Hydrostatic Test report

• Site conducted

  Select

• Report type

  Hydrostatic test report

• Conducted on

  Date

• Report number

• Prepared by

  Select
• Site address
  Address

• PROJECT

• DATE

  Date

• HBP Equipment No. of test GAUGE

  1012330268

  Other

• Provide description of test gauge

• Medium

  Air

  Water

  OTHER

• SHEET No:

• SERVICE:

• SHOP DRAWING:

• LOCATION:

• LEVEL:

  Select Basment Ground Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 Level 9 Level 10 Other

  • Basment
  • Ground
  • Level 1
  • Level 2
  • Level 3
  • Level 4
  • Level 5
  • Level 6
  • Level 7
  • Level 8
  • Level 9
  • Level 10
  • Other

• GRID REF:

• INSTALLATION INSPECTED:

TEST REQUIREMENTS

• SPECIFIED PRESSURE:

  1500Kpa

  1700Kpa

  Other

• HOURS:MINUTES

  30Mins

  2 Hours

  Other

FIRST SIGHTING

• Kpa

• TIME

  Date

• DATE

  Date

• PHOTO

  Media

SECOND SIGHTING

• KPA

• TIME

  Date

• DATE

  Date

• PHOTO

  Media

FINAL SIGHTING

• KPA

• TIME

  Date

• DATE

  Date

• PHOTO

  Media

• REMARKS

  Pass

  Fail

  N/A

• WAS A LEAK FOUND

  Yes

  No

  N/A

• PROVIDE PHOTOS OF THE LEAK

  Media

• CAN THE LEAK BE REPAIRED

  Yes

  No

  N/A

• Provide information of how the leak was repaired

TEST COMPLETED BY

• SIGNITURE

  Sign

• CUSTOMER/BUILDER SIGNITURE

  Sign