Inspection & Test Record for Piping Completion & Certificate for Flushing, Pressure Testing, Blowing, Reinstatement

& Completion
Client: Project No.: Project Name:

Record No.:

Subcontractor: Subcontract P.O. No.: Test system No.:

Reference Document: (Attach P&ID, isometric drawings and form 26C02)

Items to inspect

Subcontractor inspected initials/date Hold Point

Company inspected* initials/date

Remarks

1.0

Preliminary Piping released for flushing and pressure testing (form 26C02 attached)

2.0

Flushing Pressure ............................................ Bar Velocity ............................................ M/s

3.0

Pressure test Test medium .......................................... Test pressure .......................................... Bars (form 26C05 attached)

4.0

Blowing Blowing medium ..........................................

5.0 5.1 5.2

Reinstatement Reinstatement complete Line released for: - Heat tracing - Painting - Insulation Yes Yes Yes No No No N/A N/A N/A

H - Companys presence is mandatory for all activities in section. h - Companys presence is mandatory.

Attachments, No. of pages:

Accepted for Subcontractor

Name: Signature: Date:

Accepted for Company

Name: Signature:

Accepted for Client

Name: Signature:

*Company only initials for holdpoint

Date:

Date:

C:\RB_Forms\RB26C03.DOT\

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