CV-33 07 00 – Utilities Insulation Equipment Identification/Tag: _______ Location:__________________________ A) 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 make-up, chilled water, refrigerant, glycol/brine, 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-33 11 00 – Water Utility Distribution Piping Equipment Identification/Tag: _______ Location:__________________________ A) PRE-INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 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.
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 B) EXCAVATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 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 Horizontal and vertical spacing as required by the specifications between water piping and sanitary sewer and storm drainage piping is maintained. 4” of bedding of material defined within specifications provided for given type of piping.
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) UNDERGROUND 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 grade is uniform between deflection points shown in contract documents. Changes in pipe sizes are made with the proper size reducing fittings, reducing elbow or reducing tees, and no bushings are utilized. Connections between dissimilar pipe materials are made with dielectric fittings. Pipe joint deflections meet or are less than manufacturer recommendations. Bonding straps and lugs connected (ductile iron pipe ONLY).
Calcium hypochlorite provided in each section of pipe per dosages noted in specifications. Where water piping crosses a sanitary sewer, minimum 18" vertical clearance and waterproof PVC water pipe sleeve (reference sanitary sewer materials) sealed at both ends for distance of 10' from sewer in both directions provided. Insulation is provided at top of 6” and 1’ initial cover levels per specification requirements. Initial cover and backfill materials and methods meet specification requirements. Open pipe ends capped at completion of work day. 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 D) FACILITY 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:
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 H) FINALIZATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) 6) 7) 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 labels and direction of flow is provided per specification requirements. Underground dead-end mains marked with an 8’ long 4x4 timber and steel “U” fence post. All curb stop and valve boxes marked with a steel “U” fence post to protect them from damage. Underground warning tape installed 6"-12" below finished grade above all exterior below ground piping. All exposed piping which passes through a wall, ceiling or floor is provided with escutcheon plates.
CV-33 30 00 – Sanitary Sewage Utilities Equipment Identification/Tag: _______ Location:__________________________ A) PRE-INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 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, etc. is clean and free of damage prior to installation. Temporary protective coating is provided on cast iron during storage. Temporary end caps are provided on piping and fittings until installation.
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 B) UNDERGROUND 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 Horizontal and vertical spacing as required by the specifications between water piping and sanitary sewer and storm drainage piping is maintained. Piping grade and horizontal alignment is within 0.05’ and 0.10’ respectively for each section as shown in contract documents. Changes in pipe sizes are made with the proper size reducing fittings, reducing elbow or reducing tees, and no bushings are utilized. Connections between dissimilar pipe materials are made with dielectric fittings.
Pipe joint deflections meet or are less than manufacturer recommendations. Bonding straps and lugs connected (ductile iron pipe ONLY). Deflector tape provided 2’ above all pipe noted in contract documents Insulation is provided at top of 6” and 1’ initial cover levels per specification requirements. For all piping above 6’ below finish grade or as shown in contract documents. Initial cover and backfill materials and methods meet specification requirements. Open pipe ends capped at completion of work day. 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) MANHOLE 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:
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 B) UNDERGROUND 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 Horizontal and vertical spacing as required by the specifications between water piping and sanitary sewer and storm drainage piping is maintained. 4” of crushed stone bedding material provided. Piping grade and horizontal alignment is within 0.05’ and 0.10’ respective to section as shown in contract documents. Changes in pipe sizes are made with the proper size reducing fittings, reducing elbow or reducing tees, and no bushings are utilized. Pipe joint deflections meet or are less than manufacturer recommendations.
Bonding straps and lugs connected (ductile iron pipe ONLY). Deflector tape provided 2’ above all pipe noted in contract documents Insulation is provided at top of 6” and 1’ initial cover levels per specification requirements. For all piping above 6’ below finish grade or as shown in contract documents. Initial cover and backfill materials and methods meet specification requirements. Open pipe ends capped at completion of work day. 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) FACILITY 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:
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 B) UNDERGROUND FUEL OIL 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 All pipe visually inspected for damage and all damaged areas cut out, repaired, or removed. Piping trenches deep enough to provide a minimum of 4” of sand or pea gravel bedding between containment pipe and trench bottom and 4” of sand or pea gravel backfill cover when below concrete or 8” of sand or pea gravel backfill cover when below asphalt pavement. Piping trenches sized to provide a minimum of one pipe diameter between containment pipe and trench side wall or adjacent containment pipes.
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 welded piping cleaned before all regulators and control valves by placing target cloth over piping and blowing compressed air through line until cloth is clean and free of debris. All valves are in an upright vertical position with handles in a horizontal position and fully operated without removal or alteration of handle. Isolation valves provided at all equipment connections, main branches and sub-branches. Horizontal fuel oil supply, return, gauge and vent pipes are at least 18" below grade at its highest point and slopes 1/4" per foot upwards from the tank or special monitoring. Fuel oil return line from each engine to the main oil tank or the day tank contains no manual or automatic valves to restrict the flow. 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
CV-33 60 10 – Hydronic Heating Utilities Equipment Identification/Tag: _______ Location:__________________________ A) PRE-INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 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.
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 B) UNDERGROUND PIPING INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) 6) 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 Bottom of excavation filled with piping manufacturer specified material. Fill beneath piping has been hand tamped following completion of joint installation. Changes in pipe sizes are made with the proper size reducing fittings, reducing elbow or reducing tees, and no bushings are utilized. Backfill material and methods comply with specification requirements. Concrete block cast over anchor plates and piping at each change in direction and at each building entrance so that the block rests on undisturbed trench sidewalls and/or
bottom. Open pipe ends capped at completion of work day. 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) FACILITY 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 is free to expand and contract without noise or damage to hangers, joints, or the building. Piping is installed in a manner to ensure that insulation will not contact adjacent surfaces.
