Package : Plumbing Works Date:

Contractor :

Description of works : HYDROSTATIC TESTING

Drg.Ref No: Rev.: Inspection request
Wing:__________________
Details: By: Time:
Floor:__________________
Inspection By:
Location:_______________
S.No. Inspection details I round II round Remarks

1 PRESSURE TEST DETAILS:

START TIME:
END TIME:
2 PRESSURE READING
START :
END :
3 Test Gauge calibration report is availabe

Variation in spec. / BOQ if any:

Observations:

Submitted by Verified by

Contractor Consultant/ PMC