Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Water Authority Validation Officer present?
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Personnel
Site overview
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Inspection carried out the following time
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Select date
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Principal Contractor
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Watermain Contractor
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Weather
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Site conditions
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Additional site conditions:
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Further Works Required?
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All actions from previous inspection report completed
Testing
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Testing Undertaken
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Watermain swabbing
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Backflow prevention device installed?
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Swabbing
Swab
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Line Swabbed
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Potable Result
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Photo of Swab
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Recycled Result
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Photo of Swab
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Watermains Pressure Test
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Has pre-testing been completed & witnessed?
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Witness
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Date of Witness
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Why was it not witnessed?
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Has a copy of the pre-test paperwork been received?
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Swabbing of the lines has been successfully completed
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Lines flushed till running clear
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No visual failures are evident
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Gauges
Gauge
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Serial Number
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Calibration date
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Is there 5% PE on the job?
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Potable
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Pressure adopted
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Time started
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Time finished
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Potable pressure does not continue to drop throughout test period of 15 minutes
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Was the main pumped up again?
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Pressure adopted
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Time Started
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Time Finished
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Potable pressure does not continue to drop throughout test period of 15 minutes
Recycled
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Pressure adopted
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Time Started
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Time Finished
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Recycled pressure does not continue to drop throughout test period of 15 minutes
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Was the main pumped up again?
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Pressure adopted
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Time Started
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Time Finished
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does not continue to drop throughout test period of 15 minutes
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Potable
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Has stage been left at mains pressure overnight?
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Time Started
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Pressure adopted
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Litres required after hour 1
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Litres required after hour 2
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Litres required after hour 3
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Litres required after hour 4
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Litres required after hour 5
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Pass if; ∆V (hour 5) ≤ 0.55 x ∆V (hour 3) + Vall
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Vall = 0.14 x L x D x H
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L = Test Length in Km
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D = Pipe diameter in metres
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H = Average test head in metres
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Test Result
Recycled
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Has stage been left at mains pressure overnight?
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Time Started
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Pressure adopted
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Litres required after hour 1
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Litres required after hour 2
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Litres required after hour 3
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Litres required after hour 4
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Litres required after hour 5
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Pass if; ∆V (hour 5) ≤ 0.55 x ∆V (hour 3) + Vall
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Vall = 0.14 x L x D x H
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L = Test Length in Km
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D = Pipe diameter in metres
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H = Average test head in metres
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Test Result
Summary
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BW Auditors Comments
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Photo Records:
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BW Auditor
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Site Representative
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I confirm that all actions highlighted within this report have been completed