Prior to servicing
General condition
Level of soiling
Level of wear
Servicing checklist
Backflow stop
Type 0
Type 2
–
X
X
X
X
X
–
X
–
X
X
X
Parts replaced:
Remarks:
Signature (work performed by):
Signature (work accepted by):
Servicing work
Emergency flap closed/opened,
Backflow flap(s) tested for functional reliability
Backflow unit and all parts inspected and cleaned,
Section 5.2
Tightness test,
Section 4.2
After servicing: Emergency flap opened
Backflow stop in good operating condition
INSTRUCTIONS FOR USE
DRAIN
/ MAINTENANCE LOG
Evaluation
low
medium
low
medium
Section. 4.1
high
high
Performed
yes
no
yes
no
yes
no
yes
no
yes
no
yes
no
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