers by the Madison Fire Department and plans have been submitted and approved by the Madison Fire Department. Welder procedure qualification records (PQR) and welding procedure specifications (WPS) submitted to A/E and DFD.
CV-23 11 00 – Facilities Fuel Piping Equipment Identification/Tag: ______ Location:_________________________ A) PRE-INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details All piping, valves, etc. are clean and free of damage prior to installation. Temporary protective coating is provided on cast iron and steel valves during storage. Temporary end caps are provided on piping and fittings until installation. Contractors installing fuel oil piping in the City of Madison are approved installers by the Madison Fire Department and plans have been submitted and approved by the Madison Fire Department. Welder procedure qualification records (PQR) and welding procedure specifications (WPS) submitted to A/E and DFD.
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