Pipeline/ Process Line Project Information Questionnaire

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Client Information

Pipeline Information

Company :

Pipeline Type:

Line No. :

Number of Lines :

Address:

Tube/ Pipe Dimensions :

Convection

Size :

Number :

Schedule :

Size :

Number :

Schedule :

Radiant

Size :

Number :

Schedule :

Size :

Number :

Schedule :

Size :

Number :

Schedule :

Contact Name :

Mating Flange Information

Phone No. :

Inlet

Fax No. :

Size :

Number :

Schedule :

E-mail :

Outlet

Expected Work Date :

Size :

Number :

Schedule :

Tube/ Pipe Alloy

Tube/ Pipe layout available (Yes/ No):

Length Radiant Section:

Length Convection Section:

Number of bends:

Radius of bends:

Operational Information

Process Fluid/ Product:

Thru-put (Flow rates & Pressures)

Inlet Temperature:

^oF ^oC

Design Thru-put:

Outlet Temperature:

^oF ^oC

Present Thru-put:

Skin Temperature increase:

Deposit Thickness:

Last Cleaning Date:

Deposit Hardness:

Method of Cleaning:

Deposit Type:

Test Pressure:

Area of Deposit:

Safety Requirements/ Equipment

PPE:	Safety Helmet	Hearing Protection	Safety Boots	Fire Retardant Coveralls
	Safety Glasses	Gloves	Respitory Protection	Others (Specify)
Safety Qualifications:		SCATS	PTW Awareness	Others (Specify)
On Site Safety Qualifications:		Site Induction
Security Requirements:		Gate Pass	Vehicle pass
Security Requirements:		I.D. Required	No Cameras

Additional Information