PREVENTIVE MAINTENANCE CHECKLIST REPORTS
NG Pipeline Inspection Check List
Factory/ Location:
*
Please Select
Factory 1 - Boiler 2
Factory 2 - Boiler 1
Inspection Part 1
*
Rows
Checked
Cleaned
Adjusted
Repaired
Repaired
a) Flange inlet and outlet
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
b) Valve
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
c) Check and tighten bolt and nut
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
d) Painting and appearance
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
Take Photo:
*
Leak test with gas tester (Flange):
*
Please Select
Leaking
No leak
N/A
Flange inlet & outlet
Check functional (valve):
*
Please Select
Functioning
Not Functioning
N/A
Flange inlet & outlet
Inspection Part 2
*
Rows
Checked
Cleaned
Adjusted
Repaired
Repaired
a) Flange inlet and outlet
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
b) Check and tighten bolt and nut
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
c) Check and tighten bolt and nut
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
Take Photo:
*
Leak test with gas tester (Flange):
*
Please Select
Leaking
No leak
N/A
Flange inlet & outlet
Inspection Part 3
*
Rows
Checked
Cleaned
Adjusted
Repaired
Repaired
a) Flange inlet and outlet
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
b) Gas flow meter
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
c) Check and tighten bolt and nut
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
d) Painting and appearance
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
Take Photo:
*
Leak test with gas tester (Flange):
*
Please Select
Leaking
No leak
N/A
Flange inlet & outlet
Check functional (gas flowmeter):
*
Please Select
Functioning
Not Functioning
N/A
Flange inlet & outlet
Inspection Part 4
*
Rows
Checked
Cleaned
Adjusted
Repaired
Repaired
a) Flange inlet and outlet
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
b) Bypass section
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
c) Check and tighten bolt and nut
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
d) Painting and appearance
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
Take Photo:
*
Leak test with gas tester (Flange):
*
Please Select
Leaking
No leak
N/A
Flange inlet & outlet
Check functional (Bypass):
*
Please Select
Functioning
Not functioning
N/A
Fitting & jointing
Inspection Part 5
*
Rows
Checked
Cleaned
Adjusted
Repaired
Repaired
a) Pipeline
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
b) Fitting and jointing
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
c) Painting and appearance
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
Take Photo:
*
Leak test with gas tester (Pipeline):
*
Please Select
Leaking
No leak
N/A
Flange inlet & outlet
Leak test with gas tester (Fitting & Jointing):
*
Please Select
Leaking
No leak
N/A
Flange inlet & outlet
Inspection Part 6
*
Rows
Checked
Cleaned
Adjusted
Repaired
Repaired
a) Flange inlet and outlet
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
b) Anti vibration unit
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
c)Check and tighten bolt and nut
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
d) Painting and appearance
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
Take Photo:
*
Leak test with gas tester (Flange):
*
Please Select
Leaking
No leak
N/A
Flange inlet & outlet
Leak test with gas tester (Anti-vibration unit):
*
Please Select
Leaking
Not Leaking
N/A
Anti vibration unit
Inspection Part 7
*
Rows
Checked
Cleaned
Adjusted
Repaired
Repaired
a) Flange inlet and outlet
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
b) NG control instrument
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
c)Check and tighten bolt and nut
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
d) Painting and appearance
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
Take Photo:
*
Leak test with gas tester (Flange):
*
Please Select
Leaking
No leak
N/A
Flange inlet & outlet
Leak test with gas tester (NG control instrument):
*
Please Select
Leaking
No leak
N/A
NG control instrument
Inspection Part 8
*
Rows
Checked
Cleaned
Adjusted
Repaired
Repaired
a) Remove leftover Ash from Cleaning Door
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
b) External painting condition
√
X
NA
√
X
NA
√
X
NA
√
X
NA
√
X
NA
Take Photo:
*
Leftover Ash From Cleaning Door (Kg):
Convert unit to kg, e.g.: 0.026kg (1KG=1000g)
Calculator
PM Done By (A)
*
PM Done By (B)
PM Done By (C)
Date
*
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Day
/
Month
Year
Date
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