RBT-PRO-QHS-ITP-MEC-210 - Pneumatic Test Record

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MECHANICAL INSPECTION & TESTING PROCEDURE

Pneumatic Test Record

Client Date

Project Project no.

System Location

Installation Inspection – Pneumatic Test Record

Sketch of test setup:

This is to certify that the pipework mentioned above has been subjected to an internal test pressure as stated
below and for the duration stated below and has showed no visible signs of distortion or leakage in any way.

Working Pressure Test Pressure Test Period (time) Gauge no.

Pneumatic Test Record – Sign Off

Name Position Company Date

Carried out by

Witnessed by

Accepted by

Owner: Red Bear MEP Manager Page number: 1 of 1


Document ref: RBT-PRO-QA-ITP-MEC-210 - Pneumatic Test Record.docx
Approved by: Red Bear XX Date printed: 16 March 2023

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