Job / site
Job #
Date
Tech
Site / address
Nameplate / ratings — from pump / motor plate or prior PM
Rated RPM
Rated GPM
Rated PSI (net)
Driver: ☐ Electric ☐ Diesel
| If electric — Rated V
Pretest — before flowing
☐ System taken offline
☐ System properly isolated
Operating points — write measured values
Flow method (one for sheet): ☐ Flowmeter ☐ Pitot / hose ☐ % of rated (no meter) ☐ Other
Target GPM @ 100% = rated
| Point |
GPM |
Suction psi |
Discharge psi |
Volts |
Amps |
RPM |
Oil psi |
Eng °F |
| Churn (0% / shutoff) |
| | |
| | |
| |
| 50% rated |
| | |
| | |
| |
| 100% rated |
| | |
| | |
| |
| 150% rated |
| | |
| | |
| |
Restore / sign-off
Left in AUTO?
☐ Y ☐ N
Tech initials / signature
Date / time