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No :

No :

FLANGE
TESTED

ASSEMBLED BY : .............................

No :

FLANGE
TIGHTENED

FLANGE
ASSEMBLED

Name : ...................

Name : ...................

Name : ...................

Signed : ..................

Signed : ..................

Signed : ..................

Date : .....................

Date : .....................

Date : .....................

RETURN TO
SUPERVISOR

RETURN TO
SUPERVISOR

RETURN TO
SUPERVISOR

FLANGE CHECKLIST

FLANGE FACES

No :

Date: .....................

CLEAN

ALIGNED

BOLTH CORECT LENGTH

MATERIAL

LUBRICATION APPLIED : ....................................................


GASKET

CORRECT SIZE

MATERIAL

No :
THIS FLANGE HAS BEEN TIGHTENED IN
A CONTROLED MANNER
TORQUED

LOCATION

SYSTEM No : .............................. P&ID No : ......................


LINE No : .....................................JOINT No : .....................
TIGHTENED BY : ........................................
DATE : ...............
TESTED BY : .............................................DATE : ...............

No :

No :

FLANGE
TESTED

FLANGE CHECKLIST
ASSEMBLED BY : .............................
FLANGE FACES

No :

No :

FLANGE
TIGHTENED

FLANGE
ASSEMBLED

Name : ...................

Name : ...................

Name : ...................

Signed : ..................

Signed : ..................

Signed : ..................

Date : .....................

Date : .....................

Date : .....................

RETURN TO
SUPERVISOR

RETURN TO
SUPERVISOR

RETURN TO
SUPERVISOR

Date: .....................

CLEAN

ALIGNED

BOLTH CORECT LENGTH

MATERIAL

LUBRICATION APPLIED : ....................................................


GASKET

CORRECT SIZE

MATERIAL

No :
THIS FLANGE HAS BEEN TIGHTENED IN
A CONTROLED MANNER
TORQUED

LOCATION

SYSTEM No : .............................. P&ID No : ......................


LINE No : .....................................JOINT No : .....................
TIGHTENED BY : ........................................
DATE : ...............
TESTED BY : .............................................DATE : ...............

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