Tank Inspection — rough, backfill and final

One sheet for the whole permitted job. Fill in the rough, record the backfill once the rough has passed, then close out the final. Tap Print / Save as PDF for the job file. The draft stays on this phone if you lose signal.

1 The job

Customer

Property address

Permit #

Jurisdiction (AHJ)

Work order #

Installer / qualifier

Tank size (gal)

Tank type

Tank serial #

Gas piping material

3 Backfill — after the rough passes

Nothing gets covered before the rough is signed off Set the rough result above to Passed (or Passed with corrections) before recording the backfill, and photograph the open trench first.

Backfill date

Backfilled by

Status

Backfill checks

Open trench photographed before covering Clean fill / sand bedding, no rock on the pipe Backfilled in lifts and compacted Warning tape laid above the line Tracer wire continuity retested after backfill Cover depth verified at final grade Pressure still holding after backfill Surface restored (sod, pavers, concrete)

Cover at final grade (in)

Gauge after backfill (psi)

Restoration

Backfill notes

Nothing leaves this page except the photos, which go to the office when there is signal.

Tank Inspection — rough, backfill and final

1 The job

2 Rough inspection — before anything is covered

3 Backfill — after the rough passes

4 Final inspection and turn-on

Rough inspection Not inspected yet

Backfill Trench still open

Final inspection Not inspected yet

Photos