DA Form 7487-r "Water Supply and Treatment System Inspection Checklist"

What Is DA Form 7487-r?

This is a military form that was released by the U.S. Department of the Army (DA) on December 1, 2002. The form, often mistakenly referred to as the DD Form 7487-r, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

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  • The latest version available from the Army Publishing Directorate;
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Download DA Form 7487-r "Water Supply and Treatment System Inspection Checklist"

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WATER SUPPLY AND TREATMENT SYSTEM INSPECTION CHECKLIST
For use of this form, see TM 5-697; the proponent agency is COE.
SECTION A - CUSTOMER DATA
1. PLANT
2. LOCATION
3. JOB NUMBER
4. EQUIPMENT
5. SYSTEM DESIGNATION
6. DATE (YYYYMMDD)
7. TEST EQUIPMENT
8. TESTED BY
SECTION B - EQUIPMENT DATA
9. BACK FLOW PREVENTER MANUFACTURER
10. MODEL NO
11. SERIAL NO
12. FLOW RATING
13. PRESSURE REGULATOR
14. MODEL NO
15. SERIAL NO
16. FLOW RATING
17. CHEMICAL FEED POT MANUFACTURER
18. MODEL NO
19. SERIAL NO
20. CAPACITY
SECTION C - VISUAL AND MECHANICAL INSPECTION
21.
CHECK POINT
COND*
NOTES
CHECK POINT
COND*
NOTES
EXTERIOR OF EQUIPMENT
IDENTIFICATION
COMPLETENESS OF ASSEMBLY
BRACING/SUPPORTS
INTERLOCKS
LABELING AND TAGGING
INSTRUMENTS
WORKING SPACE
PROPER GROUNDING
ANCHORAGE
PROPER INSULATION
COMPARISON TO DRAWINGS
TIGHTNESS OF BOLTED CONNECTIONS
WELD INSPECTION
LEAKS
SECTION D - CALIBRATION AND SETTING
22.
NOTES
DESCRIPTION
BACK FLOW PREVENTER
PRESSURE REGULATOR
GAGES
LIMIT SWITCHES AND LINKAGES
SECTION E - SYSTEM TESTS
23.
PASS
FAIL
COMMENTS
NOTES
WATER QUALITY
HYDROSTATIC TEST
STRAINERS/FILTERS
SYSTEM TEST
24. NOTES
*CONDITION: A=ACCEPTABLE; R=NEEDS REPAIR, REPLACEMENT OR ADJUSTMENT; C=CORRECTED; NA=NOT APPLICABLE
DA FORM 7487-R, DEC 2002
APD LC v1.00
WATER SUPPLY AND TREATMENT SYSTEM INSPECTION CHECKLIST
For use of this form, see TM 5-697; the proponent agency is COE.
SECTION A - CUSTOMER DATA
1. PLANT
2. LOCATION
3. JOB NUMBER
4. EQUIPMENT
5. SYSTEM DESIGNATION
6. DATE (YYYYMMDD)
7. TEST EQUIPMENT
8. TESTED BY
SECTION B - EQUIPMENT DATA
9. BACK FLOW PREVENTER MANUFACTURER
10. MODEL NO
11. SERIAL NO
12. FLOW RATING
13. PRESSURE REGULATOR
14. MODEL NO
15. SERIAL NO
16. FLOW RATING
17. CHEMICAL FEED POT MANUFACTURER
18. MODEL NO
19. SERIAL NO
20. CAPACITY
SECTION C - VISUAL AND MECHANICAL INSPECTION
21.
CHECK POINT
COND*
NOTES
CHECK POINT
COND*
NOTES
EXTERIOR OF EQUIPMENT
IDENTIFICATION
COMPLETENESS OF ASSEMBLY
BRACING/SUPPORTS
INTERLOCKS
LABELING AND TAGGING
INSTRUMENTS
WORKING SPACE
PROPER GROUNDING
ANCHORAGE
PROPER INSULATION
COMPARISON TO DRAWINGS
TIGHTNESS OF BOLTED CONNECTIONS
WELD INSPECTION
LEAKS
SECTION D - CALIBRATION AND SETTING
22.
NOTES
DESCRIPTION
BACK FLOW PREVENTER
PRESSURE REGULATOR
GAGES
LIMIT SWITCHES AND LINKAGES
SECTION E - SYSTEM TESTS
23.
PASS
FAIL
COMMENTS
NOTES
WATER QUALITY
HYDROSTATIC TEST
STRAINERS/FILTERS
SYSTEM TEST
24. NOTES
*CONDITION: A=ACCEPTABLE; R=NEEDS REPAIR, REPLACEMENT OR ADJUSTMENT; C=CORRECTED; NA=NOT APPLICABLE
DA FORM 7487-R, DEC 2002
APD LC v1.00