HYDROSTATIC PRESSURE TEST REPORT Form QT4(b)

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EXTERNAL PIPELINE &
MAIN PIPE COMPLETE WITH FERRULE AND COMMUNICATION
PIPE

Name of
Development :

Project Reference
No. :

1. Pressure Test – External Pipeline & Main Pipe Complete With Ferrule And
Communication Pipe (Steel Pipe Only)
Testing Date : Time :
Preperations for Test : Satisfactory / Not Satisfactory
Pressure
Communication
Test
Pipe Material
(Bar)
All type 6.0

External Pipeline / Main Pipe

Comm. Initial Final Result
Comm. Location
Pipe Specified Pressure
Pipe From; To; Dia. Pressure after 2
Material Pt./ CH./ Pt./ CH./ Pass √ Fail X
(mm)- (Bar) hours (Bar)
Node Node

Note: The pressure chart recorder result shall be attached with this report.

Checked By

Name :
Firm :
CP Registration :
No
NRIC. No. :
Signature of Competent Person
Date :

Witnessed By

Name :
Staff No :
Signature of SYABAS;
Executives/ Technician
Development Unit
Date :