Sample of filling out a hydrostatic leak test report. Form of hydrostatic or manometric leak test report

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INTERNAL SANITARY TECHNICAL SYSTEMS - SNiP 3-05-01-85 (approved by Decree of the USSR State Construction Committee dated 13-12-85 224) (edited... Relevant in 2021

ACT OF HYDROSTATIC OR MANOMETRIC TIGHTNESS TESTING ___________________________________________________________________ (name of the system) installed in _________________________________________________ (name of the facility, ___________________________________________________________________ building, workshop) _____________________________ “____” _________________19. A commission consisting of representatives of: customer ______________________________________________________________ (name of organization, ___________________________________________________________________ position, initials, surname) general contractor __________________________________________ (name of organization, __________________________________________________________________ position, initials, surname) installation (construction) organization _____________________________ (name of organization, ___________________________________________________________________ position, initials, surname) carried out inspection and quality control of installation and drew up this report on the following: 1. Installation was carried out according to the project ____________________________________ (name of the design organization __________________________________________________________________ and drawing numbers) 2. Testing was carried out by ___________________________________________________ (hydrostatic ___________________________________________________________________ or manometric method) with a pressure of __________________________MPa (_______________kgf/sq.cm) in for ___________________________________ min 3. The pressure drop was ___________ MPa (________ kgf/sq.cm) 4. Signs of rupture or violation of the strength of the connection of boilers and water heaters, drops in welds, threaded connections, heating devices, on the surface of pipes, fittings and water leakage through the water outlet fittings, flushing devices, etc. not found (cross out what is not needed). Commission decision: Installation was carried out in accordance with the design documentation, current technical specifications, standards, building codes and rules for the production and acceptance of work. The system is recognized as having passed the pressure leak test. Representative of the customer ____________________________ (signature) Representative of the general contractor ____________________________ (signature) Representative of the installation (construction) organization ____________________________ (signature)

APPENDIX 4
Mandatory
(Document)

• Letchford A.N., Shinkevich V.A. As-built documentation in construction (Document)
• Cheat sheets - Organization of construction production (Crib sheet)
• Abstract Restoration of buildings and structures (Abstract)
• Komkov V.A. Technical operation of buildings and structures (Document)
• RSN 8.01.102-2007 Collection of resource estimates for the construction of temporary buildings and structures (Document)
• RSN 8.03.105-2007 Collection 5. Pile work. Drawer wells. Consolidation of soils (Document)
• Litvinova O. O, Belyakova Yu.I. Construction technology (Document)
• Moiseev I.S., Shaitanov V.Ya. Inventory production enterprises in hydropower construction (Document)
• Yudina A.F. Reconstruction and technical restoration of buildings and structures (Document)
• Safety rules for the construction of underground structures (Standard)
• Technical regulations on fire safety requirements. Federal Law of the Russian Federation of July 22, 2008 N 123-FZ (Standard)

EXAMPLE OF EXECUTION OF AN ACT FOR INSPECTION OF A HEAT SUPPLY SYSTEM

Inspection and testing report of the heat supply system
“12” February 2002

Commission consisting of representatives:

carried out a physical inspection and a thermal effect test of the water (steam) heating system performed
and drew up this report on the following:

2. During the work process, the following deviations from the project were made

3. All heating devices (radiators, convectors, etc.) warm up evenly (to the touch) across floors and branches of the system

4. The parameters of the heating medium at the outside air temperature are:

A) coolant temperature in the supply line (primary water) 62.2°C

B) coolant temperature in the return line 28.6°C

C) coolant temperature after the elevator 43.9
° C
D) water pressure in the supply line 6.6

MPa.

D) water pressure after the elevator 4,0

MPa.

E) water pressure in the return line 3,8

MPa (kgf/cm 2)

5. Test duration – 7

hours.

Commission decision.

No. __________
132
___________ “
15 ” February
______

200 8

Representative of the developer or customer _____________________________________________

___
technical supervision inspector Petrov A.P., order No. 40 dated February 10, 2007 ____
Representative of the person carrying out the construction ____________________________

________
work foreman Trofimov V.G., order No. 25 dated February 15, 2007 ________
(position, surname, initials)

____
technical supervision inspector N.E. Fokin, order No. 16 dated February 25, 2007 ____
(position, surname, initials)

________
design engineer Abarov V.M., order No. 65 dated February 15, 2007 _________
(position, surname, initials)

Representative of the person carrying out the construction, who completed sections of the engineering and technical support networks, work manager N.M. Palnichenko, order No. 86 dated March 1, 2007.

