CHECK LIST FOR LAYING SEWAGE PIPELINE WORKS

Package Name .: Date of Testing

Contractor Name : Contract N
Location of Manhole
Man hole Denotation
Test Head :1.5m at highes
Man hole From
Man hole to
Length Water level Drop
SI .NO ID (mm ) Time in Hrs Stretch
(m) ( mm )
10 min 30 min

Remarks:

Submitted By Witnessesd By
For Contractor For Consultant
Signature Signature

Name and Designation Name and Designation

ORKS

est Head :1.5m at highes

Volume of water to
restore to Original
Level ( Litres
10 min 30 min