Appendix 1 Check List Report.pdf

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Attached to
Propane Air System Start Up Testing & Preventative Maintenance Inspection Service
Contract number
505CAP-M25-AD251066-01
Issued by
Wisconsin

About this file

This document is an inspection checklist and reporting form for Propane Air System Start Up Testing and Preventive Maintenance Inspection Service under contract AD251066. The document does not specify the contracting agency, state, or company involved, appearing to be a standardized inspection protocol appendix.

The checklist covers comprehensive safety and maintenance inspection requirements for propane air systems, including 38 specific inspection items ranging from container distance requirements and bulk tank data to emergency shutdown systems and NFPA code compliance. The inspection protocol addresses critical safety components such as pressure gauges, relief valves, piping integrity, explosion-proof electrical equipment, fire safety systems, and underground line testing. The checklist format includes Yes/No/N/A response options for 31 required actions, with specific emphasis on regulatory compliance including NAC standards for underground line testing and 2011 emergency shutdown requirements. The document does not contain pricing information, contract terms, or renewal provisions, serving instead as a technical specification and inspection methodology for propane system maintenance services.

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Appendix 1: Check List and Check List Report Propane Air System Start Up Testing and Preventive Maintenance Inspection Service

AD251066

1. Container distance requirements.

2. Bulk tank data.

3. Combustibles around the tanks, piping, and bulkheads.

4. Container paint and decals.

5. Bulk tanks piping and bulkhead protection.

6. Condition of piers and saddle pads.

7. Plugged tank openings.

8. Pressure gauges.

9. Float gauge dials.

10. Relief valve weep holes and metallic stacks.

11. Anchoring of catwalks/stairways.

12. Bulk paint signs.

13. Piping and valve supports.

14. Piping flexibility.

15. Conditions of flexible connectors.

16. Piping materials/corrosion.

17. Shutoff Valves – Materials and ease of operation.

18. Hydrostatic Relief Valves.

19. Cathodic and Pressure Testing of Underground Lines.

20. Explosion-proof electrical equipment.

21. Pumps, compressors and motors.

22. Belt guards on all pumps and compressors.

23. Hose protection.

24. Emergency shutdown devices and remote shutdown station.

25. Hose Plugs and gaps.

26. ACME connectors.

27. Fire extinguishers.

28. Backflow check valves on transport risers.

29. Screens on transport risers.

30. Odorant.

31. Underground liquid and high vapor piping.

32. Piping and valves checked for leaks.

33. Tank installation security.

34. Fire Safety Analysis.

35. Regulators.

36. Other Equipment.

37. Current requirements for system emergency shutdown.

38. Operation and maintenance manual.

Appendix 1: Check List and Check List Report Propane Air System Start Up Testing and Preventive Maintenance Inspection Service

AD251066

REQUIRED ACTION Yes No N/A

1 Does the container meet distance requirements?

2 Are Bulk tank data plates attached and protected from rust & damage?

3 Is the area around bulk tanks, piping and bulkheads free from combustibles?

4 Are tanks properly painted, decaled and in good condition?

5 Are bulk tanks, piping and bulkheads properly protected?

6 Are piers, saddle pads in good condition?

7 Are all tank openings plugged or protected?

8 Are all pressure gauges in good condition?

9 Are float gauges readable and intact, and /or do rotary gauges swing freely?

10 Are relief valve weep holes clear of debris and equipped with metallic stacks?

11 Are catwalks/stairways anchored?

12 Are all bulk plant signs posted and up to date?

13 Is all piping and valves properly supported?

14 Does all piping have adequate flexibility?

15 Are all flexible connectors free of kinking, twisting, bulging, fraying or distortion?

16 Is all piping safe and free from damage or corrosion and fabricated from proper material?

17 Are all shutoff valves made of approved material and do they operate properly?

18 Are all HSV’s installed where necessary, capped, and free from dirt and corrosion?

19 Is all electrical equipment explosion-proof and are seal offs installed where necessary?

20 Are all pumps, compressors and motors properly secured and lubricated?

21 Do all pumps, compressors have belt guards properly installed?

22 If present are all loading hoses and transport off-loading piping properly protected?

Are manually operated emergency shutdown devices and remote shutdown stations clearly identified?

24 Does Cathodic and Pressure Testing of Underground Lines meet NAC standard?

25 Are all hoses capped, plugged, or attached to fixed ACME connector when not in use?

26 Are transport unloading risers equipped with a backflow check valve in the liquid line?

27 Does the propane in the container pass a “Sniff Test”?

28 Check underground liquid piping and high-pressure vapor piping for leaks?

29 Does the system meet the 2011 requirements for emergency shutdown?

30 Does the system have an Operations and Maintenance manual in place?

31 Does the system meet NFPA code requirements?

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