Backflow prevention device test report
Records backflow prevention device testing at the interval set by the relevant authority or site requirement, with device details, test pressures, pass or fail results, repairs and authorised tester sign-off. A live form your crew fills on their phones, not a Word template you retype on every site.
- Backflow prevention device testing at the interval set by the relevant authority or site requirement
- With device details
- Test pressures
- Pass or fail results
- Repairs
- Authorised tester sign-off
This form ships inside 2 form packs. Pick the pack built for your setting and it arrives live in your Eaco workspace, branded to your business.
Not sure which pack? Water Safety & Hygiene Forms Pack is the fastest way in.
Rendered from the live form itself. Your logo replaces the placeholder the day you buy. On Eaco, branding is included, not a paid extra.
When you need this form
Testable backflow devices protect drinking water from contamination by irrigation, cooling, fire and process systems. Most water authorities require them to be tested at a set interval by an authorised tester, and the report is what closes the loop. Facility and asset teams also need one after any repair, replacement or new connection, and whenever a compliance register is handed over to a new owner or manager.
Water authorities and insurers want the device history, not a one-off certificate. A live report keeps serial number, location, test pressures and tester licence details attached to the asset, so the next test compares against the last. Photos of the device and its tag prove the report matches the plant on site, which is exactly what a due diligence reviewer checks.
What good looks like
- Device type, size, serial number and exact location on site.
- Recorded test pressures for each check, not a bare pass tick.
- Pass or fail result with the fault described in plain terms.
- Repairs, replaced parts and the retest that followed them.
- Authorised tester name, licence number and signature against the test date.
Included in 2 form packs
Compare all packsEvery pack below carries the Backflow prevention device test report plus the forms that win work in its setting. Buy the pack once and every form in it goes live, branded to you.
Backflow prevention device test report, answered
Is this a PDF or Word template?
Neither. It is a live form: your crew opens it on their phones, ticks it through, attaches photos and signs on the glass. Every submission is timestamped, GPS-pinned and stored as proof.
How often does a backflow prevention device need testing?
At the interval set by your local water authority or site requirement, and again after any repair, replacement or new connection. Testing must be done by an authorised tester and recorded against the device.
What goes in a backflow test report?
Device details and location, the measured test pressures, the pass or fail result, any repairs and the retest, plus the authorised tester's name, licence and signature. Photos of the device tag tie the report to the asset.
Can I buy just this one form?
Forms ship in packs, from $99 one-time with GST included. Or get every form, this one and 276 more, plus Eaco AI on the $29 a month plan.