Date Conducted :

Control No. :

PLUMBING FIXTURES FUNCTIONALITY TEST

PROJECT
LOCATION
Trade:

Plumbing / Sanitary
Attachment:
Plan Diagram Product Data Methodology Mill Certificate

Bldg. # / Floor : Brand / Contractor :

Unit :

Design Actual Visual Inspection Checklist TEST RESULT

ITEM
ITEM DESCRIPTION Draining Draining REMARKS
NO.
Time (sec) Time (sec) leak deffective clogged PASS FAIL
1 WATER CLOSET
Trial 1 see product
data
Trial 2
2 URINAL
Trial 1 see product
data
Trial 2
3 LAVATORY
Trial 1 see product
data
Trial 2
4 BATH TUB
Trial 1 see product
data
Trial 2
5 FLOOR DRAIN (t&b) see product
data
Trial 1
Trial 2
6 FLOOR DRAIN (balcony)
Trial 1 see product
data
Trial 2
7 SINK
Trial 1 see product
data
Trial 2

Design Actual Visual Inspection Checklist TEST RESULT

ITEM
ITEM DESCRIPTION Draining Draining REMARKS
NO.
Time (Lps) Time (Lps) leak deffective clogged PASS FAIL
1 WATER CLOSET
Trial 1 see product
data
Trial 2
2 URINAL
Trial 1 see product
data
Trial 2
3 LAVATORY FAUCET
Trial 1 see product
data
Trial 2
4 BATH TUB
Trial 1 see product
data
Trial 2
5 SHOWER
Trial 1 see product
data
Trial 2
6 SINK FAUCET
Trial 1 see product
data
Trial 2

CONDUCTED BY: WITNESSED BY: APPROVED BY: NOTED BY:

(Supplier & Contractor Representative) ( MEPF / Client) ( QA / QC) ( PIC / PM / MEPF HEAD)

DISTRIBUTION : Subcon DPI Document Control Client