Title Page
- Job Address
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Client Details
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Registered Business Details
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Serial No:
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Location
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Details of Work Carried Out
- Strength Test
- Tightness Test
- Purge
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Engineer
Strength Test Details
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Strength Test
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Test Method
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Installation
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Components not suitable for strength testing been removed or isolated from installation as necessary
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Calculated strength test pressure (STP) (mbar/bar)
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Test medium (air, nitrogen, water, other)
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Stabilisation period (minutes)
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Strength test duration (STD) (minutes)
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Permitted pressure drop (% STP)
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Calculated permitted pressure drop (mbar/bar)
Strength Test Findings
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Actual pressure drop (mbar/bar)
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Strength test result (Pass or Fail)
Tightness Test Details
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Tightness Test
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Gas type - Natural Gas (NG), Liquefied Petroleum Gas (LPG)
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Installation - New (N), New extension (NE), or Existing (E)
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Could weather / changes in temperature affect test? (Yes / No)
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Meter type (Diaphragm, Rotary, etc.)
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Meter designation (U16/G10, etc.)
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Meter bypass installed (Yes / No)
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Installation volume (IV) Gas meter (m3)
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Installation pipework & fittings (m3)
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Total IV (m3)
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Test medium (fuel gas, air, etc.)
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Tightness test pressure (TTP) (mbar / bar)
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Pressure gauge type (water, high SG, electronic etc.)
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MPLR (m3/hr) or MAPD (mbar)
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Let-by test period existing installations (minutes)
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Stabilisation period (minutes)
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Tightness test duration (TTD) (minutes)
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Inadequately ventilated areas to check (Yes / No)
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Barometric pressure correction necessary (Yes / No)
Tightness Test Findings
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Actual pressure drop (mbar)
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Actual leak rate (m3/hr)
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Inadequately ventilated areas checked (Yes / NA)
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Tightness test result (Pass or Fail)
Purging Details
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Purging Details
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Risk assessment carried out (Yes / No)
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Written procedure for the purge prepared (Yes / No / NA)
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"NO SMOKING" signs etc displayed as necessary (Yes / No)
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Persons in the vicinity of the purge advised accordingly (Yes / No)
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Appropriate valves to and from the section of pipe labelled (Yes / No)
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Purge gas cylinders checked / content verified (Yes / No)
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Suitable fire extinguishers available in case of an incident (Yes)
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Two-way radios (intrinsically safe) available (Yes / No)
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Electricial bonds fitted as necessary (Yes / No)
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Gas detector / oxygen measuring devices suitable (Yes)
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Purge volume: Gas meter (m3)
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Installation pipework and fittings (m3)
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Total purge volume (m3)
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Maximum purge time (sec)
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Minimum purge flow rate (m3/hr)
Purging Findings
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Purge gas end point readings (O2% or LFL%)
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Purge result (Pass or Fail)
Summary
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Installation safe to use (Yes / No)
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Warning Notice serial number(s)
Issued By:
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Engineer Signature:
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Licence No:
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Date & Time:
Received By:
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Please State:
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Signed:
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Date & Time: