American National Standard

ASSE/IAPMO/ANSI
Series 5000-2022

Cross-Connection Control
Professional Qualifications Standard

FOR CERTIFICATION CLASS USE ONLY

ASSE Board Approved: March 2022

ANSI Approved: March 2022
FOR CERTIFICATION CLASS USE ONLY
 TABLE OF CONTENTS
Cross-Connection Control
Professional Qualifications Standard

Copyright Information ............................................ ii Standard #5120 ....................................................... 18

Professional Qualifications Standard for Cross-Connection
Foreword ................................................................. iii Control Surveyor/Specialist
ASSE Professional Qualifications Standards
Standard #5130 ....................................................... 22
Committee ............................................................... iv Professional Qualifications Standard for Backflow Prevention
Assembly Repairers
ASSE Series 5000 Working Group ............................ v
Standard #5013 ......................................................... 1 Standard #5140 ....................................................... 25
Minimum Performance Requirements for Testing Reduced Pressure Professional Qualifications Standard for Fire Protection System
Principle Backflow Prevention Assemblies Cross-Connection Control Testers
Standard #5015 ......................................................... 3
Minimum Performance Requirements for Testing Double Check Standard #5150 ....................................................... 29
Professional Qualifications Standard for Backflow Prevention
Backflow Prevention Assemblies
Program Administrators
Standard #5020 ......................................................... 5
Minimum Performance Requirements for Testing Pressure Vacuum Appendix A ............................................................. 33
Troubleshooting Flowcharts
Breaker Assemblies
ASSE Test Procedure Flowcharts ......................................... 33
Standard #5047 ......................................................... 7 One-Hose Test Procedure Flowcharts .................................. 61
Minimum Performance Requirements for Testing Reduced Pressure
Backflow Prevention Assemblies Appendix B ............................................................. 67
Schematics
Standard #5048......................................................... 9 Backflow Assembly Schematics............................................. 67
Minimum Performance Requirements for Testing Double Check Backflow Test Kit Schematics............................................... 77
Detector Backflow Prevention Assemblies
Appendix C ............................................................. 81

FOR CERTIFICATION CLASS USE ONLY

Field Test Report Forms
Standard #5056 ....................................................... 11
Minimum Performance Requirements for Testing Spill Resistant
Vacuum Breakers Appendix D .......................................................... 101
Troubleshooting Guide
Standard #5063 ....................................................... 13
Minimum Performance Requirements for Testing Air Valve and Appendix E ........................................................... 109
ASSE Field Test Procedures Using Three- and Five-Valve Test Kits
Vent Inflow Preventers

Standard #5110 ....................................................... 15 Appendix F ........................................................... 135

One-Hose Field Test Procedures
Professional Qualifications Standard for Backflow Prevention
Assembly Testers
Appendix G ........................................................... 149
Vocabulary and Definitions

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard i

Issued: March 2022
 COPYRIGHT INFORMATION
Cross-Connection Control
Professional Qualifications Standard

Neither this standard, nor any portion thereof, may be reproduced without the written consent of ASSE International.

Organizations wishing to adopt or list any ASSE standard should print the ASSE standard number on the cover page
first and in equal or larger type to that of the adopting or listing organization.

FOR CERTIFICATION CLASS USE ONLY

ASSE International
Mokena, Illinois
Copyright © 2022, 2015, 2009, 2004, 2000, 1998, 1990
All rights reserved.

ii ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 FOREWORD
Cross-Connection Control
Professional Qualifications Standard

This foreword shall not be considered a part of the standard. However, it is offered to provide background information.

ASSE International professional qualifications standards are developed in the interest of protecting public health.

In 1987, ASSE’s Board of Directors recognized the need to develop a professional qualifications standard for individuals
involved with backflow prevention. The resulting qualifications standard, the ASSE Series 5000, established minimum
industry requirements for the backflow prevention assembly tester, backflow prevention assembly repairer and cross-
connection control surveyor. This voluntary consensus standard was the first in the plumbing and water supply fields to
set minimum requirements for qualified professionals. The Series 5000 was first issued by the ASSE Board of Directors
in 1990 and was designated as an American National Standard by the American National Standards Institute (ANSI)
on November 14, 1991. The standard series has been updated and revised in 1998, 2000, 2004 and 2009, 2015, with
the current revision released in 2022.

Backflow prevention methods, devices and assemblies, along with their selection, installation, testing and repair, have
been an important part of protecting the public health and the water supply for many years. With the growing use of
recycled or gray water systems, and the chronic shortage of water in some areas of the country and world, it is vital that
this important resource be protected. There is no understating the importance of requiring trained personnel to specify,
install, test and repair this critical protection – the ASSE/IAPMO/ANSI Series 5000 standards mandate the proper level of
training, testing and experience needed. To prepare, update and revise this standard, representatives from different regions
and industry segments dedicated themselves to achieving true consensus, thereby advancing the backflow prevention
community.

In order to better meet the needs of the industry, this revised standard defines the minimum requirements for testing
backflow prevention assemblies meeting the performance requirements of ASSE Standards 1013, 1015, 1020, 1047, 1048,
1052 and 1056, and the minimum qualifications requirements for becoming an ASSE Certified Backflow Prevention

FOR CERTIFICATION CLASS USE ONLY

Assembly Tester, Fire Protection System Cross-Connection Control Tester, Backflow Prevention Assembly Repairer,
Cross-Connection Control Surveyor, and Backflow Prevention Program Administrator.

Recognition is made of the time volunteered by members of the working group, the original qualifications standards
committee members, and of the industry members who participated in the previous revisions of this standard.

Compliance with this standard does not imply acceptance by any code body. It is recommended that all cross-connection
control professionals be in compliance with federal, state and local codes.

This voluntary, consensus standard was promulgated in accordance with procedures developed by the American National
Standards Institute (ANSI).

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard iii

Issued: March 2022
 ASSE PQ STANDARDS COMMITTEE
Cross-Connection Control
Professional Qualifications Standard

Donald Summers Jr., Chairperson Edward Lyczko

Local 562 Plumbers & Pipefitters Cleveland Clinic - Retiree
Earth City, MO Cleveland, OH

Brian M. Andersen Douglas Marian

Plumbers Local 130 UA, JAC UA Local 78
Chicago, IL Los Angeles, CA

Donald J. Berger David Otterstein

New Orleans Pipe Trades LU 60 National Inspection Testing & Certification (NITC)
New Orleans, LA Los Angeles, CA

Raymond Boyd Richard J. Prospal

United Association Prospal Consulting Services Inc.
Annapolis, MD Brunswick, OH

Doreen Cannon Daniel Rademacher

UA Local 55 Plumbing Code & Design Consulting
Cleveland, OH Butte, MT

Chris Cheek Philip Roach

UA District Council 16 Sazan Group
Los Angeles, CA Portland, OR

Dana Colombo Kenneth Schneider

National Inspection Testing & Certification (NITC) United Association ITF
Metairie, LA St Louis, MO

Robert L. Cross Debbie Vukovich

FOR CERTIFICATION CLASS USE ONLY

UA Local 68 Dallas JAC Local 100
Houston, TX Garland, TX

Brianne Hall Marianne Waickman (non-voting)

Fishbeck ASSE International
Novi, MI Mokena, IL

Scott Hamilton (non-voting) Keith Woller

IAPMO UA Sprinkler Fitters Local 669
Mokena, IL Columbia, MD

Gary Howard
La Grange, IL

iv ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE SERIES 5000 WORKING GROUP
Cross-Connection Control
Professional Qualifications Standard

Sean Cleary, Chairperson Chris Simmons

IAPMO/BPI Local 8 – Plumbers and Gasfitters
Scranton, PA Kansas City, MO

Stu Asay Donald Summers Jr.

