Plumbing Backflow Prevention Device Test Checklist [FREE PDF]
Certified backflow testers and facility engineers use this checklist for annual backflow prevention assembly testing per EPA Cross-Connection Control guidelines and AWWA Manual M14 requirements.
- Industry: Facility Management
- Frequency: Annually
- Estimated Time: 15-25 minutes
- Role: Certified Backflow Tester
- Total Items: 8
- Compliance: EPA Cross-Connection Control, AWWA Manual M14
Assembly Test & Performance
Conduct field test of backflow prevention assembly function.
- Does the first check valve hold with minimum required differential pressure?
- Does the relief valve open at correct differential (RP assemblies)?
- Does the second check valve hold under test conditions?
- Assembly test notes
Installation & Records
Verify proper installation and test report documentation.
- Is the assembly accessible for testing and maintenance?
- Has the test report been completed and submitted to the water utility?
- Is the assembly tagged with test date and certification number?
- Installation and record notes
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Why Use This Plumbing Backflow Prevention Device Test Checklist [FREE PDF]?
This plumbing backflow prevention device test checklist [free pdf] helps facility management teams maintain compliance and operational excellence. Designed for certified backflow tester professionals, this checklist covers 8 critical inspection points across 2 sections. Recommended frequency: annually.
Ensures compliance with EPA Cross-Connection Control, AWWA Manual M14. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Plumbing Backflow Prevention Device Test Checklist [FREE PDF] cover?
This checklist covers 8 inspection items across 2 sections: Assembly Test & Performance, Installation & Records. It is designed for facility management operations and compliance.
How often should this checklist be completed?
This checklist should be completed annually. Each completion takes approximately 15-25 minutes.
Who should use this Plumbing Backflow Prevention Device Test Checklist [FREE PDF]?
This checklist is designed for Certified Backflow Tester professionals in the facility management industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.