Project:

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Pipeline Hydrostatic Test Report

Cleaning, Gauging, Pressure Test & Drying
Pipeline

From:

to:

Client:
Contractor:
Ref. Standard:
Doc. No.:

Report No.:
Date:
Page 1 of 1

Attachment:

1.0 General Information

Test Section:
From Joint No./Sec.
to Joint No./Sec.
Test Section Length (m):
Line No./Test Section No.
Class (ANSI Rating):
Design Pressure (psi):
Location Class (Acc. to ANSI/ASME B31.8):
Design Factor:
Lowest point elevation:
Highest point elevation:
Pipeline Size (Diameter):
Pipe Material:
Wall Thickness:
High Point Vent(s) Installed
(Qty.
) Low Point Drain(s) Installed
(Qty.
Maximum Allowable Pressure at Lowest Point (psi):
Minimum Acceptable Test Pressure at Highest Point (psi):
2.0 Test Equipments
Air Compressor
Type:
Capacity:
Pressure Gauge:
Qty.
Capacity:
Calibration Checked
Recorder:
Calibration Checked
Dead Weight Tester:
Calibration Checked
3.0 Cleaning
Water Volume (m3):
Amount of Corrosion Inhibitor (if Applicable):
Launching Date/Time:
Receiving Date/Time:
Result:
Inspected By:

Sign.

4.0 Gauging
Pipeline Inside Diameter (Minimum):
Gauging Plate Material:
Launching Date/Time:
Result:

Gauging Plate Diameter:

Gauging Plate Thickness:
Receiving Date/Time:
Inspected By:

5.0 Pressure Test

Date/Time Test Started:
Minimum Test Pressure (psi):
Minimum Test Temperature (C):
Result:

Date/Time Test Finished:

Maximum Test Pressure (psi):
Maximum Test Temperature (C):

Sign.
(Duration:

Inspected By:

hr.)

Sign.

6.0 Dewatering & Draying

Dewatering Date/Time:

Dewatering Duration:

Quality Control
Name:
Sign:
Date

Drying Completed (Acceptable)

TPI Inspection
Name:
Sign:
Date

Client
Name:
Sign:
Date: