| PIPING SYSTEM ā FLUSHING AND TESTING |
| Report No.: | |||||||||
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| Item | Description of Check | Sub Contr. | Contractor | Company | |||||
| Sign | Date | Sign | Date | Sign | Date | ||||
| 01 | Limits of test in accordance with the scope listed on the attached test index and marked-up P&ID's |
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| 02 | System prepared for flushing in accordance with the approved procedure. |
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| 03 | Flushing completed in accordance with the approved procedure |
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| 04 | System prepared for testing in accordance with the approved procedure |
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| 05 | System tested in accordance with the approved procedure. (Note 1) |
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| Test Results and Readings | |||||||||
| Test pressure at start |
| Bar G | |||||||
| Ambient temperature at start |
| oC | |||||||
| Start date and time |
| Date and Time | |||||||
| Test pressure at end |
| Bar G | |||||||
| Ambient temperature at end |
| oC | |||||||
| End date and time |
| Date and Time | |||||||
| Test duration |
| Hours | |||||||
| Tested by contractor |
| Name and Signature | |||||||
| Test witnessed by Company (Note 2) |
| Name and Signature | |||||||
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