IAPMO / BPI Local 562 Plumbers & Pipefitters
Gunnison, CO Earth City, MO

Nick Azmo Don Sweeten

Apollo Flow Controls Sprinkler Fitters Local 692
Hawthorne, NJ Philadelphia, PA

Paul Baker Marianne Waickman (non-voting)

Plumbers Local 98 – PITC ASSE International
Detroit, MI Mokena, IL

Mike Eisenhauer Tom Walsh

Chicago Backflow New Jersey Alliance of Master Plumbers
Alsip, IL Howell, NJ

Matt Kapcia Kenny Whitson

The Backflow School, Inc. Local 344 – Plumbers and Pipefitters
Troy, MI Oklahoma City, OK

Matt King Ralph Yanora

Local 524 Plumbers & Pipefitters Commissioner, PA Public Utility
Scranton, PA Harrisburg, PA

FOR CERTIFICATION CLASS USE ONLY

Mike Lueck Ralph Young
Mid-West Instrument Sprinkler Fitters Local 669
Sterling Heights, MI Lanham, MD

Janice McNellis (non-voting)

ASSE International
Mokena, IL

John Parizek
Local 15 – Minneapolis Plumbers JATC
Prior Lake, MN

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard v

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

vi ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5013
Minimum Performance Requirements for
Testing Reduced Pressure Principle Backflow
Prevention Assemblies

1.0 Scope, Purpose and Definitions a continuous water supply is necessary or where
testing creates a special hazard, inconvenience
1.1 Scope or risk in buildings or piping systems.
C. The proper information, reporting forms and
This operational performance test requirement equipment shall be gathered to properly perform
includes all activities that shall be addressed while the test.
field testing ASSE Standard 1013 Reduced Pressure
Principle Backflow Prevention Assemblies. 2.2 Site Issues
A. Safety Evaluation
1.2 Purpose
The evaluation shall be made for hazards to
The purpose of this standard shall be to establish persons and property in accordance with
minimum field testing performance requirements applicable federal, state and local safety
for ASSE Standard 1013 Reduced Pressure Principle regulations and statutes. Some of the issues to
Backflow Prevention Assemblies. be examined are, but are not limited to:
- Confined spaces – access, atmosphere
1.3 Definitions - Chemical, electrical or flammable hazards
Field Testing Performance Requirement: A test - Hazards related to elevation
procedure that evaluates a backflow prevention - Excessive noise
assembly for compliance to the minimum B. Evaluation of the Installation
performance requirements. 1. The assembly shall be confirmed for code
compliance with respect to the degree of
Refer to Appendix G for additional definitions. hazard, markings, prohibited locations
(i.e. where subjected to flooding, freezing,
toxic fumes) and special installation
2.0 Field Testing Requirements requirements.

FOR CERTIFICATION CLASS USE ONLY

2. The assembly orientation and direction of
At a minimum, backflow prevention assemblies
flow shall be confirmed as proper.
shall be tested at the time of installation, repair or
3. The assembly shall be checked for alterations
relocation and not less than on an annual schedule
or special needs, such as, but not limited to,
thereafter. Backflow prevention assemblies shall also
the adequacy of the air gap, the evidence
be tested when returned to service after winterization
of illegal bypasses and the adequacy of
or a similar extended period of time. The test shall be
drainage systems from the assembly.
performed by a trained and certified backflow tester
4. The general appearance of the assembly
meeting the requirements of the 5110 standard.
shall be checked for evidence of excessive
2.1 Administrative Issues discharge, condition and proper location
A. Initial arrangements shall be made with the of shutoff valves, test cocks, relief valve and
responsible party to schedule the test. air gap, and adequacy of drainage, should
B. Arrangements/notifications shall be made where leakage occur.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 1

Issued: March 2022
3.0 Reporting 4) Serial Number
5) Type (RP, DC, RPDA, DCDA, PVB. SVB)
The effective administration of any active cross- 6) Location: Physical location of assembly
connection control and backflow prevention program within the premises (property). Must be
requires the cooperation of all involved parties. At the as descriptive as possible. i.e. boiler room
forefront of these cooperative efforts is the backflow west wall, at water meter, room number,
assembly testing company and individual backflow outside flower bed, etc.
assembly testers. Because every installed backflow 7) Hazard (the hazard that the backflow
prevention assembly presents an actual or potential assembly is protecting the potable water
entry point of pollutants or contaminants to the from). i.e. irrigation, boiler make-up, fire
potable water distribution system it is essential that protection, fire protection by-pass
the testing company communicate through the test 8) Test Results as required in Section 4.0
report to the water authority all of the applicable D. General Information
information required to effectively administer the 1) Date and time of test
backflow prevention program. Care should be 2) Repairs made, repair parts used, cleaning
taken to legibly and accurately provide the backflow performed as applicable
prevention program manager the information 3) Pass, Fail, Pass with Deficiencies (if pass
required to protect the community water supply from with deficiencies is indicated, describe the
the negative effects of each known cross-connection deficiency in the comment section)
protected by a backflow prevention assembly. 4) Comments
3.1 Scope 5) The testing company shall provide copies
of the test report to the owner and other
All installed backflow prevention assemblies are appropriate parties as required by state and
essential life safety elements of a successful cross- or local regulations. The testing company
connection control and backflow prevention program. shall maintain copies of the test report
Each installed backflow prevention assembly protects in accordance with requirements of the
an actual or potential cross-connection within the authority having jurisdiction.
potable water distribution or plumbing system. 6) Affirmation Statement: “The information
Accurate conveyance of backflow assembly data is the contained herein is true and accurate at the
basis of an effective cross-connection and backflow date and time of this test.”
prevention program and shall be conveyed to the
appropriate authority having jurisdiction.
4.0 Testing
3.2 Purpose
A. The following tests shall be performed in
The purpose of the backflow prevention assembly accordance with test procedures accepted by
test report is to convey the detailed information the authority having jurisdiction. All testing
identifying the backflow assembly and that assembly’s equipment shall be verified for accuracy and
operational condition to the owner and the proper operation, in accordance with ASSE
appropriate Authority Having Jurisdiction. Each 1064, at a minimum annually.
backflow prevention test shall have a test report and - Confirm the assembly is at no-flow during
that test report shall contain, but not be limited to the test

FOR CERTIFICATION CLASS USE ONLY

the following information: - Confirm the proper operation of the
first check
A. Testing Company - Confirm the proper operation of the
1) Name, address, city, state, zip code, phone second check
number - Confirm the proper operation of the
2) Tester – Printed name (first and last), relief valve
signature, tester license or certification B. If the assembly passes, the responsible party shall
number be notified and the system restored to pretest
3) Test Gauge – Manufacturer, model number, condition.
serial number, last date of calibration C. If the assembly fails, or does not conform to
B. Premises (Property) 2.2(B), the responsible party shall be notified
– Name, address, city, state, zip code and the assembly repaired or replaced in
C. Backflow Assembly accordance with applicable codes, standards
1) Manufacturer Name and local practices. Any assembly that has been
2) Model Number repaired or replaced shall be tested to these
3) Size requirements.