(position, surname, initials)

___
engineer of JSC Zhilkomservice No. 2 Mikhailov N.N. __
(position, surname, initials)

as well as other representatives of persons participating in the examination: _____________

___________________________________________________________________________

(name, position, surname, initials, details of the document of representation)

___________________________________________________________________________

___________________________________________________________________________

have drawn up this act on the following:

1. The following sections of the engineering and technical support network are submitted for inspection ____________
internal sewerage system _________
___________________________________________________________________________

___________________________________________________________________________

(list and brief description of sections of engineering support networks)

2. Sections of the engineering and technical support networks were made according to the design documentation ________
JSC "LENNIIPROEKT" detailed design 13018-VK _______
(number, other details of the drawing, name of the design documentation,

___________________________________________________________________________

___________________________________________________________________________

information about the persons preparing the section of the project documentation)

3. Technical conditions for connecting a capital construction project to engineering support networks are provided by ____________________________

(number and date of technical specifications,

___________________________________________________________________________

issued by whom, validity period of technical conditions, other information)

4. When performing sections of engineering support networks,

building materials and products in accordance with the specifications for the detailed design

___________________________________________________________________________

certificates or other documents confirming quality)

5. Hidden work affecting the safety of sections of engineering and technical support networks was inspected _____________________________

___________________________________________________________________________

(hidden works, dates and numbers of their inspection reports are indicated)

6. Documents have been presented confirming the compliance of sections of engineering and technical support networks with the requirements imposed on them, including:

a) executive geodetic diagrams of the position of engineering and technical support networks ______
executive drawing of internal sewerage networks ______
___________________________________________________________________________

b) results of examinations, surveys, laboratory and other tests of work performed, carried out during the process of construction control ___________________________

_____________
test report of the internal sewerage system________________
___________________________________________________________________________

(name of document, date, number, other details)

c) technical specifications ________________________________________________________________

___________________________________________________________________________

(name of document, date, number, other details)

7. The necessary tests and testing have been carried out ____________________________

____________
testing of the internal sewage system_____________________
___________________________________________________________________________

(names of tests, numbers and dates of reports are indicated)

8. Dates: start of work
“ 15
” ____ October
200
7

completion of work “
10
” ___ February
200
8

9. The submitted sections of the engineering and technical support networks are made in accordance with the technical connection conditions, design documentation and technical regulations (norms and rules), other regulatory legal acts _____________________________________________________________________

__________
working draft 13018-VK and the requirements of SNiP 3.05.01-85 _________
(indicate the name, articles

___________________________________________________________________________

(clauses) of technical regulations (norms and rules), other regulatory legal acts, sections of project documentation)

Additional information ____________________________________________________

___________________________________________________________________________

The act was drawn up in 2

copies.

Applications:
executive drawing of internal sewerage networks; passports and certificates for used building materials and products; test report for the internal sewerage system ____________________________
Representative of the developer or customer Technical supervision inspector Petrov A.I.

Representative of the person carrying out the construction Work foreman Trofimov V.G.

(position, surname, initials, signature)

Representative of the person carrying out construction on construction control issues

___________
Technical supervision inspector N.E. Fokin _______________________
(position, surname, initials, signature)

Representative of the person preparing the project documentation ________

_____________________
Design engineer Abarov V.M. ______________________
(position, surname, initials, signature)

Representative of the person carrying out the construction, who completed the sections of the engineering and technical support networks that are subject to inspection ___________

_________________
Producer of works N.M. Palnichenko _____________________
(position, surname, initials, signature)

Representative of the organization operating the engineering support networks: ___
Engineer of JSC Zhilkomservice No. 2 Mikhailov N.N. __
(position, surname, initials, signature)

Representatives of other persons: _____________________________________________________

___________________________________________________________________________

(position, surname, initials, signature)

Report of hydrostatic or manometric leak test

EXAMPLE OF EXECUTION OF AN ACT FOR INSPECTION OF A HEAT SUPPLY SYSTEM
Certificate of inspection and testing of a heat supply system

EXAMPLE OF REGISTRATION OF A THERMAL TEST REPORT FOR A CENTRAL HEATING SYSTEM FOR THE EFFECT OF ACTION

Thermal test report of the central heating system for effect

Form of hydrostatic testing report for low-pressure boilers (water heaters, boiler auxiliary equipment, fuel oil pipelines)

Certificate of hydrostatic testing of low pressure boilers (water heaters, boiler auxiliary equipment, fuel oil pipeline)

Form of test report for internal sewerage and drainage systems (SNiP 3.05.01-85, Appendix 4)

Test report for internal sewerage and drainage systems

EXAMPLE OF EXECUTION OF A TESTING REPORT FOR INTERNAL SEWERAGE AND DRAINAGE SYSTEMS