built by __________________________________________________________________________

(name of construction and installation organization)

and project number)

by the address: _______________________________________________________________________

(city, street, bindings of the initial and final pickets)

1. Characteristics of the gas pipeline (gas inlet)

The length (for input - underground and aboveground sections), diameter, working pressure of the gas pipeline, type of insulating coating of the linear part and welded joints (for underground gas pipelines and gas inlets), number of installed locking devices and

other structures _______________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

2. List of attached certificates, technical passports (or their copies) and other documents certifying the quality of materials and equipment

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Note. It is allowed to attach (or place in this section) extracts from the indicated documents, certified by the person responsible for the construction of the facility and containing the necessary information (certificate number, brand (type), GOST (TU), dimensions, batch number, manufacturer, date of issue, test results).

3. Data on gas pipeline joint welding

Note. The diagram must be drawn up so that the location of each joint can be found from the surface of the earth. To do this, bindings to permanent ground objects (buildings, structures) of both the gas pipeline itself and its characteristic points (terminals, turning points, etc.) must be made; distances between joints, as well as between joints and characteristic points, including intersected communications, should be plotted. Strict adherence to the scale of the scheme is optional.

4. Checking the depth of the gas pipeline, slopes, beds, devices of cases, wells, carpets (compiled for underground gas pipelines and gas inlets)

It has been established that the depth of the gas pipeline from the ground to the top of the pipe throughout the entire length, the slopes of the gas pipeline, the bed under the pipes, as well as the arrangement of cases, wells, carpets, correspond to the project.

(position, signature, initials, surname)

5. Checking the quality of the protective coating of the underground gas pipeline (gas inlet)

1.* Before laying in a trench, the protective coating of pipes and joints was checked for the absence of mechanical damage and cracks - by external inspection, thickness - by measurement in accordance with GOST 9.602-89 mm: adhesion to steel in accordance with GOST 9.602-89; continuity - flaw detector

2.*Joints isolated in the trench are checked by external inspection for the absence of mechanical damage and cracks.

Item 3 to be deleted

4 * Check for absence electrical contact between the metal of the pipe and the soil was made after the trench “___” was completely backfilled ______________ 200__

Note. * If the trench was backfilled when the ground freezing Shubin was more than 10 cm, then the construction and installation organization must carry out an inspection after the soil thaws, which should be recorded in the act of acceptance of the completed gas supply system facility.

When checking the quality of the protective coating, no defects were found

Head of laboratory ___________________________________________________________

(position, signature, initials, surname)

Representative gas facilities __________________________________________________

6. Purging the gas pipeline, testing it for strength and tightness

Item 1 should be deleted.

2 "___" ___________ 200__ before the strength test, the gas pipeline was purged with air.

3 * "___" ___________ 200__ produced pneumatic (hydraulic) test

gas pipeline for strength by pressure MPa (kgf / cm 2) with exposure for _____ hours.

The gas pipeline passed the strength test.

4. "___" ___________ 200__, the gas pipeline filled up to the design marks with fittings and branches installed on it to the facilities up to the shut-off shut-off devices (or the underground part of the gas inlet) was tested for tightness for ____ h

Before the start of the test, the underground gas pipeline was under air pressure for ____ hours to equalize the air temperature in the gas pipeline with the temperature of the soil

Pressure measurements were made with a pressure gauge (differential pressure gauge) according to GOST _______, class.

Data of pressure measurements during testing of an underground gas pipeline

According to the data of the above pressure measurements, the underground gas pipeline passed the tightness test, no leaks and defects were found in places accessible for inspection;

"___" ___________ 200__the above-ground gas pipeline (the above-ground part of the gas inlet) was tested for tightness at a pressure of _____ MPa (kgf / cm 2) with exposure for an hour, followed by an external inspection and verification of all welded, threaded and flanged joints. Leaks and defects were not found. The above-ground gas pipeline (the above-ground part of the gas inlet) passed the tightness test.

