Doc. Id. No.

: PRO-5711-03

PRESSURE TEST FORM Revision No.: 4

Effective Date: 01.12.2015

S.O. No.: S.O Date: Test Standard: Doc. Ctrl. No.:

Pressure Gauge / Equipment ID : Brand :

Size / Range : SN / Type / Model :

No. Test Description Pressure Start (Mpa) Pressure End (Mpa) Pressure Difference Holding Time (min) Serial Number Body Heat # Flange Heat # Result
(Mpa)

HydroTest Operator QC Inspector

Date Date
 QC No 061
PRESSURE TEST FORM Revision 0
Date 13.09.2013
Ref No:

No. Test Description Test Pressure Serial Number Standard Time Result

- Seat test side A & B Ball Valve 3/4'' - 900 2400 PSI API 6D / 598 1 minutes

- Body test 3250 PSI API 6D / 598 1 minutes

- Seat test side A & B Ball Valve 3/4'' - 900 2400 PSI API 6D / 598 1 minutes

- Body test 3250 PSI API 6D / 598 1 minutes

- Seat test side A & B Ball Valve 3/4'' - 900 2400 PSI API 6D / 598 1 minutes

- Body test 3250 PSI API 6D / 598 1 minutes

- Seat test side A & B Ball Valve 3/4'' - 900 2400 PSI API 6D / 598 1 minutes

- Body test 3250 PSI API 6D / 598 1 minutes

- Seat test side A & B Ball Valve 3/4'' - 900 2400 PSI API 6D / 598 1 minutes

- Body test 3250 PSI API 6D / 598 1 minutes

Pressure Test Personel QC Supervisor

Date Date