Excess Flow Valve Installation Verification
Excess Flow Valve Installation Verification
Inspection template for verifying excess flow valve (EFV) installation eligibility, completion, and documentation on applicable gas service lines for annual reporting and compliance tracking.
Inspection Details and Service Line Identification
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Service location and customer account identified
Enter the service address, customer account, or work order reference used to identify the gas service line.
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Service line work type confirmed
Identify whether the work was a new installation, replacement, repair, or other service activity.
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Service line serves single-family residence or small commercial customer
Confirm whether the service line falls within the customer classes typically subject to EFV installation requirements.
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Inspection date recorded
Record the date and time of the field verification or record review.
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Inspector name and role recorded
Enter the inspector's name, title, or role performing the verification.
EFV Applicability and Eligibility Review
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EFV applicability reviewed against applicable service criteria
Verify that the line was evaluated for EFV applicability based on service type, customer class, and work scope.
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No documented exemption or exception applies
Confirm that no approved exemption, exception, or documented non-applicability applies to this service line.
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EFV eligibility determination documented
Record the final eligibility determination for the service line.
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Eligibility basis documented in record
Describe the basis for the eligibility decision, including customer class, service work type, or exemption rationale.
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Supporting record reviewed
Select the records used to verify EFV applicability and installation status.
EFV Installation Verification
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EFV installed on applicable service line
Verify that an excess flow valve is installed on the applicable gas service line.
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Installation location matches approved design or standard detail
Confirm the EFV location matches the approved installation detail, service configuration, or utility standard.
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Valve orientation and connection appear correct
Verify the valve is installed in the correct flow direction and connected without visible defects, leaks, or improper fittings.
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Installation evidence captured
Attach a photo showing the EFV installation or supporting field evidence.
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Installation completion date recorded
Record the date the EFV installation was completed or verified complete.
Documentation, Reporting, and Records
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EFV installation status entered in system of record
Confirm the EFV installation status has been entered into the utility's official record system.
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Annual reporting data field completed
Verify the data needed for annual EFV reporting has been completed and is ready for aggregation.
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Deficiency or non-conformance documented when applicable
Document any missing EFV, ineligible service, or record discrepancy as a deficiency or non-conformance.
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Corrective action assigned for unresolved deficiency
Describe the corrective action, responsible party, and target completion date if a deficiency was identified.
Safety, Compliance, and Sign-Off
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Inspection completed without unresolved critical items
Confirm there are no unresolved critical deficiencies remaining at closeout.
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Inspector signature
Inspector signs to confirm the accuracy of the verification.
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Supervisor or compliance reviewer approval
Optional supervisory sign-off for compliance review and annual reporting validation.
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