Safety Inspection
Inspection Progress
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Location
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Enter Container Serial Number
If a container is already existing in the database, enter the serial number and select from the dropdown list.
Please enter Container Serial Number.
Add Equipment
Select Type of Equipment.
Select Equipment Manufacturer.
Select Type of Equipment.
Serial Number is required.
Fuel type for this equipment is required.
Select BTU or KW of Equipment.
Select Service Unit Number.
Enter Year Manufactured.
Manual Shut Off Valve is required.
Sediment Trap is required.
Burner(s) Condition is required.
Combustion Chamber Condition is required.
Control/Pilot Safety System is required.
Venting System is required.
Combustion Air is required.
Select Type of Equipment.
Taken Out of Service: (Tagged)? 
Container Inspection
Select Type of Equipment.
Select ASME value.
Select AG/UG/AGUG value.
Select Container Size.
Manual Shut Off Valve is required.
Select Type of Equipment.
Select Type of Equipment.
Select Tank Installation Date.
Manual Shut Off Valve is required.
Manual Shut Off Valve is required.
Condition is required.
Condition is required.
Not visible
Select Relief Valve MFR date.
Relief Valve Cap is required.
Fittings Leak Test is required.
Select Type of Equipment.
Manual Shut Off Valve is required.
Taken Out of Service: (Tagged)?
System Information
Jurisdictional Account?
Gas Line Capped?
Heat Pump?
Inspect Piping
Select Stage.
Manual Shut Off Valve is required.
Select Type of Equipment.
Manual Shut Off Valve is required.
Yes
No
Comments.
Comments.
Inspect Regulators
Select Stage.
Select manufacturer of regulator.
Comments.
1990 - Present
1960 - 1990
1960 - 1990
date code selection required
How it is protected is required.
Regulator Condition is required.
Vent Position is required.
How it is protected is required.
System Operating Tests
Entire System
Leak Check
Select Stage
Initial Pressure
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*
| Start Time | : |
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| End Time | : |
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Pressure Test
Select Stage
PSI
Pressure Amount is required.
PSI
Pressure Amount is required.
| Start Time | : |
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| End Time | : |
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System Operating Test
Select Stage
Pressure Amount is required.
Pressure Amount is required.
Customer Safety Review
To send multiple reports, use ";" to separate emails
Add Email.
Signature provided by:
Property Owner
Tenant
Authorized Representative
Property Owner
Tenant
Authorized Representative
Select tenant or owner.
Customer was provided the following PERC documents:
Propane Safety Booklet (PRC-005606)
Important Propane Safety Information Brochure (PRC-003121 or PRC-101062)
Carbon Monoxide Brochure (PRC-000075)
Propane Safety Booklet (PRC-005606)
Important Propane Safety Information Brochure (PRC-003121 or PRC-101062)
Carbon Monoxide Brochure (PRC-000075)
Documents provided to customer.
Performed Sniff Test:
Yes
No
Yes
No
Provide Sniff Test.
Yes
No
Inspection Comments:
Warning