2 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5015
Minimum Performance Requirements for
Testing Double Check Backflow Prevention Assemblies

1.0 Scope, Purpose and Definitions C. The proper information, reporting forms and
equipment shall be gathered to properly perform
1.1 Scope the test.
This operational performance test requirement 2.2 Site Issues
includes all activities that shall be addressed while A. Safety Evaluation
field testing ASSE Standard 1015 Double Check The evaluation shall be made for hazards to
Backflow Prevention Assemblies. persons and property in accordance with
applicable federal, state and local safety
1.2 Purpose
regulations and statutes. Some of the issues to
The purpose of this standard shall be to establish be examined are, but are not limited to:
minimum field testing performance requirements - Confined spaces – access, atmosphere
for ASSE Standard 1015 Double Check Backflow - Chemical, electrical or flammable hazards
Prevention Assemblies. - Hazards related to elevation
- Excessive noise
1.3 Definitions B. Evaluation of the Installation
Field Testing Performance Requirement: A test 1. The assembly shall be confirmed for code
procedure that evaluates a backflow prevention compliance with respect to the degree of
assembly for compliance to the minimum hazard, markings, prohibited locations
performance requirements. (i.e. where subjected to flooding, freezing,
toxic fumes) and special installation
Refer to Appendix G for additional definitions. requirements.
2. The assembly orientation and direction of
flow shall be confirmed as proper.
2.0 Field Testing Requirements 3. The assembly shall be checked for alterations

FOR CERTIFICATION CLASS USE ONLY

or special needs, such as, but not limited to,
At a minimum, backflow prevention assemblies shall
the evidence of illegal bypasses.
be tested at time of installation, repair or relocation
4. The general appearance of the assembly
and not less than on an annual schedule thereafter.
shall be checked for condition and proper
Backflow prevention assemblies shall also be tested
location of shutoff valves and test cocks.
when returned to service after winterization or a
similar extended period of time. . The test shall be
performed by a trained and certified backflow tester 3.0 Reporting
meeting the requirements of the 5110 standard.
The effective administration of any active cross-
2.1 Administrative Issues
connection control and backflow prevention program
A. Initial arrangements shall be made with the
requires the cooperation of all involved parties. At the
responsible party to schedule the test.
forefront of these cooperative efforts is the backflow
B. Arrangements/notifications shall be made where assembly testing company and individual backflow
a continuous water supply is necessary or where assembly testers. Because every installed backflow
testing creates a special hazard, inconvenience prevention assembly presents an actual or potential
or risk in buildings or piping systems. entry point of pollutants or contaminants to the

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 3

Issued: March 2022
 potable water distribution system it is essential that 7) Hazard (the hazard that the backflow
the testing company communicate through the test assembly is protecting the potable water
report to the water authority all of the applicable from). i.e. irrigation, boiler make-up, fire
information required to effectively administer the protection, fire protection by-pass
backflow prevention program. Care should be 8) Test Results as required in Section 4.0
taken to legibly and accurately provide the backflow
prevention program manager the information D. General Information
required to protect the community water supply from 1) Date and time of test
the negative effects of each known cross-connection 2) Repairs made, repair parts used, cleaning
protected by a backflow prevention assembly. performed as applicable
3) Pass, Fail, Pass with deficiencies (if pass
3.1 Scope
with deficiencies is indicated, describe the
All installed backflow prevention assemblies are deficiency in the comment section)
essential life safety elements of a successful cross- 4) Comments
connection control and backflow prevention program. 5) The testing company shall provide copies
Each installed backflow prevention assembly protects of the test report to the owner and other
an actual or potential cross-connection within the appropriate parties as required by state and
potable water distribution or plumbing system. or local regulations. The testing company
Accurate conveyance of backflow assembly data is the shall maintain copies of the test report
basis of an effective cross-connection and backflow in accordance with requirements of the
prevention program and shall be conveyed to the authority having jurisdiction.
appropriate authority having jurisdiction. 6) Affirmation Statement: “The information
contained herein is true and accurate at the
3.2 Purpose
date and time of this test.”
The purpose of the backflow prevention assembly
test report is to convey the detailed information
identifying the backflow assembly and that assembly’s 4.0 Testing
operational condition to the owner and the A. The following tests shall be performed in
appropriate Authority Having Jurisdiction. Each accordance with test procedures accepted by
backflow prevention test shall have a test report and the authority having juristiction. All testing
that test report shall contain, but not be limited to equipment shall be verified for accuracy and
the following information: proper operation, in accordance with ASSE
1064, at a minimum annually.
A. Testing Company - Confirm the assembly is at no-flow during
1) Name, address, city, state, zip, phone the test
number - Confirm the proper operation of the first
2) Tester – Printed name (first and last), check
signature, tester license or certification - Confirm the proper operation of the second
number check
3) Test Gauge – Manufacturer, model number, B. If the assembly passes, the responsible party shall
serial number, last date of calibration be notified and the system restored to pretest

FOR CERTIFICATION CLASS USE ONLY

B. Premises (Property) condition.
– Name, address, city, state, zip C. If the assembly fails, or does not conform to
C. Backflow Assembly 2.2(B), the responsible party shall be notified
1) Manufacturer Name and the assembly repaired or replaced in
2) Model Number accordance with applicable codes, standards
3) Size and local practices. Any assembly that has been
4) Serial Number repaired or replaced shall be tested to these
5) Type (RP, DC, RPDA, DCDA, PVB. SVB) requirements.
6) Location: Physical location of assembly
within the premises (property). Must be
as descriptive as possible. i.e. boiler room
west wall, at water meter, room number,
outside flower bed, etc.

4 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5020
Minimum Performance Requirements for
Testing Pressure Vacuum Breaker Assemblies

1.0 Scope, Purpose and Definitions C. The proper information, reporting forms and
equipment shall be gathered to properly perform
1.1 Scope the test.
This operational performance test requirement 2.2 Site Issues
includes all activities that shall be addressed while A. Safety Evaluation
field testing an ASSE Standard 1020 Pressure Vacuum The evaluation shall be made for hazards to
Breaker Assembly (PVB). persons and property in accordance with
applicable federal, state and local safety
1.2 Purpose
regulations and statutes. Some of the issues to
The purpose of this standard shall be to establish be examined are, but are not limited to:
minimum field testing performance requirements - Confined spaces – access, atmosphere
for ASSE Standard 1020 Pressure Vacuum Breaker - Chemical, electrical or flammable hazards
Assemblies (PVB). - Hazards related to elevation
- Excessive noise
1.3 Definitions B. Evaluation of the Installation
Field Testing Performance Requirement: A test 1. The assembly shall be confirmed for code
procedure that evaluates a backflow prevention compliance with respect to the degree of
assembly for compliance to the minimum hazard, markings, prohibited locations
performance requirements. (i.e. where subjected to flooding, freezing,
toxic fumes) and special installation
Refer to Appendix G for additional definitions. requirements.
2. The assembly orientation, elevation above
point of use and direction of flow shall be
2.0 Field Testing Requirements confirmed as proper.
3. The assembly shall be checked for alterations
At a minimum, backflow prevention assemblies shall
or special needs, such as, but not limited
be tested at time of installation, repair or relocation
to, the elevation above point of use in

FOR CERTIFICATION CLASS USE ONLY

and not less than on an annual schedule thereafter.
accordance with the authority having
Backflow prevention assemblies shall also be tested
jurisdiction.
when returned to service after winterization or a
4. The general appearance of the assembly
similar extended period of time. The test shall be
shall be checked for evidence of discharge
performed by a trained and certified backflow tester
through the air inlet valve, condition and
meeting the requirements of the 5110 standard.
proper location of shutoff valves, test cocks
2.1 Administrative Issues and air inlet valve, and adequacy of drainage
A. Initial arrangements shall be made with the when leakage occurs.
responsible party to schedule the test.
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where
testing creates a special hazard, inconvenience
or risk in buildings or piping systems.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 5

