# SA Backflow Prevention Device Report (https://tradieforms.com.au/forms/sa-backflow-prevention-device-report)

Commissioning, annual test, replacement, or decommissioning report for backflow prevention devices. Send the completed PDF to the Office of the Technical Regulator within 7 days.

## Form facts
- Template slug: sa-backflow-prevention-device-report
- Issuing authority: Office of the Technical Regulator
- States and territories: SA
- Trades: Plumbing · Draining
- Category: Government compliance
- Form version: August 2026
- Output: a filled PDF on the official form layout.

## Where to use it
- Form page, with the link that starts a fill: https://tradieforms.com.au/forms/sa-backflow-prevention-device-report
- Form guide: https://tradieforms.com.au/docs/form-guides/plumbing/sa/sa-backflow-prevention-device-report

## Sections you fill
- Test Details - Test type, file reference, and device identity. (9 fields)
- Device Location - Exact location plus valve location and property owner contacts. (13 fields)
- Certification - Test kit calibration, tester details, and signature. (8 fields)
- Test Results - Readings and results for RPZD, SCVT, DCV, PVB, or SPVB devices. (15 fields)
- Break Tank - Registered break tank and air gap measurements. (7 fields)

## Related guides
- [SA backflow prevention device report: fill it at the device](https://tradieforms.com.au/resources/sa-backflow-prevention-device-report-guide) - SA - Plumbing

## Scope
- Tradie Forms prepares this paperwork. It does not replace regulator guidance, licence obligations or legal advice.
- Users remain responsible for checking job details, the downloaded PDF and any lodgement requirement.