Backflow assembly test, with the checklist already written
Each assembly: type, readings from the test kit, and whether it held. Work it on a phone with no signal, send the customer a signed report, and quote the repairs for anything that failed.
- Items
- 15
- Run on
- Each backflow assembly
- Usually comes due
- Every year
The checklist you start with
Every item can be changed, removed or added to. Minimum readings shown are common ones. Check each against your water authority's rules and the test procedure it requires.
Test kit
Test kit serial number
Text
Test kit calibration date
Date
Assembly
Type
Choice from a list, each backflow assembly
Size
Text, each backflow assembly
What it protects
Choice from a list, each backflow assembly
Installed the right way round with room to service it
Pass or fail, each backflow assembly, photo on a fail
Shut-off valves and test cocks work
Pass or fail, each backflow assembly, photo on a fail
Readings
Line pressure
Reading (a number), each backflow assembly, passes at 0 psi or more
Check valve 1 held at
Reading (a number), each backflow assembly, passes at 1 psid or more
Check valve 2 held at
Reading (a number), each backflow assembly, passes at 1 psid or more
Relief valve opened at
Reading (a number), each backflow assembly, passes at 2 psid or more
Air inlet opened at
Reading (a number), each backflow assembly, passes at 1 psid or more
Result
Assembly passed the test
Pass or fail, each backflow assembly, photo on a fail
Repairs made before the passing test
Text, each backflow assembly
Photo of the assembly and its tag
Photo, each backflow assembly