Issued: March 2022
3.0 Reporting 4) Serial Number
5) Type (RP, DC, RPDA, DCDA, PVB. SVB)
The effective administration of any active cross- 6) Location: Physical location of assembly
connection control and backflow prevention program within the premises (property). Must be
requires the cooperation of all involved parties. At the as descriptive as possible. i.e. boiler room
forefront of these cooperative efforts is the backflow west wall, at water meter, room number,
assembly testing company and individual backflow outside flower bed, etc.
assembly testers. Because every installed backflow 7) Hazard (the hazard that the backflow
prevention assembly presents an actual or potential assembly is protecting the potable water
entry point of pollutants or contaminants to the from). i.e. irrigation, boiler make-up, fire
potable water distribution system it is essential that protection, fire protection by-pass
the testing company communicate through the test 8) Test Results as required in Section 4.0
report to the water authority all of the applicable
information required to effectively administer the D. General Information
backflow prevention program. Care should be 1) Date and time of test
taken to legibly and accurately provide the backflow 2) Repairs made, repair parts used, cleaning
prevention program manager the information performed as applicable
required to protect the community water supply from 3) Pass, Fail, Pass with deficiencies (if pass
the negative effects of each known cross-connection with deficiencies is indicated, describe the
protected by a backflow prevention assembly. deficiency in the comment section)
3.1 Scope 4) Comments
5) The testing company shall provide copies
All installed backflow prevention assemblies are of the test report to the owner and other
essential life safety elements of a successful cross- appropriate parties as required by state and
connection control and backflow prevention program. or local regulations. The testing company
Each installed backflow prevention assembly protects shall maintain copies of the test report
an actual or potential cross-connection within the in accordance with requirements of the
potable water distribution or plumbing system. authority having jurisdiction.
Accurate conveyance of backflow assembly data is the 6) Affirmation Statement: “The information
basis of an effective cross-connection and backflow contained herein is true and accurate at the
prevention program and shall be conveyed to the date and time of this test.”
appropriate authority having jurisdiction.
3.2 Purpose 4.0 Testing
The purpose of the backflow prevention assembly A. The following tests shall be performed in
test report is to convey the detailed information accordance with test procedures accepted by
identifying the backflow assembly and that assembly’s the authority having jurisdiction. All testing
operational condition to the owner and the equipment shall be verified for accuracy and
appropriate Authority Having Jurisdiction. Each proper operation, in accordance with ASSE
backflow prevention test shall have a test report and 1064, at a minimum annually.
that test report shall contain, but not be limited to - Confirm the assembly is at no-flow during

FOR CERTIFICATION CLASS USE ONLY

the following information: the test
- Confirm the proper operation of the check
A. Testing Company valve
1) Name, address, city, state, zip, phone - Confirm the proper operation of the air
number inlet valve
2) Tester – Printed name (first and last), B. If the assembly passes, the responsible party shall
signature, tester license or certification be notified and the system restored to pretest
number condition.
3) Test Gauge – Manufacturer, model number, C. If the assembly fails, or does not conform to
serial number, last date of calibration 2.2(B), the responsible party shall be notified
B. Premises (Property) and the assembly repaired or replaced in
– Name, address, city, state, zip accordance with applicable codes, standards
C. Backflow Assembly and local practices. Any assembly that has been
1) Manufacturer Name repaired or replaced shall be retested to these
2) Model Number requirements.
3) Size

6 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5047
Minimum Performance Requirements for Testing
Reduced Pressure Detector Backflow Prevention Assemblies

1.0 Scope, Purpose and Definitions C. The proper information, reporting forms and
equipment shall be gathered to properly perform
1.1 Scope the test.
This operational performance test requirement 2.2 Site Issues
includes all activities that shall be addressed while A. Safety Evaluation
field testing an ASSE Standard 1047 Reduced The evaluation shall be made for hazards to
Pressure Detector Backflow Prevention Assembly. persons and property in accordance with
applicable federal, state and local safety
1.2 Purpose
regulations and statutes. Some of the issues to
The purpose of this standard shall be to establish be examined are, but are not limited to:
minimum field testing performance requirements - Confined spaces – access, atmosphere
for ASSE Standard 1047 Reduced Pressure Detector - Chemical, electrical or flammable hazards
Backflow Prevention Assemblies. - Hazards related to elevation
- Excessive noise
1.3 Definitions B. Evaluation of the Installation
Field Testing Performance Requirement: A test 1. The assembly shall be confirmed for code
procedure which evaluates a backflow prevention compliance with respect to the degree of
assembly for compliance to the minimum hazard, markings, prohibited locations
performance requirements. (i.e. where subjected to flooding, freezing,
toxic fumes) and special installation
Refer to Appendix G for additional definitions. requirements.
2. The assembly orientation and direction of
flow shall be confirmed as proper.
2.0 Field Testing Requirements 3. The assembly shall be checked for alterations
or special needs, such as, but not limited to,
At a minimum, backflow prevention assemblies shall
the adequacy of the air gap, the evidence
be tested at time of installation, repair or relocation
of illegal bypasses and the adequacy of

FOR CERTIFICATION CLASS USE ONLY

and not less than on an annual schedule thereafter.
drainage systems from the assembly.
Backflow prevention assemblies shall also be tested
4. The general appearance of the assembly
when returned to service after winterization or a
shall be checked for evidence of excessive
similar extended period of time. The test shall be
discharge, condition and proper location
performed by a trained and certified backflow tester
of shutoff valves, test cocks, relief valve and
meeting the requirements of the 5110 standard.
air gap, and adequacy of drainage, should
2.1 Administrative Issues leakage occur.
A. Initial arrangements shall be made with the
responsible party to schedule the test.
3.0 Reporting
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where The effective administration of any active cross-
testing creates a special hazard, inconvenience connection control and backflow prevention program
or risk in buildings or piping systems. requires the cooperation of all involved parties. At the
forefront of these cooperative efforts is the backflow
assembly testing company and individual backflow

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 7

Issued: March 2022
 assembly testers. Because every installed backflow 7) Hazard (the hazard that the backflow
prevention assembly presents an actual or potential assembly is protecting the potable water
entry point of pollutants or contaminants to the from). i.e. irrigation, boiler make-up, fire
potable water distribution system it is essential that protection, fire protection by-pass
the testing company communicate through the test 8) Test Results as required in Section 4.0
report to the water authority all of the applicable
information required to effectively administer the D. General Information
backflow prevention program. Care should be 1) Date and time of test
taken to legibly and accurately provide the backflow 2) Repairs made, repair parts used, cleaning
prevention program manager the information performed as applicable
required to protect the community water supply from 3) Pass, Fail, Pass with deficiencies (if pass
the negative effects of each known cross-connection with deficiencies is indicated, describe the
protected by a backflow prevention assembly. deficiency in the comment section)
3.1 Scope 4) Comments
5) The testing company shall provide copies
All installed backflow prevention assemblies are of the test report to the owner and other
essential life safety elements of a successful cross- appropriate parties as required by state and
connection control and backflow prevention program. or local regulations. The testing company
Each installed backflow prevention assembly protects shall maintain copies of the test report
an actual or potential cross-connection within the in accordance with requirements of the
potable water distribution or plumbing system. authority having jurisdiction.
Accurate conveyance of backflow assembly data is the 6) Affirmation Statement: “The information
basis of an effective cross-connection and backflow contained herein is true and accurate at the
prevention program and shall be conveyed to the date and time of this test.”
appropriate authority having jurisdiction.
3.2 Purpose 4.0 Testing
The purpose of the backflow prevention assembly A. The following tests shall be performed in
test report is to convey the detailed information accordance with test procedures accepted by the
identifying the backflow assembly and that assembly’s authority having jurisdiction on both the line
operational condition to the owner and the and bypass assemblies. All testing equipment
appropriate Authority Having Jurisdiction. Each shall be verified for accuracy and proper
backflow prevention test shall have a test report and operation, in accordance with ASSE 1064, at a
that test report shall contain, but not be limited to minimum annually.
the following information: - Confirm the assembly is at no-flow
during the test
A. Testing Company - Confirm the proper operation of the
1) Name, address, city, state, zip, phone first check
number - Confirm the proper operation of the
2) Tester – Printed name (first and last), second check
signature, tester license or certification - Confirm the proper operation of the

FOR CERTIFICATION CLASS USE ONLY

number Type 2 single check
3) Test Gauge – Manufacturer, model number, - Confirm that the meter registers during low
serial number, last date of calibration flow conditions
B. Premises (Property) - Confirm flow
– Name, address, city, state, zip B. If the assembly passes, the responsible party shall
C. Backflow Assembly be notified and the system restored to pretest
1) Manufacturer Name condition.
2) Model Number C. If the assembly fails, or does not conform to
3) Size 2.2(B), the responsible party shall be notified
4) Serial Number and the assembly repaired or replaced in
5) Type (RP, DC, RPDA, DCDA, PVB. SVB) accordance with applicable codes, standards
6) Location: Physical location of assembly and local practices. Any assembly that has been
within the premises (property). Must be repaired or replaced shall be retested to these
as descriptive as possible. i.e. boiler room requirements.
west wall, at water meter, room number,
outside flower bed, etc.

