S No

9
8
7
6
5
4
3
2
1

21
20
19
18
17
16
15
14
13
12
11
10
LOCATION

Inspected by : -

Industrial type
LPG/DA Cyl.
Cylinder Cap
Available

Any Specific Observations :

Hose Condition
Date: -

HOSE CLAMP
AT TORCH &
Cylinder
HOSE

LPG / DA Hose
Colour (red)

Oxygen hose
colour
(black/blue)
Job site: -

FlashBack
arrestor at torch
GAS CUTTING SET INSPECTION

FlashBack
arrestor at
cylinder

PR. GAUGE

ISI
REGULATOR
CHECK LIST FOR THE GAS CUTTING SET

LEAK, IF ANY
(Specify
leak point)

Leak Test by
OTHERS

Soap Solution
Signature:

Cylinder secured

Trolley

CAP

Contractor