Sewer Bypass Pipe Pressure Test

• Audit Title

• Project/Package Name

• Contractor

• Pressure Test Attempt

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Project Information

• Project Title

• Location of Testing
  Address

• Description of Activity Being Tested

Inspection Checklist

• Are all welds in good working condition?

  Yes

  No

  N/A

• Are all testing assemblies in good working condition?

  Yes

  No

  N/A

• Are the pressure gauges in good working condition?

  Yes

  No

  N/A

• Are calibration certificates current and completed?

  Yes

  No

  N/A

Test Information

• Nominal (D) Size of Pipe

• Length of Main Being Tested

• Test Pressure (kPa)

• Mains Material

Test Details

• Start Time

  Date

• Start Pressure Test - Pressure Gauge Photo

  Media

• Start Pressure (kPa)

• End Time

  Date

• End Pressure Test - Pressure Gauge Photo

  Media

• End Pressure (kPa)

• Did the main hold pressure at 800 kPa for 15 minutes?

  Yes

  No

  N/A

• Additional Comments

• Additional photos

  Media

• This is to certify that the main in question passed the required pressure testing and was witnessed by an SEW Project Engineer.

  Sign

• This is to certify that the contractor is in agreement with the assessment conducted by SEW.

  Sign