8 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5048
Minimum Performance Requirements for
Testing Double Check Detector Backflow
Prevention Assemblies
1.0 Scope, Purpose and Definitions 2.2 Site Issues
A. Safety Evaluation
1.1 Scope The evaluation shall be made for hazards to
persons and property in accordance with
This operational performance test requirement
applicable federal, state and local safety
includes all activities that shall be addressed while
regulations and statutes. Some of the issues to
field testing an ASSE Standard 1048 Double Check
be examined are, but are not limited to:
Detector Backflow Prevention Assembly.
- Confined spaces – access, atmosphere
1.2 Purpose - Chemical, electrical or flammable hazards
- Hazards related to elevation
The purpose of this standard shall be to establish
- Excessive noise
minimum field testing performance requirements
B. Evaluation of the Installation
for ASSE Standard 1048 Double Check Detector
1. The proper application of the assembly shall
Backflow Prevention Assemblies.
be confirmed for code compliance with
1.3 Definitions respect to the degree of hazard, markings,
prohibited locations (i.e. where subjected to
Field Testing Performance Requirement: A test flooding, freezing, toxic fumes) and special
procedure that evaluates a backflow prevention installation requirements.
assembly for compliance to the minimum 2. The assembly orientation and direction of
performance requirements. flow shall be confirmed as proper.
Refer to Appendix G for additional definitions. 3. The assembly shall be checked for alterations
or special needs, such as, but not limited to,
the evidence of illegal bypasses.
2.0 Field Testing Requirements 4. The general appearance of the assembly
shall be checked for condition and proper
At a minimum, backflow prevention assemblies shall location of the shutoff valves and test cocks.
be tested at time of installation, repair or relocation

FOR CERTIFICATION CLASS USE ONLY

and not less than on an annual schedule thereafter.
Backflow prevention assemblies shall also be tested 3.0 Reporting
when returned to service after winterization or a
similar extended period of time.The test shall be The effective administration of any active cross-
performed by a trained and certified backflow tester connection control and backflow prevention program
meeting the requirements of the 5110 standard. requires the cooperation of all involved parties. At the
forefront of these cooperative efforts is the backflow
2.1 Administrative Issues assembly testing company and individual backflow
A. Initial arrangements shall be made with the assembly testers. Because every installed backflow
responsible party to schedule the test. prevention assembly presents an actual or potential
B. Arrangements/notifications shall be made where entry point of pollutants or contaminants to the
a continuous water supply is necessary or where potable water distribution system it is essential that
testing creates a special hazard, inconvenience the testing company communicate through the test
or risk in buildings or piping systems. report to the water authority all of the applicable
C. The proper information, reporting forms and information required to effectively administer the
equipment shall be gathered to properly perform backflow prevention program. Care should be
the test.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 9

Issued: March 2022
 taken to legibly and accurately provide the backflow D. General Information
prevention program manager the information 1) Date and time of test
required to protect the community water supply from 2) Repairs made, repair parts used, cleaning
the negative effects of each known cross-connection performed as applicable
protected by a backflow prevention assembly. 3) Pass, Fail, Pass with deficiencies (if pass
with deficiencies is indicated, describe the
3.1 Scope
deficiency in the comment section)
All installed backflow prevention assemblies are 4) Comments
essential life safety elements of a successful cross- 5) The testing company shall provide copies
connection control and backflow prevention program. of the test report to the owner and other
Each installed backflow prevention assembly protects appropriate parties as required by state and
an actual or potential cross-connection within the or local regulations. The testing company
potable water distribution or plumbing system. shall maintain copies of the test report
Accurate conveyance of backflow assembly data is the in accordance with requirements of the
basis of an effective cross-connection and backflow authority having jurisdiction.
prevention program and shall be conveyed to the 6) Affirmation Statement: “The information
appropriate authority having jurisdiction. contained herein is true and accurate at the
date and time of this test.”
3.2 Purpose
The purpose of the backflow prevention assembly
test report is to convey the detailed information
4.0 Testing
identifying the backflow assembly and that assembly’s A. The following tests shall be performed in
operational condition to the owner and the accordance with test procedures accepted by the
appropriate Authority Having Jurisdiction. Each authority having jurisdiction on both the line
backflow prevention test shall have a test report and and bypass assemblies. All testing equipment
that test report shall contain, but not be limited to shall be verified for accuracy and proper
the following information: operation, in accordance with ASSE 1064, at a
minimum annually.
A. Testing Company - Confirm the assembly is at no-flow during
1) Name, address, city, state, zip, phone the test
number - Confirm the proper operation of the first
2) Tester – Printed name (first and last), check
signature, tester license or certification - Confirm the proper operation of the second
number check
3) Test Gauge – Manufacturer, model number, - Confirm the proper operation of Type 2
serial number, last date of calibration single check
B. Premises (Property) - Confirm that the meter registers during low
– Name, address, city, state, zip flow conditions
C. Backflow Assembly - Confirm flow
1) Manufacturer Name B. If the assembly passes, the responsible party shall
2) Model Number be notified and the system restored to pretest

FOR CERTIFICATION CLASS USE ONLY

3) Size condition.
4) Serial Number C. If the assembly fails, or does not conform to
5) Type (RP, DC, RPDA, DCDA, PVB. SVB) 2.2(B), the responsible party shall be notified
6) Location: Physical location of assembly and the assembly repaired or replaced in
within the premises (property). Must be accordance with applicable codes, standards
as descriptive as possible. i.e. boiler room and local practices. Any assembly that has been
west wall, at water meter, room number, repaired or replaced shall be tested to these
outside flower bed, etc. requirements.
7) Hazard (the hazard that the backflow
assembly is protecting the potable water
from). i.e. irrigation, boiler make-up, fire
protection, fire protection by-pass
8) Test Results as required in Section 4.0

10 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5056
Minimum Performance Requirements for
Testing Spill Resistant Vacuum Breakers

1.0 Scope, Purpose and Definitions C. The proper information, reporting forms and
equipment shall be gathered to properly perform
1.1 Scope the test.
This operational performance test requirement 2.2 Site Issues
includes all activities that shall be addressed while A. Safety Evaluation
field testing an ASSE Standard 1056 Spill Resistant The evaluation shall be made for hazards to
Vacuum Breaker (SRVB). persons and property in accordance with
applicable federal, state and local safety
1.2 Purpose
regulations and statutes. Some of the issues to
The purpose of this standard shall be to establish be examined are, but are not limited to:
minimum field testing performance requirements for - Confined spaces – access, atmosphere
ASSE Standard 1056 Spill Resistant Vacuum Breakers - Chemical, electrical or flammable hazards
(SRVB). - Hazards related to elevation
- Excessive noise
1.3 Definitions B. Evaluation of the Installation
Field Testing Performance Requirement: A test 1. The assembly shall be confirmed for code
procedure that evaluates a backflow prevention compliance with respect to the degree of
assembly for compliance to the minimum hazard, markings, prohibited locations
performance requirements. (i.e. where subjected to flooding, freezing,
toxic fumes) and special installation
Refer to Appendix G for additional definitions. requirements.
2. The assembly orientation, elevation above
point of use and direction of flow shall be
2.0 Field Testing Requirements confirmed as proper.
3. The assembly shall be checked for alterations
At a minimum, backflow prevention assemblies shall
or special needs, such as, but not limited
be tested at time of installation, repair or relocation
to, the elevation above point of use in

