Pipe Spools Clearance and

Pressure Test Report

Reliance
End Cover Details Pressure Gauge Nos. Report no.:
Test Pressure: kg/cm2g
Size Thickness Pressure Gauge Range 0- kg/cm2g 0- kg/cm2g
mm
Test Medium: Gauge Calibration Date
PMI PMI Test Temperature: 0
C Calibration Due Date Date:
Before Fit up After Welding Acceptance Criteria
Pressure Hold Time Minutes / Hrs.

1 Spool Clearance Details Temporary / Pressure Test Purpose - Weld Joint Details
Pre Post Test
Pipe Weld Type PWHT BHN Pressure
Sr. ISO No. / Line Rev Spool Piping Pipe WPS Welder Heat Heat Fluid
Wall Joint of Report Report Test
No. No. No. No. Class Size No. No. Report Report Report
Thick No. Weld No. No. Result
No. No. No.

Note: Correctness of stubs / blinds, gaskets, pressure gauges, manifolds & flange tightening with appropriate bolts are ensured prior to pressurization.
Remarks:
Test Package Joints
Weld Visual NDE Clearance for Pressure Test Pressure Test
Fit-up Clearance
Inspection Clearance
Contractor Reliance Contractor Reliance Reliance Contractor Reliance Reliance Reliance Contractor Reliance Reliance
Execution Execution QA/QC QMD QMD QA/QC Execution QMD O&M /TPI QA/QC QMD O&M /TPI
Signature
Name
Date
Format No.: EPCMD-2QM00FMTPP028, Rev: 01, Date: 02.09.2013 Page 1 of 1