Exchanger Inspection Sign-Off

Client:_________________ Job Number:________________

Location:_________________ Equipment Number:________________
Unit:_________________ Description of Work:

Shell: Client Inspector:_______________________ Date:________________

Client Operator:_______________________ Date:________________
(For Cleanliness Only)

Bundle: Client Inspector:_______________________ Date:________________

Client Operator:_______________________ Date:________________
(For Cleanliness Only)

Channel Head: Client Inspector:_______________________ Date:________________

Client Operator:_______________________ Date:________________
(For Cleanliness Only)

Floating Head: Client Inspector:_______________________ Date:________________

Client Operator:_______________________ Date:________________
(For Cleanliness Only)

Shell Cover: Client Inspector:_______________________ Date:________________

Client Operator:_______________________ Date:________________
(For Cleanliness Only)

Channel Cover: Client Inspector:_______________________ Date:________________

Client Operator:_______________________ Date:________________
(For Cleanliness Only)

Repair Comments: _____________________________________________________________________________________________________

________________ _____________________________________________________________________________________________________
________________ _____________________________________________________________________________________________________
(Note:) When signatures from Client Inspection and Operations for each component are received, this will indicate approval for assembly