Get Oh Backflow Prevention Assembly Test Report - City Of Columbus 2009

Filling out the OH Backflow Prevention Assembly Test Report is crucial for ensuring proper backflow prevention measures in your property. This guide provides step-by-step instructions for completing the form accurately and efficiently online.

Follow the steps to successfully complete the report.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing customer and property information. Fill in the property address, including the zip code, business name, contact person's name, phone number, and fax number clearly.
3. In the device information section, indicate whether this is a new installation, existing assembly, or a replacement by selecting the appropriate option.
4. Select the type of assembly used by circling one of the options provided: air gap, reduced pressure (RP), double check (DC), pressure vacuum breaker (PVB), or other. Include the old assembly serial number if applicable.
5. Provide the model, size, and serial number of the new assembly. Include the make of the assembly as well.
6. Describe the hazard being isolated, such as a boiler or irrigation system, and provide details about the location of the assembly.
7. Complete the initial test results by filling in the pressure readings for each component, indicating pass or fail as necessary. Ensure to record the pressure readings in the designated fields.
8. If repairs are made, document the details in the repairs and materials used section, and retest each component to indicate pass or fail results after the repairs.
9. Confirm whether the assembly meets proper piping installation requirements by selecting 'yes' or 'no' and provide feedback in the air gap inspection section regarding air gap separation.
10. In the certified tester information section, ensure all information is accurate. Include the tester’s name, certification number, test equipment details, and company name, along with their contact number. Finally, the tester must sign and date the report.
11. Once you have completed all sections of the form, save your changes. You can then download, print, or share the filled-out report as needed.

Complete your OH Backflow Prevention Assembly Test Report online today to ensure compliance and safety.