Cod.

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PRESSURE TEST REPORT Rev:

Project Company: Contractor: Project: Page 1 of 1

CONTRACTOR: STRUCTURE DATE

CONSULTANT LOCATION WEATHER

MECHANICAL PRESSURE TEST
FLOOR
SUBCONTRACTOR: RECORD NUMBER:

TEST PARAMETERS

Type of test : 󠅁󠅁󠄀Hydrostatic 󠄀󠅁 * Pneumatic Frost precaution

Pipline Identification:
□ Pipeline to be tested is marked on attached draft drawing
Lowest point elevation Pipeline Size (Diameter):
Highest point elevation Pipe Material :
Maximum Allowable Pressure Minimum Acceptable Test Pressure
at Lowest Point (psi/bar): at Highest Point (psi/bar):
□ High Point Vent(s) Installed (Qty.)
□ Low Point Drain(s) Installed (Qty./Adet )
/ Alt nokta tahliyeleri konuldu
Design Working Required test Actual test fluid
Test fluid:
Pressure : Pressure : temperature:
Test starting time Test ending time

TEST EQUIPMENT– PRESSURE GAUGE / MANOMETRE

Type/Tip : Pressure range Calibration date:

HEALTH, SAFETY & ENVIROMENTAL CONTROLS

Exclusion zone for safety of people (actual safe distance): □ MSDS reviewed and attached (if chemicals are used)
Test area controls (barricades, signage, etc.) Actual disposal of test fluid

RESULTS
Min. Test Pressure Observed: Max. Test Pressure Observed: Test Duration:
Inspection: 󠅁󠅁□ PASS 󠅁□
󠅁 FAIL (explain)
Pressure test: 󠅁□ PASS 󠅁□ 󠄀FAIL (explain)
Remarks:

Mechanical Engineer of Subcontractor performing test:

Signature: Date:

Mechanical Engineer of Astaldı-Turkerler JV Construction

Signature: Date:
inspecting test

Inspector witnessing test: Signature: Date:

QC CONSULTANT (As Req)

NAME       NAME

SIGNATURE       SIGNATURE
DATE       DATE
*Installation of a pressure relief valve is required for a pneumatic test