CV-22 07 00 Plumbing Insulation – Equipment Identification/Tag: _______ Location: _________________________ 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 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 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 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 CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Piping clean, dry, pressure tested and approved prior to application of insulation. Type and thickness of insulation complies with listed specification requirements for given system and pipe size. Insulation installed with smooth and even surfaces, without the use of filler in voids. Butt joints and longitudinal seams closed tightly with a minimum of on jacket seams and tape on butt joints. 2” lap 2” Staples along seams and butt joints provided with vapor barrier mastic provided for staples on systems requiring vapor barrier. Full-length material used as possible, with no scrap piecing or stretching of insulation utilized. Insulation continuous through sleeves and openings with vapor barriers continuous through all penetrations. Complete vapor barrier provided for all cold water, storm water and piping systems with surface temperatures below 65ºF. Exposed fiberglass insulation covered and sealed at all permanent terminations and at end of work day. Piping and direction of flow is labeled per specification requirements.
CV-22 07 00 – Plumbing Insulation Equipment Identification/Tag: _______ Location: _________________________ 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 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 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 clean, dry, pressure tested and approved prior to application of insulation. Type and thickness of insulation complies with listed specification requirements for given system and pipe size. Insulation installed with smooth and even surfaces, without the use of filler in voids. Butt joints and longitudinal seams closed tightly with a minimum of 2” lap on jacket seams and 2” tape on butt joints. Staples along seams and butt joints provided with vapor barrier mastic provided for staples on systems requiring vapor barrier. Full-length material used as possible, with no scrap piecing or stretching of insulation utilized. Insulation continuous through sleeves and openings with vapor barriers continuous through all penetrations. Complete vapor barrier provided for all cold water, storm water and piping systems with surface temperatures below 65ºF. Exposed fiberglass insulation covered and sealed at all permanent terminations and at end of work day. Piping and direction of flow is labeled per specification requirements.
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