PROPOSED EXTENSION TO EXISTING BUILDING

PROJECT
AT RUHUNU HOSPITAL, GALLE.
QUALITY ASSURANCE CHECK LIST FOR PRESSURE TESTING OF PIPES

Date :
Drawing Reference :
Building Name / Grid :
Sub-Contractor : Yonsan Engineering Lanka (pvt) Ltd.
Test Instrument : Pressure Gauge
Calibration Due Date :
Range of Measurement of : 0.0 - 16.0 Bar
Pressure Gauge
Material & Size of Pipe Under Test : GI Heavy Duty/ 100mm, 65mm, 50mm, 25mm
Time Duration of Pipe Under Test : 24 Hr

INSPECTION DETAILS

System Pressure : 5.0 - 8.0 Bar

Apply Pressure : 10.0 Bar

Start Time :

Inspection Time :

Release Time :

STATUS
ITEMS TO BE CHECKED REMARKS
Reading Date

1st reading of the pressure gauge

2nd reading of the pressure gauge

PRESSURE TESTING IS DONE CORRECTLY YES NO

SPECIAL NOTE:

SIGNATURE: SIGNATURE:

………………………………… …………………………………………
Yonsan QA/QC Representative Ruhunu Hospital QA/QC Representative