Get City Of Waterloo Cross Connection Survey Form

Completing the City Of Waterloo Cross Connection Survey Form online is essential for ensuring compliance with backflow prevention regulations. This guide provides clear, step-by-step instructions to help you navigate the form easily.

Follow the steps to fill out the Cross Connection Survey Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date in the designated field to indicate when the survey is being conducted.
3. Provide the building address where the survey is taking place in the specified area.
4. Fill in the owner's name and contact details, including telephone number and email address, to ensure communication.
5. Include the name of the surveyor and their contact information to identify who is conducting the survey.
6. Specify the building use to provide context for the cross-connection survey.
7. Select the premise hazard level by checking the appropriate box (minor, moderate, severe) based on the building's risk assessment.
8. Indicate whether there is protection against thermal expansion by checking 'YES' or 'NO' in the relevant section.
9. Answer questions regarding the presence of a fire sprinkler system and chemicals added to the building, selecting 'YES' or 'NO' as applicable.
10. Describe the location of any cross connections and what equipment they serve.
11. Document any existing protection measures by detailing the type and size in the respective fields.
12. Provide any recommended or existing protection for the fire sprinkler system by selecting the appropriate option.
13. Include the serial number and the date of the last test for any existing protection to maintain records.
14. Indicate the degree of hazard (minor, moderate, severe) for existing conditions and whether the existing protection is acceptable.
15. Specify any proposed upgrades including type and size to enhance protection against cross connections.
16. Once all fields are completed, save your changes, and choose to download, print, or share the form as necessary.

Complete the City Of Waterloo Cross Connection Survey Form online today to ensure your compliance with backflow prevention regulations.