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CNG-Cylinder-Inspection-Form

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Date: __________
CNG CYLINDER INSPECTION FORM
Vehicle Make
Model
Mileage
1
Year
2
VIN#
3
4
Cylinder No.
Manufacturer
Serial #
Location
Label Serial # (Applied)
NFPA 52 Sect.
3-3
3-3
3-3
3-3
3-3
3-3
3-3
3-3
3-3
3-3
3-3
3-3
2-5
3-4
2-8
2-5
3-5
CGA sect.
7.4.2.4
7.4.1
7.4.1
7.4.2.4
7.4.2.4
7.4.2.4
7.4.2.4
7.4.2.4
7.4.2.4
7.4.2.4
7.4.2.4
7.5.3
7.5.4.1
7.3
7.5.1.3
7.9
7.9
7.4.1
7.5.1.3
7.6.2
7.8
7.8
7.4.2.1
7.3
7.11.2
P = Pass F = Fail
CNG Cylinder Examination
1 2 3 4
Cylinder and mounting bracket are clean
Cylinder installation compliant with NFPA-52
Minimum ___ inch clearance around cylinder and 3/8 inch from shields
Rubber mounting pads in place and in good condition
Cylinder firmly restrained by the brackets (no rocking, looseness or cracks)
ALL the bracket securing bolts present and tight
Bracket and strap bolts torqued to proper specifications
Mounting brackets in good condition (not bent, no deformation)
Mounting bracket area free of damage
Check bracket-to-vehicle mounting for signs of stress
Brackets and straps corrosion free
Cuts, gouges and abrasions on the cylinder are less than 0.010 inch in depth
No signs of cylinder exposure to fire or extreme heat
No signs of cylinder involvement in an accident
Cylinder is free of impact damage (surface discoloration, cracked resin, chipping, loose fibers)
Cylinder service pressure markings not less than vehicle service pressure.
Cylinder has not exceeded the marked service life.
Cylinder is properly externally vented (cylinders enclosed in vehicles only)
Cylinder is free of rust, corrosion or etching of outer surface
External paint, composite layer or metal surface is free of bubbles or bulges
Valves, lines and/or Pressure Relief Device (PRD) assemblies are damage free
PRD is in good condition (with no visible extrusion of eutectic material)
Fuel and vent lines are properly attached to the vehicle
Vehicle history (no incidents possibly damaging the cylinder)
Installation of new inspection sticker
Summary of examination and description of damage and/or adverse findings:
Repairs or replaced brackets or other components as follows:
Cylinder Inspection Results (check one)
____ Return Cylinder(s) to service.
____ Repair Cylinder(s) as follows:
____ Send Cylinder(s) to Mfr. for further inspection as follows:
____ REMOVE CYLINDER(S) FROM SERVICE AND DESTROY
Certificate No.
Inspector Signature:
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