Get Backflow Prevention Assembly Test Report - Buildingoperations Ubc

Filling out the BACKFLOW PREVENTION ASSEMBLY TEST REPORT is essential for ensuring compliance with safety regulations. This guide provides step-by-step instructions to make the process clear and straightforward for users of all experience levels.

Follow the steps to successfully complete the form.

1. Use the ‘Get Form’ button to access the form and open it in the designated editing tool.
2. Begin by entering the protection type in the designated section, selecting either 'Premise Isolation' or 'Premise bypass' as applicable.
3. Fill in the date of the test in the specified format: Year, Month, Day.
4. Provide the tester information. Please print clearly the tester’s name, business address, contact number, and postal code.
5. In the device section, indicate the device number and purpose of the device, along with additional relevant details such as the service address and contact person.
6. Next, document the line pressure and the assembly details, including make, model, serial number, and size.
7. For the air gap section, confirm whether the minimum air gap separation is provided by checking 'Yes' or 'No'. If 'No', provide remarks on the second page.
8. Complete the test results for the backflow assembly, including initial test results and after repair results where applicable. Record pressure measurements accurately.
9. Sign and date the report in the areas provided for the tester and owner or representative signature.
10. Once all sections are complete, save your changes, and choose to download, print, or share the form as needed.

Ensure the safety and compliance of your devices by completing and submitting your BACKFLOW PREVENTION ASSEMBLY TEST REPORT online.