YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Piping tested at specified pressure and duration as per specification. All leaks identified during testing have been repaired and test re-done to meet specifications. Entire testing procedure witnessed by DFD representative. Test conducted with all piping of tested system or section visible during testing. All exposed piping which passes through a wall, ceiling or floor is provided with escutcheon plates. Piping labels and direction of flow is provided per specification requirements. All penetrations through fire rated wall assemblies have been sealed per specification requirements. All penetrations through non-rated wall assemblies have been sealed per specification requirements for given space type. Negative Responses Date Found Date Found By Location Reason for Negative Response Resolved Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO C) COMPRESSED AIR AND VACUUM PIPING INSTALLATION CHECKS Questions (See details below) % Date Description of Work Performed Complete Initials 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO 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 Piping tested at specified pressure and duration as per specification. All leaks identified during testing have been repaired and test re-done to meet specifications. Entire testing procedure witnessed by DFD representative. Test conducted with all piping of tested system or section visible during testing. All exposed piping which passes through a wall, ceiling or floor is provided with escutcheon plates. Piping labels and direction of flow is provided per specification requirements. All penetrations through fire rated wall assemblies have been sealed per specification requirements. All penetrations through non-rated wall assemblies have been sealed per specification requirements for given space type. Negative Responses Date Found Found By Location Reason for Negative Response Resolved Date Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO C) COMPRESSED AIR AND VACUUM PIPING INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 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
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