FOR CERTIFICATION CLASS USE ONLY

and not less than on an annual schedule thereafter.
accordance with the authority having
Backflow prevention assemblies shall also be tested
jurisdiction.
when returned to service after winterization or a
4. The general appearance of the assembly
similar extended period of time.The test shall be
shall be checked for evidence of discharge
performed by a trained and certified backflow tester
through the air inlet valve, condition and
meeting the requirements of the 5110 standard.
proper location of shutoff valves, test cocks
2.1 Administrative Issues and air inlet valve, and adequacy of drainage
A. Initial arrangements shall be made with the when leakage occurs.
responsible party to schedule the test.
B. Arrangements/notifications shall be made where
3.0 Reporting
a continuous water supply is necessary or where
testing creates a special hazard, inconvenience The effective administration of any active cross-
or risk in buildings or piping systems. connection control and backflow prevention program
requires the cooperation of all involved parties. At the
forefront of these cooperative efforts is the backflow

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 11

Issued: March 2022
 assembly testing company and individual backflow 6) Location: Physical location of assembly
assembly testers. Because every installed backflow within the premises (property). Must be
prevention assembly presents an actual or potential as descriptive as possible. i.e. boiler room
entry point of pollutants or contaminants to the west wall, at water meter, room number,
potable water distribution system it is essential that outside flower bed, etc.
the testing company communicate through the test 7) Hazard (the hazard that the backflow
report to the water authority all of the applicable assembly is protecting the potable water
information required to effectively administer the from). i.e. irrigation, boiler make-up, fire
backflow prevention program. Care should be protection, fire protection by-pass
taken to legibly and accurately provide the backflow 8) Test Results as required in Section 4.0
prevention program manager the information
required to protect the community water supply from D. General Information
the negative effects of each known cross-connection 1) Date and time of test
protected by a backflow prevention assembly. 2) Repairs made, repair parts used, cleaning
performed as applicable
3.1 Scope
3) Pass, Fail, Pass with deficiencies (if pass
All installed backflow prevention assemblies are with deficiencies is indicated, describe the
essential life safety elements of a successful cross- deficiency in the comment section)
connection control and backflow prevention program. 4) Comments
Each installed backflow prevention assembly protects 5) The testing company shall provide copies
an actual or potential cross-connection within the of the test report to the owner and other
potable water distribution or plumbing system. appropriate parties as required by state and
Accurate conveyance of backflow assembly data is the or local regulations. The testing company
basis of an effective cross-connection and backflow shall maintain copies of the test report
prevention program and shall be conveyed to the in accordance with requirements of the
appropriate authority having jurisdiction. authority having jurisdiction.
6) Affirmation Statement: “The information
3.2 Purpose
contained herein is true and accurate at the
The purpose of the backflow prevention assembly date and time of this test.”
test report is to convey the detailed information
identifying the backflow assembly and that assembly’s
operational condition to the owner and the 4.0 Testing
appropriate Authority Having Jurisdiction. Each A. The following tests shall be performed in
backflow prevention test shall have a test report and accordance with test procedures accepted by
that test report shall contain, but not be limited to the authority having jurisdiction. All testing
the following information: equipment shall be verified for accuracy and
proper operation, in accordance with ASSE
A. Testing Company 1064, at a minimum annually.
1) Name, address, city, state, zip, phone - Confirm the assembly is at no-flow during
number the test
2) Tester – Printed name (first and last), - Confirm the proper operation of the check

FOR CERTIFICATION CLASS USE ONLY

signature, tester license or certification - Confirm the proper operation of the air
number inlet
3) Test Gauge – Manufacturer, model number, B. If the assembly passes, the responsible party shall
serial number, last date of calibration be notified and the system restored to pretest
B. Premises (Property) condition.
– Name, address, city, state, zip C. If the assembly fails, or does not conform to
C. Backflow Assembly 2.2(B), the responsible party shall be notified
1) Manufacturer Name and the assembly repaired or replaced in
2) Model Number accordance with applicable codes, standards
3) Size and local practices. Any assembly that has been
4) Serial Number repaired or replaced shall be tested to these
5) Type (RP, DC, RPDA, DCDA, PVB. SVB) requirements.

12 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5063
Minimum Performance Requirements for
Testing Air Valve and Vent Inflow Preventers

1.0 Scope, Purpose and Definitions 2.1 Administrative Issues

A. Initial arrangements shall be made with the
1.1 Scope responsible party to schedule the test.
B. Arrangements/notifications shall be made where
This standard applies to any field inspection
testing creates a special hazard, inconvenience
performance requirement used to appraise the
or risk in buildings or piping systems.
performance of an ASSE Standard 1063 Air Valve and
Vent Inflow Preventer. This operational performance C. The proper information, reporting forms and
test requirement includes all activities that shall be equipment shall be gathered to properly conduct
addressed while field testing. this test.
2.2 Site Issues
1.2 Purpose
A. Safety Evaluation
The purpose of this standard shall be to establish The evaluation shall be made for hazards to
minimum field testing performance requirements for persons and property in accordance with
ASSE 1063 Air Valve and Vent Inflow Preventers. applicable federal, state and local safety
regulations and statutes. Some of the issues to
1.3 Definitions
be examined are, but are not limited to:
Field Testing Performance Requirement: A test - Confined spaces – access, atmosphere
procedure that evaluates an air valve and vent - Chemical, electrical or flammable hazards
inflow preventer for compliance to the minimum - Hazards related to elevation
performance requirements. - Excessive noise
B. Evaluation of the Installation
Air Valve and Vent Inflow Preventer: A mechanical
1. The proper application of the assembly shall
assembly used in conjunction with air valves and
be confirmed for code compliance with
vents to allow normal flow of air in and out of a
respect to the degree of hazard, markings,
water system and prevent the inflow of contaminated
prohibited locations (i.e. where subjected to
water into a system as a result of flooding or malicious
flooding, freezing, toxic fumes) and special
tampering.
installation requirements.

FOR CERTIFICATION CLASS USE ONLY

Refer to Appendix G for additional definitions. 2. The assembly orientation and direction of
flow shall be confirmed as proper.
3. The assembly shall be checked for alterations
2.0 Field Testing Requirements or special needs specific to the size of the
pipe connections and the adequacy of the
At a minimum, inflow preventers shall be tested at clearances on the sides and bottom of the
time of installation, repair or relocation and not less assembly.
than on an annual schedule thereafter. Backflow 4. The general appearance of the assembly shall
prevention assemblies shall also be tested when be checked for evidence of excessive water
returned to service after winterization or a similar discharge, condition and proper location of
extended period of time.The test shall be performed shutoff valves and test cocks, and cleanliness
by a trained and certified backflow tester meeting the of the basket.
requirements of the 5110 standard.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 13

