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Run: NFPA 54 Gas Piping Pressure Test Record

Record fuel gas piping pressure tests for new or altered gas piping, including test medium, test pressure, hold time, leak findings, and sign-off. Use it to ...

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Inspection Details

Project or permit number recorded

Enter the project, permit, job, or inspection reference number.

Inspection date and time recorded critical (required)

Record when the pressure test was performed.

Inspector or tester name recorded critical (required)

Identify the person performing or witnessing the test.

Authority Having Jurisdiction (AHJ) or witness identified

Record the AHJ, code official, or other witnessing party if applicable.

System Identification

Gas piping system scope identified critical (required)

Describe the new or altered piping section tested, including building area or equipment served.

Tested piping material and size recorded

Record piping material, nominal size, and any relevant segment details.

Test boundaries and isolation points verified critical (required)

Confirm the test section was isolated from appliances, meters, regulators, and other components not intended to be pressurized.

Yes No N/A

Appliances and sensitive components protected or disconnected critical (required)

Confirm appliances, regulators, meters, and other components were protected, disconnected, or otherwise excluded from the test as required.

Yes No N/A

Test Setup and Conditions

Test medium selected critical (required)

Select the medium used for the pressure test.

Note (optional)

Test pressure recorded critical (required)

Record the applied test pressure.

Hold time recorded critical (required)

Record the duration the test pressure was maintained.

Ambient conditions noted

Record any conditions that could affect the test, such as temperature changes or access limitations.

Pressure Test Results

Test pressure maintained for full hold time critical (required)

Confirm the system held the required test pressure for the full recorded hold time without unacceptable pressure loss.

Yes No N/A

No leakage observed during test critical (required)

Confirm no leaks, defects, or unsafe conditions were observed during the test period.

Yes No N/A

Leak locations or deficiencies documented

If any leakage, deficiency, or non-conformance was found, describe the exact location and condition.

Corrective action completed and retest required if applicable critical (required)

Confirm any identified deficiency was corrected and retested before approval, if applicable.

Yes No N/A

Final Verification and Sign-Off

Inspection result critical (required)

Select the final outcome of the pressure test inspection.

Inspector comments

Provide any final notes, limitations, or code-related observations.

Inspector signature critical (required)

Signature of the inspector, tester, or authorized witness.

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