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Backflow Prevention Device Inspection and Maintenance

by Josip Prahovic, from the Community

Downloads: 10+
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This backflow prevention device inspection and maintenance report template helps facilities and maintenance teams record comprehensive details during testing. Capture property and device information, meter and serial numbers, device type and manufacturer, and add photos of the unit and serial plate. Log test results for check valves, relief valve opening pressures (RPZD), bypass assemblies, and downstream isolation valves, including differential pressures in kPa. Note required repairs or part replacements, and mark pass or fail outcomes. Record test kit identification and calibration dates, technician or contractor details, licencing, certifications, tester name, signature, test date, and comments. Designed to support compliance with AS2845 and local regulations across water systems such as domestic, fire services, irrigation, medical, and mechanical plant connections.

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Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.