INSPECTION REPORT REPORT NO.

FOR PIPING INSULATION PAGE OF

PROJECT: JOB NO.:

Area / Unit: Equipment No.:

Inspection Date : Subcon. Name :

Sht Insul. Thick- No.of Vapor Metal Final

No. Line No. Result Remark
No. Mat'l ness Layer Barrier Jacketing Check

Tolerance :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Approved by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-INL-001
 INSPECTION REPORT REPORT NO.:

FOR EQUIPMENT INSULATION PAGE OF

PROJECT: JOB NO.:

Area / Unit: Equipment No.:

Inspection Date : Subcon. Name :

Type of Insulation : Hot Insulation Cold Insulation

Type of Material :

Inspection Result
Check Stage Check Items Remark
Accept Reject

1. Is this equipment pressure tested?

2. Is the surfaces clean?

Pre
3. Are ID tags verified?
Insulation
4. Are the vertical support rings installed?

5. Are all temporary supports removed?

1. Is the correct material used?

2. Is the thickness of each layer correct?

Jacketing
&
3. Number of layer correct?
Thickness
4. Metal jacket fixed with s-clip & screws?

1. Weatherproofing mastic applied to irregular surface?

Final
2 Final Inspection

Tolerance :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Approved by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-INL-002