Follow the steps to successfully complete the report.

1. Click the ‘Get Form’ button to access the report and open it in your preferred digital editor.
2. Begin by clearly printing the business name and facility address. Ensure that you use block lettering for readability.
3. Input the contact person's name and their phone number. This information is essential for any follow-up regarding the report.
4. Select the make, model, type, and size of the assembly you are testing. Ensure all choices accurately reflect the equipment in use.
5. Indicate whether the assembly is new or existing by checking the appropriate box.
6. Fill in the previous assembly number, if applicable, and specify the type of use for the assembly being tested (e.g., domestic, fire, irrigation).
7. Record the assembly serial number, test date, and time of the test. Be precise to ensure accuracy.
8. Complete the test results section by marking whether the assembly passed, failed, or is under suspension. Include any necessary comments or issues identified during testing.
9. Provide details concerning the testing kit, including make, model, serial number, and calibration expiration date.
10. Enter the name of the tester and their certification number. Include the testing company and their phone number.
11. The tester should sign the report and ensure the tester’s certification expiration date is recorded.
12. If there are repairs needed, document the details in the comments section provided.
13. Review all information for accuracy, and once complete, you can save your changes, download a copy, print, or share the report as needed.

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