Foreman of works _____________________________________________________________

(position, signature, initials, surname)

(position, signature, initials, surname)

7. Conclusion

The gas pipeline (gas inlet) was built in accordance with the project developed by

________________________________________________________________________________

(name of design organization

________________________________________________________________________________

and project release date)

taking into account the agreed changes made to the working drawings No. ___ - ___________

Construction started"___" ___________ 200__

Construction completed"___" ___________ 200__

Chief Engineer SSMU ________________________________________________________________

(position, signature, initials, surname)

Representative of the gas industry __________________________________________________

(position, signature, initials, surname)

Forms of acts of executive documentation in Word. You can download after registration

Scroll:

1. ACT of the commission on the readiness of the completed construction object for presentation to the acceptance commission
2. ACT of the commission on the readiness of the completed building, structure for presentation to the acceptance committee
3. Form of the Certificate of survey of the geodetic staking base of the capital construction object
4. Form of the Act of breakdown of the axes of the capital construction object on the ground
5. The act of acceptance and transfer of the results of geodetic work during the construction of buildings and structures
6. Form of the General Journal of Work
7. Form of the Magazine for the installation of building structures
8. Form of the Journal of welding work
9. Form of the Journal corrosion protection welded joints
10. Form of the Journal of monolithic assembly joints and nodes
11. Form of the Logbook for performing field connections on bolts with controlled tension
12. Pile Log Form
13. Concrete Log Form
14. TEMPERATURE SHEET No.
15. Form of the journal for the production of anti-corrosion work
16. Form of the Journal of receipt and results of incoming quality control of building structures, products and materials
17. Form of the Author's Supervision Journal
18. Indicative list hidden works to be activated after their completion
19. Form of the Certificate of Inspection of Hidden Works
20. Form of the Certificate of Inspection of Critical Structures
21. ACT of individual testing of equipment
22. ACT hydrostatic or manometric leak test
23. ACT of inspection and testing of the heat supply system
24. ACT of thermal testing of the central heating system for the effect of action
25. ACT of hydrostatic testing of low pressure boilers (water heaters, boiler auxiliary equipment, fuel oil pipeline)
26. ACT of testing internal sewage and drain systems
27. PASSPORT OF THE VENTILATION SYSTEM (AIR CONDITIONING SYSTEM) (FORM)
Annex 28. ACT of the commission on the acceptance of equipment after an individual test
Annex 29. ACT of the commission on acceptance of equipment after comprehensive testing
Annex 30. ACT of technical readiness of electrical installation work
Appendix 31
Appendix 32
Appendix 33
Appendix 34
Annex 35. Act of transfer of installed equipment for commissioning
Appendix 36. ACT on acceptance for installation power transformer*
Appendix 37
Appendix 38
Appendix 39
Annex 40. ACT of acceptance of trenches, channels, tunnels and blocks for cable installation
Appendix 41
Appendix 42. PROTOCOL for warming up cables on a drum before laying at low temperatures
Appendix 43. ACT of inspection of cable ducts in trenches and channels before closing
Appendix 44. CABLE LOG
Appendix 45
Annex 46. ACT of readiness of a monolithic concrete foundation for an overhead line support
Appendix 47. ACT of readiness of precast concrete foundations for the installation of overhead lines
Appendix 48
Appendix 49
Appendix 50. PASSPORT of the grounding device
Annex 51. PROTOCOL of mechanical testing of welded joints of a steel (polyethylene) gas pipeline
Appendix 52
Appendix 53
Appendix 54
Appendix 55
Appendix 56. ACT of a complete technical examination of the elevator
Appendix 57. Act of technical readiness of the elevator
Appendix 58. ACT of acceptance of the elevator into operation
Annex 59. List of documentation to be drawn up during the installation of equipment and pipelines
Appendix 60. The act of checking the installation of equipment on the foundation
Appendix 61
Appendix 62. The act of testing machines and mechanisms
Appendix 63. The act of testing pipelines
Appendix 64
Appendix 65. ACT on testing pipelines for strength and tightness
Appendix 66. Act on flushing (purging) pipelines
Appendix 67
Appendix 68
Appendix 69
Appendix 70
Appendix 71
Appendix 72. List of documentation to be drawn up during installation and commissioning of automation systems
Annex 73. ACT of transfer of working documentation for the production of work
Annex 74
Appendix 75. ACT of transfer-acceptance technical means automation in assembly
Appendix 76. PROTOCOL of input control of measurement of attenuation of optical fibers
Annex 77. Certificate of completion of works on installation of automation systems
Appendix 78. ACT of testing pipe wiring for strength and density
Appendix 79
Appendix 80. ACT for degreasing fittings, connectors and pipes
Appendix 81. DESCRIPTION technical documentation
Appendix 82. CERTIFICATE No. _ on the installation of pipe wiring
Appendix 83. ACT of testing pipe wiring
Appendix 84
Appendix 85. Specification for the executive scheme
Appendix 86. JOURNAL on pipeline welding
Appendix 87. ACT No. __ dated _ visual and (or) measuring control quality welds during the welding process
Appendix 88
Appendix 89. CONCLUSION No. _ on the quality of welded joints
Appendix 90. PROTOCOL of insulation resistance measurement
Appendix 91. PROTOCOL for warming up cables on drums
Appendix 92. DOCUMENTATION FOR FOCL
Appendix 93
Appendix 94. PERMIT for the installation of devices and automation equipment
Appendix 95. LIST of mounted technical means of automation systems
Annex 96. Acceptance certificate for individual automation systems
Annex 97. Act of acceptance of automation systems into operation
Appendix 98
Appendix 99. Act of suspension (conservation) of installation work on automation systems
Annex 100
Appendix 101. ACT of acceptance of the underground part of the building (zero cycle)
Annex 102. ACT of acceptance of painting and finishing of the facade
Annex 103. ACT of acceptance of the heat supply system of ventilation units
Appendix 104. ACT of acceptance of the heating system
Appendix 105. ACT of acceptance of the natural ventilation system
Appendix 106. ACT of acceptance of dust removal systems
Appendix 107. ACT of acceptance of supply and exhaust ventilation systems
Appendix 108. ACT of acceptance of air conditioning systems
Appendix 109
Appendix 110
Annex 111
Appendix 112
Appendix 113. ACT of acceptance of the system and outlets of the internal drain from the building
Appendix 114
Appendix 115. ACT of acceptance internal systems household and hot water supply
Appendix 116. ACT of acceptance of lightning protection
117. CONCLUSION
118. INFORMATION on the elimination of defects and imperfections
119. Form of the Certificate of survey of sections of networks of engineering and technical support
120. A K T technical readiness