Piping is installed with sufficient pitch and arranged in a manner to ensure drainage of entire system, including provision of auxiliary drains as necessary. Changes in pipe sizes are made with the proper size reducing fittings, reducing elbow or reducing tees, and no bushings are utilized. Connections between dissimilar pipe materials are made with dielectric fittings. A minimum of two elbows provided in each pipe line prior to a piece of terminal equipment. Pipe hanger spacing complies with specification requirements, including provision of individual hangers within 1’ of each horizontal elbow, strainer, valve, etc. All equipment requiring maintenance is accessible (valves, strainers, etc.). Piping allows access to equipment that is part of this system or another system. Open pipe ends capped at completion of work day. 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 D) VALVE, FITTING & VENT INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) 6) 7) 8) 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
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 B) UNDERGROUND 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 Bottom of excavation filled with piping manufacturer specified material and fill beneath piping has been hand tamped following completion of joint installation. Changes in pipe sizes are made with the proper size reducing fittings, reducing elbow or reducing tees, and no bushings are utilized. Carrier piping tested utilizing water at specified pressure and duration as per specification, and all leaks identified during testing have been repaired and test re-done until satisfactory conditions are accomplished. All piping closures tested with air at 25 psig and any leaks identified during testing have been repaired and test re-done until satisfactory conditions are accomplished.
Drip traps provided in steam pits at a minimum of every 400’ with discharge of drip traps fed into the bottom of condensate piping through a sparge tube. Finish coat applied in accordance with the system manufacturer's instructions. Final outside coating subjected to a spark test and capable of maintaining dielectric strength at 5,000 volts. Backfill material and methods comply with specification requirements. Concrete block cast over anchor plates and piping at each change in direction and at each building entrance so that the block rests on undisturbed trench sidewalls and/or bottom. Open pipe ends capped at completion of work day. 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) FACILITY 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:
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 valves are in an upright vertical position with handles in a horizontal position. All valves can be fully operated without removal or alteration of handle, including provisions for specified insulation thickness of piping. Where valves 2-1/2" and larger are located more than 12' above mechanical room floors, valve is installed with stem in the horizontal position and a chain wheel operator is provided. Isolation valves provided at all equipment connections, main branches and sub-branches, “T” connections, and as necessary for repairing the system as specified in contract documents. Steam safety and relief valves vented to a location outside of building, in the most direct manner possible with drip pan elbow installed as detailed at first vertical rise of the vent pipe and as short and straight as possible piping provided between safety/relief valve and drip pan elbow. All piping, accessories, valves and fittings are supported independently of adjacent accessories, valves and fittings. Drain lines for drip pan elbows and relief valves extended to nearest drain with shortest and straightest piping possible. Relief valves installed in locations indicated on drawings, downstream of all pressure reducing valves, and on all boilers. Capped full sized dirt pockets at all traps, riser heels, and wherever dirt and scale may accumulate are provided. For facility piping drip traps installed at each rise, at the horizontal termination of each steam main and as needed to prevent water hammer but at a maximum spacing of 250’. 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 E) TESTING CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) YES NO YES NO YES NO YES NO
33 61 10 – Chilled and Condenser Water Utilities Equipment Identification/Tag: _______ Location:__________________________ Instructions: 1. Checklists are organized in groups by installation phase. Each phase is assigned a given responsible contractor which is solely responsible for the construction verification items defined within that group. 2. Checklists are to be completed in accordance with the stage of installation or finalization by the individuals responsible for installation. 3. Provide a description of the work completed since last entry for given area of system and the percentage of the total work completed for the system for that area and step of installation or finalization. 4. Circle Yes or No for each checklist item. 5. If the information requested for a checklist item does not apply to the given stage of installation for the system, list it as “N/A” and provide the reasoning under the negative responses section. 6. Explain all discrepancies or negative responses in the negative responses section of the checklist. All discrepancies, negative and “N/A” responses must be defined. 7. Once the total percentage for work complete is equal to 100% for a given checklist group the party responsible for completion of the checklist group is to mark that group as complete by the provided checkbox, initial and date in the spaces provided. Note completion of the checklist group is defined as the complete response to each checklist item within the group including negative responses and a final % Complete equal to 100%. 8. Provide checklist to lead contractor at completion of each work week. A) PRE-INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 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. 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 B) UNDERGROUND 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
Complete 1) 2) 3) 4) 5) 6) 7) 8) 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 All valves are in an upright vertical position with handles in a horizontal position. All valves can be fully operated without removal or alteration of handle, including provisions for specified insulation thickness of piping. Where valves 2-1/2" and larger are located more than 12' above mechanical room floors, valve is installed with stem in the horizontal position and a chain wheel operator is provided. Drainage valves provided at all low points and downstream of riser isolation valves. Manual air vents are provided at all high points in closed water systems. Isolation valves provided at all equipment connections, main branches and sub-branches, “T” connections, and as necessary for repairing the system as specified in contract documents. Riser shutoff valve and a capped hose thread drain valve at the bottom of each riser provided. All strainers in piping system have ball valves installed at the tapped screen retainer.
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 E) TESTING CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 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 tested utilizing water at specified pressure and duration as per specification for given piping and system type. All leaks identified during testing have been repaired and test re-done until satisfactory conditions are accomplished. Test conducted with all piping of tested system or section visible during testing. After pressure testing all piping flushed with clean potable water according to procedures detailed in specifications and report provided.