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Backflow stops and Cleaning pipes Triplex
Handover record
English
Check list (to be completed by the company performing the work)
Inspections
Remarks
O.K.
not
O.K.
Installation
Piping systems, connections, flow direction,
supports
General condition
Visual inspection: exterior damage, soiling
Backflow flap(s)
Tested for functional reliability
Emergency flap
Only backflow stops (type 1 and type 2),
Section 4.1
Tightness test
Only backflow stops type 2,
Section 4.2
Induction (to be given by the company performing the work)
Induction
Remarks
yes
no
Induction
Functions, operation, operating tips,
troubleshooting, obligatory servicing
Handover
Instructions for use
Remarks:
Signature (work performed by):
Signature (work accepted by):