Get Backflow Prevention Device Test Report - Guelph

Completing the Backflow Prevention Device Test Report in Guelph is essential for maintaining the safety and functionality of your water system. This guide will provide clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to successfully complete the report online.

1. Press the ‘Get Form’ button to retrieve the report and open it in the appropriate editor.
2. Begin by filling out the ‘Address’ and ‘Facility ID’ fields at the top of the form. Ensure that the information is accurate and reflective of the testing location.
3. In the ‘Occupant’ section, provide the name of the individual or organization occupying the facility. Include their ‘Emergency Contact Person’, ‘Telephone’, and ‘Email’ for rapid communication.
4. Next, complete the ‘Owner’ section with the owner’s name, ‘Telephone’, ‘Address’, and ‘Email’. This information is crucial for follow-up and accountability.
5. Fill in the ‘Name of Certified Tester’, ‘Tester Certification Number’, ‘Telephone’, ‘Business Name’, and ‘Business Address’ in the corresponding fields. Ensuring the tester's details are accurate verifies the qualifications behind the testing.
6. Document the ‘Make of TEST KIT’, ‘Model Number’, and ‘Serial Number’ of the test kit used during the evaluation. Also, provide the ‘Date of Last Calibration’ to confirm the validity of the equipment.
7. Indicate the ‘Device Location’ and its ‘Purpose’. Additionally, record the 'Test Date' when the assessment was conducted.
8. Select the type of backflow prevention device being tested by marking either ‘RP’, ‘DCVA’, ‘PVB’, or ‘SRPVB’. Also, fill out the ‘Make’, ‘Model’, ‘Serial #’ and ‘Size’ of the device.
9. For the ‘Initial Test’ or ‘Annual Test’, indicate the outcome as ‘Passed’ or ‘Failed’. Record the ‘Line Pressure’ and check the results for each relevant assembly such as ‘Check Valve No. 1’ and ‘Check Valve No. 2’.
10. Complete the checks for the ‘Reduced Pressure Backflow Assembly’ and ‘Double Check Valve Assembly’ by marking whether each check valve leaked or closed tight. Fill in any pressure differentials observed during the test.
11. If the device fails the test, make sure to complete the section detailing the repairs needed and list the serial number of any existing replaced device.
12. Finally, ensure the tester provides their signature and the date on which the form is completed. This certifies that the information provided is accurate.
13. After filling out the form, review all entries for accuracy. You can then save changes, download, print, or share the completed report as needed.

Start completing your Backflow Prevention Device Test Report online today!