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QAQC Checklist

Site Works (Underground Services)

Project Name Date


Project Number Completed By

# Description Yes No Comments

Pre-Work

Health and safety procedures have been reviewed and


1
approved.
Any underground services have been identified via locates
2
and as-builds.

3 Excavation has been reviewed and signed off on.

If tie ins are required to existing lines. Valves have been


4 completed as operating properly and lines have been
confirmed isolated.
Piping material is on site, and material has been signed off
5
on by the mechanical consultants.
Subtrade requirements have been identified and if
6
additional new material required is on site.
Routing of services have been identified and confirmed per
7
plans and specifications.

8 Thrust blocks, if required have been designed.

9 Other (please specify):

Post-Work

Subtrade prep and material has been installed per plans and
10
specificaitons.

11 Piping has been installed per plans and specifications.

Piping has been pressure tested and confirmed to contain


12
no leaks.

13 All valves have been installed and tested.

14 All labelling has been installed and is undamaged.

15 As-builds have been updated to record the proper location.

16 Space is clean and organized.

17 Other (please specify):

Completed By Date
Company Signature

Checked By Date
Company Signature

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