Issued: March 2022
3.0 Reporting 4) Serial Number
5) Type (RP, DC, RPDA, DCDA, PVB. SVB)
The effective administration of any active cross- 6) Location: Physical location of assembly
connection control and backflow prevention program within the premises (property). Must be
requires the cooperation of all involved parties. At the as descriptive as possible. i.e. boiler room
forefront of these cooperative efforts is the backflow west wall, at water meter, room number,
assembly testing company and individual backflow outside flower bed, etc.
assembly testers. Because every installed backflow 7) Hazard (the hazard that the backflow
prevention assembly presents an actual or potential assembly is protecting the potable water
entry point of pollutants or contaminants to the from). i.e. irrigation, boiler make-up, fire
potable water distribution system it is essential that protection, fire protection by-pass
the testing company communicate through the test 8) Test Results as required in Section 4.0
report to the water authority all of the applicable
information required to effectively administer the D. General Information
backflow prevention program. Care should be 1) Date and time of test
taken to legibly and accurately provide the backflow 2) Repairs made, repair parts used, cleaning
prevention program manager the information performed as applicable
required to protect the community water supply from 3) Pass, Fail, Pass with deficiencies (if pass
the negative effects of each known cross-connection with deficiencies is indicated, describe the
protected by a backflow prevention assembly. deficiency in the comment section)
3.1 Scope 4) Comments
5) The testing company shall provide copies
All installed backflow prevention assemblies are of the test report to the owner and other
essential life safety elements of a successful cross- appropriate parties as required by state and
connection control and backflow prevention program. or local regulations. The testing company
Each installed backflow prevention assembly protects shall maintain copies of the test report
an actual or potential cross-connection within the in accordance with requirements of the
potable water distribution or plumbing system. authority having jurisdiction.
Accurate conveyance of backflow assembly data is the 6) Affirmation Statement: “The information
basis of an effective cross-connection and backflow contained herein is true and accurate at the
prevention program and shall be conveyed to the date and time of this test.”
appropriate authority having jurisdiction.
3.2 Purpose 4.0 Testing
The purpose of the backflow prevention assembly A. The following tests shall be performed in
test report is to convey the detailed information accordance with test procedures accepted by the
identifying the backflow assembly and that assembly’s authority having jurisdiction.
operational condition to the owner and the - Confirm the assembly is at no flow during
appropriate Authority Having Jurisdiction. Each the test
backflow prevention test shall have a test report and - Confirm the proper operation of the lower
that test report shall contain, but not be limited to check

FOR CERTIFICATION CLASS USE ONLY

the following information: - Confirm the proper operation of the upper
check
A. Testing Company B. If the assembly passes, it shall be returned to full
1) Name, address, city, state, zip, phone operation. The occupants shall be notified and
number the system shall be restored to pretest condition.
2) Tester – Printed name (first and last), C. If the assembly fails, or does not conform to
signature, tester license or certification 2.2(B), the responsible party shall be notified
number and the assembly repaired or replaced in
3) Test Gauge – Manufacturer, model number, accordance with applicable codes, standards
serial number, last date of calibration and local practices. Any assembly that has been
B. Premises (Property) repaired or replaced shall be tested to these
– Name, address, city, state, zip requirements.
C. Backflow Assembly
1) Manufacturer Name
2) Model Number
3) Size

14 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5110
Professional Qualifications Standard for
Backflow Prevention Assembly Testers

1.0 Scope and Purpose B. Backflow

C. Backpressure
1.1 Scope D. Backsiphonage
E. Cavitation
This standard applies to any individual who is certified
F. Check valve design
in accordance with this standard and who will test
G. Differential pressure
all types of backflow prevention assemblies.
H. FDA approved lubricants
1.2 Purpose I. General knowledge of test procedures
J. Special tool requirements
The purpose of this standard is to provide minimum
K. Thermal expansion
qualification criteria, as defined by the scope.
L. Turbulence
3.3 Safety
2.0 Limitations for a Backflow Prevention
The tester shall be able to describe the safety
Assembly Tester precautions and hazards during backflow prevention
2.1 The certification shall be valid for a period of assembly testing relating to:
three (3) years. A. Animals and insects
B. Confined spaces
2.2 Compliance with this standard in itself shall not C. Electricity
constitute the requirements for a cross-connection D. Falling objects
control surveyor/specialist, as identified by ASSE E. Noise
Standard 5120, a backflow prevention assembly F. Pressurized fluids
repairer, as identified by ASSE Standard 5130, a fire G. Toxic fumes
protection system cross-connection control tester, H. Vehicle traffic
as identified by ASSE Standard 5140, a backflow
prevention program administrator, as identified
by ASSE Standard 5150, or as required by local 4.0 Product Performance Knowledge

FOR CERTIFICATION CLASS USE ONLY

jurisdiction.
4.1 The tester shall be able to identify and describe the
performance characteristics of the following backflow
3.0 General Knowledge prevention devices and assemblies:
A. Air Gaps in Plumbing Systems (ANSI A112.1.2)
3.1 With respect to backflow prevention, the tester shall B. Atmospheric Type Vacuum Breakers (ASSE
be knowledgeable of codes and regulations from the 1001, current edition)
federal, state and local levels, and approved listing
C. Anti-siphon Fill Valves (Ballcocks) for Gravity
agencies. The individual shall be knowledgeable
Water Closet Flush Tanks (ASSE 1002, current
on testing procedures under all applicable
edition)
ASSE standards.
D. Hose Connection Vacuum Breakers (ASSE
3.2 The tester shall be able to identify and describe an 1011, current edition)
understanding of fundamental theory, concepts and E. Backflow Preventer with Intermediate
performance pertaining to: Atmospheric Vent (ASSE 1012, current edition)
A. ASSE Standards 5013, 5015, 5020, 5047, 5048, F. Reduced Pressure Principle Backflow Prevention
5056, and 5063 Assemblies (ASSE 1013, current edition)

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 15

Issued: March 2022
 backflow prevention program. Care should be
G. Double Check Backflow Prevention Assemblies taken to legibly and accurately provide the backflow
H. Vacuum Breaker Wall Hydrants, Freeze prevention program manager the information
Resistant, Automatic Draining Type (ASSE required to protect the community water supply from
1019, current edition) the negative effects of each known cross-connection
I. Pressure Vacuum Breaker Assembly (ASSE 1020, protected by a backflow prevention assembly.
current edition)
5.1 Scope
J. Anti-Siphon Fill Valves for Water Closet Tanks
(ASSE 1002, current edition)” All installed backflow prevention assemblies are
K. Backflow Preventer for Beverage Dispensing essential life safety elements of a successful cross-
Machines (ASSE 1022, current edition) connection control and backflow prevention program.
L. Dual Check Backflow Preventers (ASSE 1024, Each installed backflow prevention assembly protects
current edition) an actual or potential cross-connection within the
M. Dual Check Valve Type Backflow Preventers potable water distribution or plumbing system.
for Carbonated Beverage Dispensers - Post Mix Accurate conveyance of backflow assembly data is the
Type (ASSE 1032, current edition) basis of an effective cross-connection and backflow
N. Laboratory Faucet Backflow Preventers (ASSE prevention program and shall be conveyed to the
1035, current edition) appropriate authority having jurisdiction.
O. Pressurized Flushing Devices (Flushometers) for
5.2 Purpose
Plumbing Fixtures(ASSE 1037, current edition)
P. Reduced Pressure Detector Backflow Prevention The purpose of the backflow prevention assembly
Assemblies (ASSE 1047, current edition) test report is to convey the detailed information
Q. Double Check Detector Backflow Prevention identifying the backflow assembly and that assembly’s
Assemblies (ASSE 1048, current edition) operational condition to the owner and the
R. Hose Connection Backflow Preventers (ASSE appropriate Authority Having Jurisdiction. Each
1052, current edition) backflow prevention test shall have a test report and
S. Chemical Dispensing Systems with Integral that test report shall contain, but not be limited to
Backflow Protection (ASSE 1055, current the following information:
edition) A. Testing Company
T. Spill Resistant Vacuum Breaker Assemblies 1) Name, address, city, state, zip, phone
(ASSE 1056, current edition) number
U. Outdoor Enclosures for Fluid Conveying 2) Tester – Printed name (first and last),
Components (ASSE 1060, current edition) signature, tester license or certification
V. Inflow Preventers (ASSE 1063, current edition) number
W. Backflow Prevention Assembly Field Test Kits 3) Test Gauge – Manufacturer, model number,
(ASSE 1064, current edition) serial number, last date of calibration
X. Backflow Preventers with Integral Pressure B. Premises (Property)
Reducing Boiler Feed Valve and Intermediate – Name, address, city, state, zip
Atmospheric Vent Style for Domestic and Light C. Backflow Assembly
Commercial Water Distribution Systems (ASSE 1) Manufacturer Name
1081, current edition) 2) Model Number

