Overview and section help for the SA Office of the Technical Regulator backflow prevention device report
SA Plumbing
Office of the Technical Regulator
Commission, annual test, replacement, or decommission report for backflow prevention devices. Export the official OTR PDF within 7 days.
Open this form The SA Backflow Prevention Device Report is used to record commissioning, annual testing, replacement, or decommissioning of backflow prevention devices in South Australia.
Have these ready:
Test type and file (e)number
Device make, model, serial number, and size
Exact device location
Site owner contact details
Site occupier details if different from the owner
Test kit number and calibration date
Tester name, licence, phone, and signature
Valve readings for the nominated device type
The Office of the Technical Regulator says the completed report must be forwarded within 7 days of completing the work.
Preview the PDF, download it, then email it to otr.plumbbackflow@sa.gov.au
Office of the Technical Regulator, Plumbing trades, GPO Box 320, Adelaide SA 5001.
Tradie Forms prepares the PDF. It does not lodge the report with OTR or decide whether a device passes the test.
Record why you are on site and the device identity.
Test type: commissioning, annual test, replacement, or removal/decommission
Serial number of valve removed when replacing a device
File (e)number and account number
Device make, model, serial number, size, and type
Pick the device type that matches the installed hardware. The test results section only shows fields for RPZ, SCV/DCV, PTVB, or break tank devices.
Check the test type and device details against the device tag and your test records.
Record where the device is and who owns or occupies the site.
Exact device location (GPS coordinates or a clear description)
Site owner name, business name, address, and phone
Site occupier details if different from the owner
Use address search on Solo or Team for SA site owner addresses, then check suburb and postcode before download.
Confirm owner and occupier details against the job booking or property records.
Record test kit calibration and tester certification.
Test kit number
Certification date of calibration
Contractor business name or stamp
Tester name, licence number, and phone
Tester's signature and signed date
Enter the calibration date shown on the test kit record. Check that the kit and calibration meet the current OTR and testing requirements. Save tester details from the certification toolbar for repeat tests.
Check calibration date, licence number, signature, and signed date before you download.
Record valve readings and pass checks for RPZ, SCV/DCV, or PTVB devices.
RPZ: downstream isolation valve, differential pressure, relief valve opening pressure, and check valve 2
SCV/DCV: downstream gate valve and check valves 1 and 2
PTVB: downstream gate valve, air inlet status, opened-at pressure if applicable, and check valve
Only fill the row that matches the device type you selected in Test Details. Leave other device result fields blank.
Check readings against your test kit display and tick only the pass boxes that apply.
Record registered break tank and air gap measurements.
Inlet orifice size or water service pipe size
Minimum air gap, total head, break tank capacity, and overflow pipe size
This section appears when the device type is break tank and air gap. Pick whether you are recording inlet orifice size or water service pipe size before entering the measurement.
Check units match the PDF: millimetres for sizes and head, litres for tank capacity.
Open the SA Backflow Report Prepare the backflow prevention device report.