The act of inspection of the place of the accident. The place of the accident is examined by a whole commission, which draws up an inspection report and then gives its conclusion. These documents may then be needed by some in further proceedings in court to recover damages and identify those responsible, or vice versa as evidence of innocence in the accident. An accident is usually accompanied by consequences, and the consequences of an accident can be terrible. As a rule, problems arise due to the theft of officials, negligence in service and simply theft of budget funds. Often, damage to property occurs as a result of communication failures.

Necessary measures for drawing up an accident report

It is necessary to carry out a comprehensive survey of flooded premises:

1. At the time of detection of the bay, notify the emergency service by phone and call a team to eliminate the source of the accident. At the same time, it is advisable to find out by phone the name of the dispatcher and the number of his application in the register of information received.
2. Try to invite neighbors and possible perpetrators of the incident, in order to present them with actual damage.
3. On the next working day, come to the house management and agree on a date for a comprehensive examination of the accident site, in order to draw up an act of examining the accident site.

The calendar date must be set based on the fact that it will be necessary to notify potential perpetrators, other interested parties and call them in order to participate in the fact of the survey. You can call by letter, but to speed up the process, it is recommended to send a telegram with acknowledgment of receipt.
4. Based on the results of the commission check, representatives of the house management will draw up an act of inspection of the accident site.
4. It is recommended to involve independent experts (appraisers) in the survey. This organization will be able to document the market value of the damage caused and identify possible hidden damage.
5. After a comprehensive examination and receipt of all documents, you can make a claim to the perpetrators of the accident.

ACT OF INVESTIGATION OF THE ACCIDENT SITE

APPROVE
Supervisor ____________________
(organizations,
which manages
_________________________________
apartment house)
_________________________________
(administrative District)
________________ ________________
(signature) M.P. (FULL NAME.)
"___" _________ 201_

The act of inspection of the accident site at ____________________________ "___" _________ 201_
Commission consisting of: ________________________________, (representative managing organization, HOA, housing cooperative, residential complex, etc.) ________________________________, (representative of the organization serving the apartment building) ________________________________, (owner of the damaged residential premises) ________________________________, (owner of the damaged non-residential premises located below) conducted an inspection of apartment N _____ of house N ______, bldg. ____, st. _____________, administrative district ___________________, as well as the damaged non-residential premises located below, in order to determine the causes of the accident and describe the damage to the premises caused by the accident. During the inspection of these premises, the following witnesses were also present: ________________________________, (full name, passport, place of residence) ________________________________. (Full name, passport, place of residence) On-site verification established that "___" ___________ 201_ as a result of ________________________________ (causes of the accident that led to damage to the dwelling) ________________________________.

1) the following damage was caused to the residential premises: ________________________________
2) downstream non-residential premises(warehouse) suffered the following damage: ________________________________.
Measures taken to localize the consequences of the accident and the damage caused: ________________________________

Measures taken to eliminate the causes of the accident: ________________________________
Signed the act of inspection:
_______________________ /__________________________/
_______________________ /__________________________/
Witnesses:
_______________________ /__________________________/
_______________________ /__________________________/