SIGN-OFF SHEET INSTRUCTIONS

STEP Initials Date
Did the Candidate:
Prepare documentation (work order, PDI form, etc) to record the Time Pressure
Drop Test results?
Ensure the temperature of both air and piping was approximately the same?
Ensure a uniform temperature was maintained throughout the test procedure?
Ensure the propane system is turned off at the service valve?
Ensure all appliances are turned off?
Ensure all open pilot lights are turned off?
Turn propane system on slowly at the service valve to bring pressure to between
75 and 8.5 “W.C.”?
Turn propane off at the service valve?
Monitor the manometer for a period of three minutes? Locate and repair leak(s)
and retest until a successful test (no pressure drop) is accomplished? (See Leak
Test sign-off sheet)
Bleed the propane pressure from the system using the gas cock on the Test Kit?
Remove the Test Kit from the system and reattach the low-pressure hose or
piping?
Turn propane system on at the service valve?
Leak test the low-pressure hose or piping connection?
Document test results on appropriate documentation indicating observed
pressure, time, duration of the test, date and sign?
I verify that _________________________________ has correctly completed
(Printed technician name)
all of the steps identified above.
___________________________________
(Printed Name)
___________________________________
(Signature)
___________________________________
(Dealership/Company)
___________________________________
(Technician’s Signature)
_______________
(Date)
_______________
(Position Title)
_______________
(Telephone Number)
July 15, 2003
Revised November 17, 2003