Hydrostatic Test Report
Project Name: Contract/SWLE #
Inspector:
Page:
of
Contractor:
Date:
From
To
Pipe Diam. (in.)
Pipe Length (ft.)
Design Working Pressure (psi)
Test Pressure (psi)* Start Finish
Test Time (hr:min)
Pass
Fail
Remarks
* All pressure pipelines and appurtenances shall be hydrostatically tested for a duration of not less than 2 hours, at the greater of 150% of the design working pressure or 100-psi hydrostatic pressure.
Inspector Signature
Date