Dry Start-Up

Knife Gate Valve Installation Inspection □

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Start up - Commissioning

Dry Start-Up / Pipe is Empty Installation/Inspection □

Pipe is Dry □
Project Name Pipe is Clean □
Customer: Site Name:

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Contractor: Location:

Consultant: SO# Travel time: Hrs Travel: Km

Project: PO# Service: Hrs Date:

Weather: Inspection & Installation Duration: Days

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Safety Training: Yes □ No □ Type: Training Duration: Days Hrs

System Pressure: Site Contact

Email [email protected]

VALVE SIZE DRAWING NUMBER DESCRIPTION TAG NO.

ACTUATOR MODEL DESCRIPTION TAG NO.

22-0001-V4-DRY

© Elite Valve, Oakville, ON, Canada. This form cannot be copied or replicated without the expressed consent from Elite Valve. Use, copying, duplication or modification of this document without the expressed consent from Elite Valve is prohibited.
All rights reserved. All valves information and its contents hereof are proprietary to Elite Valve. Any unauthorized reproduction or disclosure, in whole or in part is strictly prohibited. All valves materials, images and data sheets in this catalogue / brochure is for general
information and shall not be used for specific performance data and material selection without first consulting with Elite Valve. Elite Valve reserves the right to change the enclosed valves information without notice. Elite Valve does not accept any liability or damages
arising from the use of any valve information within this document. All trademarks and registered trademarks are owned by their respective companies.

2305 Wyecroft Road Local: (519) 756-3100

[email protected]
Oakville, Ontario L6L 6R2 Toll-Free: (888) 339-7758

DRY - Page 1
 Dry Start-Up

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YES NO NOT REQUIRED REJECTED ACCEPTED N/A

1 Valve Cycled Dry □ □ □ □ □ □

2 Valve Cycled NO Load □ □ □ □ □ □
3 Valve Factory Test Certificates are attached □ □ □ □ □ □
4 Valve Pressure Rating and SO ID Labels Installed □ □ □ □ □ □
□ □ □ □ □ □

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5 Valve Tagging Installed
6 Valve Coating - Internal □ □ □ □ □ □
7 Valve Coating - External □ □ □ □ □ □
8 Valve Seat Inspection prior to Pipe Installation □ □ □ □ □ □
9 Valve Seat Inspection in the Pipe □ □ □ □ □ □
10 Hoist Rings Installed □ □ □ □ □ □

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11 Valve Installation in Pipe per the GA Drawings □ □ □ □ □ □
12 Valve Gate Surface Horizontal Shaft in Horizontal / Vertical Pipe □ □ □ □ □ □
13 Valve Packing Sealing - Site tightened □ □ □ □ □ □
14 Valve Flange Hardware is Installed and Complete □ □ □ □ □ □
15 Valve Flange Torque Records attached from Contractor □ □ □ □ □ □
16 Valve arrow flow direction is correct □ □ □ □ □ □
17 Valve Seat Leakage Verified □ □ □ □ □ □
18 Valve Seat Leakage Verification cannot be Performed □ □ □ □ □ □
19 Actuator Speed Controls Set - OPEN □ □ □ □ □ □
20 Actuator Speed Controls Set - CLOSED □ □ □ □ □ □
21 Actuator Factory Testing Certificates are attached □ □ □ □ □ □
22 Actuator Factory Calibration Completed □ □ □ □ □ □
23 Actuator Site Calibration Completed □ □ □ □ □ □
24 Actuator Rating and ID Tag Installed □ □ □ □ □ □
25 Actuator is Clockwise to Close □ □ □ □ □ □
26 Gear Actuator Manual Over-ride Tested □ □ □ □ □ □
27 Actuator Condition □ □ □ □ □ □
22-0001-V4-DRY

© Elite Valve, Oakville, ON, Canada. This form cannot be copied or replicated without the expressed consent from Elite Valve. Use, copying, duplication or modification of this document without the expressed consent from Elite Valve is prohibited.
All rights reserved. All valves information and its contents hereof are proprietary to Elite Valve. Any unauthorized reproduction or disclosure, in whole or in part is strictly prohibited. All valves materials, images and data sheets in this catalogue / brochure is for general
information and shall not be used for specific performance data and material selection without first consulting with Elite Valve. Elite Valve reserves the right to change the enclosed valves information without notice. Elite Valve does not accept any liability or damages
arising from the use of any valve information within this document. All trademarks and registered trademarks are owned by their respective companies.

