INSPECTION SHEET

Pi
pe
lin

Su
pp
or

ts

In
su
la

tio
n

G
ua
ge

Ch
ec
k

Va
lv

G
at
e/

G
lo
be

Va
lv

Inspection Areas
Threaded Stem
Bolts
Gaskets
General Condition
Nuts
Gaskets
Alignment
General Condition
Glass
Body
Indicator
General Condition
Cathodes
General Condition
Zinc
Soldered Joint
General Condition
Bolts
Alignment
General Condition
Outer Surface
Welded Joints
General Condition
Gease Nipples
Swivel Joint

As Found Conditions

Action

an

Cl
e

Re
p

la
ce

e
ai
r

ta
bl

Re
p

Ac
ce
p

g
Sh
ift
ed

si
n
M
is

Lo
os
e

Br
ok
en

ac
to
ry
M
ov
in
Co
g
rr
os
io
n
Cr
ac
ke
d
De
br
is
Le
ak
Fr
ee

Sa
tis
f

St
uc
k

Date:
Name:

Di
rt
y

Vreed en Hoop Pipeline

Swivel Joint

General Condition
Signature:

Time
Action

Quarterly Quarterly Quarterly

Yearly

Quartly QuarterlyQuarterly

Quarterly
ai
r
ab
l

la
ce

an

Gr
ea
se
Cl
e
Re
p
Re
p
e

Quarterly