Title Page

    Job Address
  • Client Details

  • Registered Business Details

  • Serial No:

  • Location
  • Details of Work Carried Out

  • Engineer

Strength Test Details

  • Strength Test

  • Test Method

  • Installation

  • Components not suitable for strength testing been removed or isolated from installation as necessary

  • Calculated strength test pressure (STP) (mbar/bar)

  • Test medium (air, nitrogen, water, other)

  • Stabilisation period (minutes)

  • Strength test duration (STD) (minutes)

  • Permitted pressure drop (% STP)

  • Calculated permitted pressure drop (mbar/bar)

Strength Test Findings

  • Actual pressure drop (mbar/bar)

  • Strength test result (Pass or Fail)

Tightness Test Details

  • Tightness Test

  • Gas type - Natural Gas (NG), Liquefied Petroleum Gas (LPG)

  • Installation - New (N), New extension (NE), or Existing (E)

  • Could weather / changes in temperature affect test? (Yes / No)

  • Meter type (Diaphragm, Rotary, etc.)

  • Meter designation (U16/G10, etc.)

  • Meter bypass installed (Yes / No)

  • Installation volume (IV) Gas meter (m3)

  • Installation pipework & fittings (m3)

  • Total IV (m3)

  • Test medium (fuel gas, air, etc.)

  • Tightness test pressure (TTP) (mbar / bar)

  • Pressure gauge type (water, high SG, electronic etc.)

  • MPLR (m3/hr) or MAPD (mbar)

  • Let-by test period existing installations (minutes)

  • Stabilisation period (minutes)

  • Tightness test duration (TTD) (minutes)

  • Inadequately ventilated areas to check (Yes / No)

  • Barometric pressure correction necessary (Yes / No)

Tightness Test Findings

  • Actual pressure drop (mbar)

  • Actual leak rate (m3/hr)

  • Inadequately ventilated areas checked (Yes / NA)

  • Tightness test result (Pass or Fail)

Purging Details

  • Purging Details

  • Risk assessment carried out (Yes / No)

  • Written procedure for the purge prepared (Yes / No / NA)

  • "NO SMOKING" signs etc displayed as necessary (Yes / No)

  • Persons in the vicinity of the purge advised accordingly (Yes / No)

  • Appropriate valves to and from the section of pipe labelled (Yes / No)

  • Purge gas cylinders checked / content verified (Yes / No)

  • Suitable fire extinguishers available in case of an incident (Yes)

  • Two-way radios (intrinsically safe) available (Yes / No)

  • Electricial bonds fitted as necessary (Yes / No)

  • Gas detector / oxygen measuring devices suitable (Yes)

  • Purge volume: Gas meter (m3)

  • Installation pipework and fittings (m3)

  • Total purge volume (m3)

  • Maximum purge time (sec)

  • Minimum purge flow rate (m3/hr)

Purging Findings

  • Purge gas end point readings (O2% or LFL%)

  • Purge result (Pass or Fail)

Summary

  • Installation safe to use (Yes / No)

  • Warning Notice serial number(s)

Issued By:

  • Engineer Signature:

  • Licence No:

  • Date & Time:

Received By:

  • Please State:

  • Signed:

  • Date & Time:

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