Backflow & Controller Audit
Backflow assembly test and controller audit form with psid readings, pass/fail, program review, and recommendations. PDF report emailed. Free to start.
Use this template with your own crew
Start a free trial, open it in the builder, and send it to a technician today. No card required.
Start free trial →30 days free · no card · cancel yourself any time. No seat minimum.
Would rather ask a person first? Email us — a human answers.
What happens when it's submitted
- Email the report to the customerEmails a branded PDF
- Escalate failed backflow testsFlags for review · Notifies the office
Backflow & Controller Audit, on a phone and as a PDF
Both panels are drawn from this template's actual fields, so they change when the form does. Sample values shown; branding and layout are yours to change in the PDF designer.
What's on the form
All of this is customizable to your process. Delete the fields you don't need, add the ones you do — and every lookup is powered by your customer list and your own data.
Backflow assembly
- CustomerRequiredcustomer lookup
- TesterRequiredemployee lookup
- Tester certification no.Requiredtext
- Assembly typeRequireddropdown
- Serial numberRequiredtext
- Size (in)dropdown
- Check valve 1 differential (psid)number
- Check valve 2 differential (psid)number
- Relief valve opened at (psid)number
- Air inlet opened (PVB)dropdown
- Backflow test resultRequireddropdown
- Photo — assembly and gaugephoto
Controller audit
- Controller make / modelRequiredtext
- Zones programmednumber
- Run times reviewed against plant needstoggle
- Seasonal adjust set (%)number
- Rain / freeze / soil sensorRequireddropdown
- Smart / WiFi weather adjustment activetoggle
- Backup battery replacedtoggle
Recommendations & sign-off
- Water-saving recommendationscheckbox
- Audit notestextarea
- Tester signatureRequiredsignature
Use this template with your own crew
Start a free trial, open it in the builder, and send it to a technician today. No card required.
Start free trial →30 days free · no card · cancel yourself any time. No seat minimum.
Would rather ask a person first? Email us — a human answers.