2305 Wyecroft Road Local: (519) 756-3100

[email protected]
Oakville, Ontario L6L 6R2 Toll-Free: (888) 339-7758

DRY - Page 2
 Dry Start-Up

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YES NO NOT REQUIRED REJECTED ACCEPTED N/A
28 Actuator Coating □ □ □ □ □ □
29 Actuator Orientation □ □ □ □ □ □
30 Rotation of the Actuator CWC Handwheel □ □ □ □ □ □
31 Actuator CLOSED Limit is set □ □ □ □ □ □
□ □ □ □ □ □

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32 Actuator OPEN Limit is set
33 Actuator Mechanical Visual Indicator Set □ □ □ □ □ □
34 Actuator Torques are Set Pipe Dry - OPEN □ □ □ □ □ □
35 Actuator Torques are Set Pipe Dry - CLOSED □ □ □ □ □ □
36 Actuator Driven by PLC □ □ □ □ □ □
37 Actuator Mechanical Stops Set - CLOSED □ □ □ □ □ □

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38 Actuator Local Remote Tested □ □ □ □ □ □
39 Actuator Locking Pins Installed □ □ □ □ □ □
40 Visual Condition all Components of Assembly □ □ □ □ □ □
41 Valve & Actuator Function Test □ □ □ □ □ □
42 Number of Cycles Valve & Actuator Function Test # ( ) □ □ □ □ □ □
43 Electronic Photo’s Taken □ □ □ □ □ □
44 Overall Valve Condition □ □ □ □ □ □
Notes
1) Valve leakage must be verified by the client as the valve disc position or leakage is not visible at this time.
2) This will confirm Installation and the Operation of the above noted valves and actuators is to the satisfaction of the customer and contractor.
This also confirms that all valves and actuators perform in accordance with design and specifications requirements.
3) Note: Wet commissioning is recommended for actuator settings to be accurate.

Supplier / Manufacture Signature Date

(print name) Authorized Manufacture Representative

Customer / Contractor / Consultant Signature Date

(print name) Authorized Contractor Representative ACCEPTED (INITIAL)

This form shall only be signed by individuals authorized by their corporators to sign for or on the behalf of the corporation they represent.
22-0001-V4-DRY

Failure to sign this form negates all commissioning.

© Elite Valve, Oakville, ON, Canada. This form cannot be copied or replicated without the expressed consent from Elite Valve. Use, copying, duplication or modification of this document without the expressed consent from Elite Valve is prohibited.
All rights reserved. All valves information and its contents hereof are proprietary to Elite Valve. Any unauthorized reproduction or disclosure, in whole or in part is strictly prohibited. All valves materials, images and data sheets in this catalogue / brochure is for general
information and shall not be used for specific performance data and material selection without first consulting with Elite Valve. Elite Valve reserves the right to change the enclosed valves information without notice. Elite Valve does not accept any liability or damages
arising from the use of any valve information within this document. All trademarks and registered trademarks are owned by their respective companies.

2305 Wyecroft Road Local: (519) 756-3100

[email protected]
Oakville, Ontario L6L 6R2 Toll-Free: (888) 339-7758

DRY - Page 3
 Dry Start-Up

Noted Deficiencies

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Requirements to Correct Deficiencies:

22-0001-V4-DRY

© Elite Valve, Oakville, ON, Canada. This form cannot be copied or replicated without the expressed consent from Elite Valve. Use, copying, duplication or modification of this document without the expressed consent from Elite Valve is prohibited.
All rights reserved. All valves information and its contents hereof are proprietary to Elite Valve. Any unauthorized reproduction or disclosure, in whole or in part is strictly prohibited. All valves materials, images and data sheets in this catalogue / brochure is for general
information and shall not be used for specific performance data and material selection without first consulting with Elite Valve. Elite Valve reserves the right to change the enclosed valves information without notice. Elite Valve does not accept any liability or damages
arising from the use of any valve information within this document. All trademarks and registered trademarks are owned by their respective companies.

2305 Wyecroft Road Local: (519) 756-3100

[email protected]
Oakville, Ontario L6L 6R2 Toll-Free: (888) 339-7758

DRY - Page 4
 Dry Start-Up

General Notes

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D SUBMIT FORM

© Elite Valve, Oakville, ON, Canada. This form cannot be copied or replicated without the expressed consent from Elite Valve. Use, copying, duplication or modification of this document without the expressed consent from Elite Valve is prohibited.
All rights reserved. All valves information and its contents hereof are proprietary to Elite Valve. Any unauthorized reproduction or disclosure, in whole or in part is strictly prohibited. All valves materials, images and data sheets in this catalogue / brochure is for general
information and shall not be used for specific performance data and material selection without first consulting with Elite Valve. Elite Valve reserves the right to change the enclosed valves information without notice. Elite Valve does not accept any liability or damages

2305 Wyecroft Road

arising from the use of any valve information within this document. All trademarks and registered trademarks are owned by their respective companies.

Local: (519) 756-3100

22-0001-V4-DRY

[email protected]
Oakville, Ontario L6L 6R2 Toll-Free: (888) 339-7758

DRY - Page 5