SA Backflow Report

The SA Backflow Prevention Device Report is used to record commissioning, annual testing, replacement, or decommissioning of backflow prevention devices in South Australia.

Before you start

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

You must send the completed PDF to the Office of the Technical Regulator within 7 days.

After export

Preview the PDF, download it, then email it to otr.plumbbackflow@sa.gov.au or post it to:

Office of the Technical Regulator, Plumbing trades, GPO Box 320, Adelaide SA 5001.

Test Details

Record why you are on site and the device identity.

What to enter

• 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

Tips

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.

Before export

Check the test type and device details against the device tag and your test records.

Device Location

Record where the device is and who owns or occupies the site.

What to enter

• 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

Tips

Use address search on Pro or Team for SA site owner addresses, then check suburb and postcode before export.

Before export

Confirm owner and occupier details against the job booking or property records.

Certification

Record test kit calibration and tester certification.

What to enter

• Test kit number
• Certification date of calibration
• Contractor business name or stamp
• Tester name, licence number, and phone
• Tester's signature and signed date

Tips

Calibration must be current in accordance with AS 2845. Save tester details from the certification toolbar for repeat annual tests.

Before export

Check calibration date, licence number, signature, and signed date before you download.

Test Results

Record valve readings and pass checks for RPZ, SCV/DCV, or PTVB devices.

What to enter

• 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

Tips

Only fill the row that matches the device type you selected in Test Details. Leave other device result fields blank.

Before export

Check readings against your test kit display and tick only the pass boxes that apply.

Break Tank

Record registered break tank and air gap measurements.

What to enter

• Inlet orifice size or water service pipe size
• Minimum air gap, total head, break tank capacity, and overflow pipe size

Tips

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.

Before export

Check units match the PDF: millimetres for sizes and head, litres for tank capacity.