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In-Service Testing Record
Date:
Hot Water Supply :
HW Temp
Cold Water Supply:
CW Temp
Mixed Temp at max draw-off: Mixed Temp:
Mixed Temp at low draw-off:
Instrumentation Used:
Cold Water Isolation Test
Comments:
Recommended Date of Next In-Service Test:
In-Service Testing Record
Date:
Hot Water Supply :
HW Temp
Cold Water Supply:
CW Temp
Mixed Temp at max draw-off: Mixed Temp:
Mixed Temp at low draw-off:
Instrumentation Used:
Cold Water Isolation Test
Comments:
Recommended Date of Next In-Service Test:
Issue 4 June 2016
IN-SERVICE TESTING RECORD
Establishment:
Type of Valve : TSV1-3 Shower Valve
C
HW Pressure
C
CW Pressure
C
Flowrate at max draw-off:
Mixed Temp:
C
Flowrate at low draw-off:
Temp:
Press:
Max Mixed Water Temp during CW Isolation test:
Note: MWT should return within 2 degrees of set temp, and be no greater than 43C after this test.
Establishment:
Type of Valve : TSV1-3 Shower Valve
C
HW Pressure
C
CW Pressure
C
Flowrate at max draw-off:
Mixed Temp:
C
Flowrate at low draw-off:
Temp:
Press:
Max Mixed Water Temp during CW Isolation test:
Note: MWT should return within 2 degrees of set temp, and be no greater than 43C after this test.
Horne Engineering Ltd
(Note: Photocopy this page)
Bar
Instrumentation:
Bar
C
Mixed Water Temp on restoration of CW Supply:
Bar
Instrumentation:
Bar
C
Mixed Water Temp on restoration of CW Supply:
Location of Valve:
Temp:
Pressure:
l/min
l/min
Flow:
Location of Valve:
Temp:
Pressure:
l/min
l/min
Flow:
15
C
C
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