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Hydrostatic Test Form

This document provides a hydrostatic test report. It lists the client, project details, applicable documents, test medium used, test pressures, temperatures, holding times, calibration details of test gauges, and test results. The item tested passed the hydrostatic test as specified.

Uploaded by

Li Liu
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
119 views

Hydrostatic Test Form

This document provides a hydrostatic test report. It lists the client, project details, applicable documents, test medium used, test pressures, temperatures, holding times, calibration details of test gauges, and test results. The item tested passed the hydrostatic test as specified.

Uploaded by

Li Liu
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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HYDROSTATIC TEST  Date  ……………….. 

REPORT 
Report. No.  ………….. 
 
 

CLIENT :  …………….  Project :    …………………………………. 

Drawing No.:   …………………………..  SERIAL NO :  ………………………… 

JOB NO       : ……………………………  REF.PROCEDURE : PR‐02REV.1 
 
APPLICABLE DOCUMENTS: …………………………………. 
 
   
TEST MEDIUM:               WATER    ADDITIVES   :                    NONE 
         
 
HOLDING TIME 
MAWP (Bar)  TEST PRESSURE (Bar)  TEST METAL TEMP. (°C) 
(min) 
 

…………  ………...  ……………  …………… °C 

         
Q.C OR SERIAL NO  RANGE (Bar)  CALIBRATION DATE  VALIDITY 
 

TEST 
………………..  ………………  ………………..  ……………. 
GAUGES 

 
RESULT: SATISFACTORY…………………………………………………………………………………………………………….        
 
 
WE HEREBY CERTIFY THAT THE   :…..………………….  HAS BEEN SATISFACTORY PASSED THE HYDROSTATIC TEST AS 
MENTIONED ABOVE. 
 
REMARKS : 
  ............................................................................................................................................................… 
       
  ................................................................................................................................................................ 
 
               
 

 
 
TS QC.   DATE  ………..  DATE  ……………  DATE  ………………  DATE 
 
 

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