Get Backflow Test Form Word

Filling out the Backflow Test Form is an essential process to ensure the proper documentation of backflow prevention assemblies. This guide will provide you with a comprehensive, step-by-step approach to completing the form online, making it straightforward and user-friendly.

Follow the steps to accurately complete the Backflow Test Form online.

1. Click ‘Get Form’ button to access the Backflow Test Form and open it in your chosen editing tool.
2. Begin by entering the owner's or business's name in the designated field. Ensure that this reflects the official name as it appears on your business records.
3. Provide a current phone number where you can be reached for any follow-up inquiries regarding the test.
4. Fill in the contact person's name, ensuring accurate spelling for professional correspondence.
5. Complete the address section with the physical location of the assembly being tested, ensuring to include the city, state, and ZIP code.
6. Identify the field location and select the appropriate protection type by circling the corresponding option (CO, FL, LS, PU, OT).
7. Input the manufacturer, model number, and serial number of the assembly. This information is crucial for adequate identification.
8. Document the initial test results, making sure to fill in the pressure readings for the check valves and the relief valve, noting whether they closed tight or leaked.
9. If any repairs were made, detail them in the designated section, specifying if parts were cleaned or replaced.
10. Record the results of the final test after repairs, repeating the pressure readings for all relevant components.
11. Enter the date, time, tester certification number, and your signature as the tester. Make certain that all details are accurate.
12. Finally, provide your printed name, company name, phone number, test gauge serial number, calibration date, make, and model of the test gauge.
13. Once all fields are completed, ensure the integrity of your input and save your changes. You can then download, print, or share the completed form as needed.

Start completing your documents online today to ensure compliance and peace of mind.