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Run: Gas Main Pressure Test and Tie-In Report

Document gas main pressure testing and tie-in readiness in one place, with recorded test pressures, leak observations, and final sign-off. Use it to prove th...

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Inspection Identification

Record the project name, site address or GPS location, and the specific main segment, stationing, or tie-in point being inspected.
Enter the date and time the pressure test or tie-in inspection was performed.
Record the inspector name, employer, and the competent person responsible for the work area, if applicable.
Select the scope of work covered by this report.

Pre-Test Readiness and Safety

Confirm the test section is isolated from live gas sources and secured for testing.
Verify excavation, utility coordination, and any required permits or notifications are complete before testing or tie-in.
Select the hazard controls verified at the worksite.
Confirm the test and tie-in area is controlled for ignition sources and other foreseeable hazards.

Test Equipment and Calibration

Verify the pressure gauge, recorder, or data logger used for the test has current calibration documentation.
Confirm the selected gauge range is suitable for the planned test pressure and provides readable resolution.
Select the medium used for the pressure test.
Record the serial number or asset ID of the primary test equipment used.

Pressure Test Execution

Record the applied test pressure for the gas main.
Record the duration the test pressure was held.
Confirm the line was allowed to stabilize before the final acceptance reading was taken.
Confirm the test held without pressure loss beyond the project or governing standard limit during the hold period.
Record any leak indications, repair actions, retest results, or note that no leaks were observed.

Tie-In Verification

Confirm the tie-in locations match the approved design, as-built plan, or work order.
Verify the tie-in procedure included the required isolation, purging, and re-pressurization steps before returning the segment to service.
Confirm all tie-in joints, fittings, and closures were inspected for leaks after completion.
Confirm the segment was not placed into service until authorized by the responsible supervisor or AHJ, as applicable.

Deficiencies, Corrective Actions, and Sign-Off

Document any deficiencies, non-conformances, or exceptions identified during the inspection.
Record corrective actions taken, responsible party, and target completion date if any item failed or required follow-up.
Inspector signs to attest the report is complete and accurate.

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