Pipework Pressure Test

• PWM Job Number:

• Client / Site

• Conducted on

  Date

• Prepared by

Roughin works complete

• All Roughing works completed, including risers and Isolation. <br>

  Yes

  No

  N/A

• Reason for works not being completed

• Type of test

  Air pressure test

  " water column

Installation type

• System to be tested

  Heating Pipework

  Hot water

  Cold water

  Drainage / Waste

  Gas Pipework

• Pressure test held for a period of no less than 15 min at at min pressure of 5psi (103 Kpa) or as per code. <br>

  Yes

  No

  N/A

• Gauge Pressure

  Media

• Test carried out by

  Sign

Customer sign off

• Add signature

  Sign