Job card No
Date
CONTACT DETAILS
Company
First Name
Last Name
Email
Contact Number
Street
Suburb
City
Symptoms
PROJECT INFORMATION
Team
Kaveer and Assistant
Edwin and Assistant
Wilson and Assistant
Other
Pipe Length (m):
Pipe Diameter (mm):
How deep underground is the pipe (if applicable:)
BUILDING INFORMATION - IF APPLICABLE
Type of building:
Building used for:
How many stories?:
Notes
CHECK LISTS
VEHICLE
Vehicle Reg:
Start Kilos:
Please check the following:
All the above checked and in working order?
If not please specify
CCTV INSPECTION
Is an Inspection Required?
If YES , please check the following: Push Rod Systems: Crawler Inspections:
All the above checked and in working order?
If not please specify
JETTING
If YES , please check the following: HIGH PRESSURE PUMP: ENGINE: TRAILER: ACCESSORIES:
All the above checked and in working order?
If not please specify
COMPRESSOR
Are you using a compressor?
If YES does the compressor have enough power for the job?
Model / Make:
Plate Number:
Hours
If YES , please check the following:
All the above checked and in working order?
If not please specify
LINING
If YES , please check the following: STEAM UV PULL IN PLACE WET OUT LINER AIR + & -: MEASUREMENT: PLUGGING: LOCATING: CLEANING: GENERAL: CONSUMABLES:
All the above checked and in working order?
Measuring Equipment Calabrated
If not please specify
SITE INFO
Arrival time on Site
Are you wearing the correct PPE
Number of Pipelines Cleaned / Inspected
Pipeline 1: Identification /Diameter / Pipe Length / Pipe Material / Bends / Junctions / Access Points
Pipeline 2: Identification /Diameter / Pipe Length / Pipe Material / Bends / Junctions / Access Points
Pipeline 3: Identification /Diameter / Pipe Length / Pipe Material / Bends / Junctions / Access Points
Pipeline 4: Identification /Diameter / Pipe Length / Pipe Material / Bends / Junctions / Access Points
Pipeline 5: Identification /Diameter / Pipe Length / Pipe Material / Bends / Junctions / Access Points
Pipeline 6: Identification /Diameter / Pipe Length / Pipe Material / Bends / Junctions / Access Points
Recommendation
Project Notes
Pictures
Drawings
Videos
Report
LINING
Product/Batch Numbers
Epoxy Type
Weather Conditions
Extremly Hot
Sunny
Cloudy
Partial
Humid
Raining
Number of Pipelines Relined
Pipeline 1:
Cure - Time / Temprature: Ambient Time:
30 Degrees Time:
40 Degrees Time:
50 Degrees Time:
60 Degrees Time:
Cool Down - Time / Temprature: 60 Degrees Time:
50 Degrees Time:
40 Degrees Time:
30 Degrees Time:
Ambient Time:
Pipeline 1 Pictures
Have you Pressure Tested the Line?
Pipeline 2:
Cure - Time / Temprature: Ambient Time:
30 Degrees Time:
40 Degrees Time:
50 Degrees Time:
60 Degrees Time:
Cool Down - Time / Temprature: 60 Degrees Time:
50 Degrees Time:
40 Degrees Time:
30 Degrees Time:
Ambient Time:
Pipeline 2 Pictures
Have you Pressure Tested the Line?
Pipeline 3:
Cure - Time / Temprature: Ambient Time:
30 Degrees Time:
40 Degrees Time:
50 Degrees Time:
60 Degrees Time:
Cool Down - Time / Temprature: 60 Degrees Time:
50 Degrees Time:
40 Degrees Time:
30 Degrees Time:
Ambient Time:
Pipeline 3 Pictures
Have you Pressure Tested the Line?
Pipeline 4:
Cure - Time / Temprature: Ambient Time:
30 Degrees Time:
40 Degrees Time:
50 Degrees Time:
60 Degrees Time:
Cool Down - Time / Temprature: 60 Degrees Time:
50 Degrees Time:
40 Degrees Time:
30 Degrees Time:
Ambient Time:
Pipeline 4 Pictures
Have you Pressure Tested the Line?
Project Notes
Have you completed the project
Completion time on Site
Completion Date
Days Quoted
Days Actual
SAMPLES REQUIRED
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