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Project:

Client: Report No.:

Hydrostatic, Drying & Flushing Report

Contractor: Date: Ref. Standard: Page 1 of 1 Doc. No.:

Area/ Location:

Quality Control TPI Inspection EPC Contractor Client Name: Sign: Date

Name: Sign: Date

Name: Sign: Date

Name: Sign: Date:

Description of Test Circuit:

Test Media: Test Media Temp. Ambient Temp.

Test Press. Design Press.

Remark :

Flushing:

Flushing Media:

Flushing Satisfactory and Lines and/or Equipment(s) Drained and Dried. :

Remarks:

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Quality Control Form