Checklist Inspection Report

API 510 External Checklist

Completion Date
Asset ID(ex. AM5-101B)
Equipment Serial Number
NBIC Number
Type of Inspection (VT3, etc.)
Inspection Task EXTERNAL VISUAL - NON-INSULATED ASSET, ULTRASONIC THICKNESS
TESTING, Choose an item., Choose an item., Choose an item., Choose an item., Choose an
item., Choose an item., Choose an item., Choose an item.

Inspection Summary:

Work Order Number:

Inspector’s Name:
Inspector’s Certification Number:

Pipsair, Sarah Yelverton, Eric Chachati, Clint

Signatures
Inspection Report Reviewer Name Final Approver Name
Owner

Checklist Findings
Category Name Value Finding Summary
(Yes/No/NA)
*See Note 1
Connections Bolting
Flanges
Leak Clamps
Manways
Nozzles
Other
Reinforcing Pads
Small Branches
General Coating/Painting
Corrosion
Distortion
Electrical Ground
Exp Joint or Bellows
Gauge/Sight Glass
Guy Wires
Insulation
Ladder/Stairway

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 Checklist Inspection Report
Leaks
Other
Platform
Vibration
Weld Defect
Relief Devices Leaks
Manual Operation Lever
Other
Restricted Inlet/Outlet
Supports Anchor Bolts
Davit
Fireproofing
Foundation
Other
Saddle/Skirt

Note 1: Yes/No/NA shall be used/ interpreted as follows: “Yes” - component was inspected and a finding exists. The
inspector shall write a short description of the finding. More detail of the finding shall be provided in the inspection
summary. “No” - component was inspected no finding exists. Write nothing. “NA” - component does not exist or is not
applicable to equipment being inspected.

Recommendations

Headline
Description
Target Completion Date
Follow Up Inspection Required Choose an item.
Recommendation Priority Choose an item.
Work Reference Type Choose an item.
Work Request Required Choose an item.

Headline
Description
Target Completion Date
Follow Up Inspection Required Choose an item.
Recommendation Priority Choose an item.
Work Reference Type Choose an item.
Work Request Required Choose an item.

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 Checklist Inspection Report

Headline
Description
Target Completion Date
Follow Up Inspection Required Choose an item.
Recommendation Priority Choose an item.
Work Reference Type Choose an item.
Work Request Required Choose an item.

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