FOR CERTIFICATION CLASS USE ONLY

3) Size
5.0 Reporting Knowledge 4) Serial Number
5) Type (RP, DC, RPDA, DCDA, PVB. SVB)
The effective administration of any active cross- 6) Location: Physical location of assembly
connection control and backflow prevention program within the premises (property). Must be
requires the cooperation of all involved parties. At the as descriptive as possible. i.e. boiler room
forefront of these cooperative efforts is the backflow west wall, at water meter, room number,
assembly testing company and individual backflow outside flower bed, etc.
assembly testers. Because every installed backflow 7) Hazard (the hazard that the backflow
prevention assembly presents an actual or potential assembly is protecting the potable water
entry point of pollutants or contaminants to the from). i.e. irrigation, boiler make-up, fire
potable water distribution system it is essential that protection, fire protection by-pass
the testing company communicate through the test 8) Test Results as required in Section 4.0
report to the water authority all of the applicable D. General Information
information required to effectively administer the 1) Date and time of test

16 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 2) Repairs made, repair parts used, cleaning 9.0 Certification of Backflow Prevention
performed as applicable Assembly Testers
3) Pass, Fail, Pass with deficiencies (if pass
with deficiencies is indicated, describe the 9.1 Eligibility Requirements for Certification
deficiency in the comment section) A. A minimum of five (5) years of documented
4) Comments practical experience in the installation or service
5) The testing company shall provide copies of plumbing, mechanical, fire protection, lawn
of the test report to the owner and other irrigation or a related industry field.
appropriate parties as required by state and B. Successful completion of a minimum 40-hour
or local regulations. The testing company training course on backflow assembly testing
shall maintain copies of the test report covering all aspects of ASSE 5110.
in accordance with requirements of the C. Successfully passing a 100-question exam with
authority having jurisdiction. a score of 70% or higher.
6) Affirmation Statement: “The information D. Successfully passing a practical exam that
contained herein is true and accurate at the includes testing ASSE 1013, 1015, 1020 and
date and time of this test.” 1056 assemblies.
E. Certification to this standard shall be through
6.0 Product Installation Knowledge a nationally recognized third-party certification
body. See 9-3 for the definition of third-party
6.1 The tester shall be able to describe the proper certification.
installation requirements for backflow prevention F. Certification shall be for a three (3) year period.
assemblies relating to: 9.2 Recertification of Backflow Prevention Assembly
A. Manufacturer recommendations Testers
B. Physical location and accessibility A. Must have a valid, current ASSE 5110 backflow
C. Local jurisdiction requirements tester certification.
6.2 The tester shall be able to identify and describe the B. Successful completion of a minimum eight
problems resulting from the improper installation of (8) hour training course on backflow assembly
backflow prevention assemblies including ,but not testing.
limited to: C. Successfully passing a 25-question exam with a
A. Environment score of 70% or higher.
B. Flow capacity D. Successfully passing a practical exam that
C. Location includes testing ASSE 1013, 1015, 1020 and
1056 assemblies.
D. Orientation
E. Certification to this standard shall be through
E. Temperature
a nationally recognized third-party certification
body. See 9-3 for the definition of third-party
7.0 Test Equipment Knowledge certification.
F. Certification shall be for a three (3) year period.
7.1 The tester shall have knowledge of backflow
9.3 Third-Party Certification
prevention assembly field test kits.
A. A recognized third-party certification body shall,

FOR CERTIFICATION CLASS USE ONLY

7.2 The tester shall be able to identify and describe the at a minimum, be able to demonstrate to the
proper usage for following equipment: authority having jurisdiction (AHJ), compliance
A. Differential pressure gauge with ISO/IEC 17024 Conformity assessment
B. Multipurpose transducer (digital readout) – General requirements for bodies operating
C. Sight tube (water column) certification of persons. For the avoidance of
doubt, demonstration of compliance does not
7.3 All testing equipment shall be verified for accuracy require accreditation to the ISO/IEC 17024
and proper operation, in accordance with ASSE Standard however, third-party accreditation
1064, at a minimum annually. to 17024 is evidence of satisfaction of this
Section.
B. The authority having jurisdiction (AHJ) is an
8.0 Terminology organization, office or individual responsible
The backflow prevention assembly tester shall for enforcing the requirements of a code or
demonstrate a basic working knowledge of the terms standard, or for approving equipment, materials,
located in Appendix G. installations or procedures.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 17

Issued: March 2022
 SERIES 5000 • STANDARD #5120
Professional Qualifications Standard for
Cross-Connection Control Surveyor/Specialist

1.0 Scope and Purpose E. Cavitation

F. Cross-connections
1.1 Scope G. Differential pressure
H. Plumbing code and general requirements
This standard applies to any individual who is certified
I. Testing and trouble-shooting
in accordance with this standard and performs cross-
J. Thermal expansion
connection control surveys.
K. Turbulence
1.2 Purpose
3.3 Safety
The purpose of this standard is to provide minimum
The cross-connection control surveyor/specialist shall
qualification criteria, as defined by the scope.
describe the safety precautions and hazards during
cross-connection control surveys including:
2.0 Limitations for a Cross-Connection A. Animals and insects
B. Confined spaces
Control Surveyor/Specialist
C. Electricity
2.1 The certification shall be valid for a period of three D. Falling objects
(3) years. E. Noise
F. Pressurized fluids
2.2 Compliance with this standard in itself shall not G. Toxic fumes
constitute the requirements for a backflow prevention H. Vehicle traffic
assembly tester, as identified by ASSE Standard
5110, a backflow prevention repairer, as identified 3.4 The cross-connection control surveyor/specialist
by ASSE Standard 5130, a fire protection system shall demonstrate knowledge of controlling all cross-
cross-connection control tester, as identified by ASSE connections including, but not limited to:
Standard 5140, a backflow prevention program A. Auxiliary Water Systems
administrator, as identified by ASSE Standard 5150, B. Direct/indirect
or as required by local jurisdiction. C. Domestic systems

FOR CERTIFICATION CLASS USE ONLY

D. Fire systems
E. Industrial/commercial systems
3.0 General Knowledge F. Irrigation systems
G. Medical systems
3.1 The cross-connection control surveyor/specialist H. Potential/actual
shall be able to read blueprints for the purpose of I. Process systems
identifying cross-connections. The cross-connection
control surveyor/specialist shall also demonstrate
knowledge of codes and regulations from the federal, 4.0 Product Knowledge
state and local jurisdictions.
4.1 The cross-connection control surveyor/specialist shall
3.2 The cross-connection control surveyor/specialist shall demonstrate product knowledge by describing the
possess a working knowledge of: proper application of backflow prevention devices/
A. Backflow assemblies and their limitations with respect to:
B. Backflow prevention A. Backflow
C. Backpressure B. Backpressure
D. Backsiphonage

18 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 C. Backsiphonage current edition)
D. Continuous pressure U. Outdoor Enclosures for Fluid Conveying
E. Degree of hazard Components (ASSE 1060, current edition)
F. Direction of flow V. Inflow Preventers (ASSE 1063, current edition)
G. Elevation W. Backflow Prevention Assembly Field Test Kits
H. Installation limitations (ASSE 1064, current edition)
I. Local codes X. Backflow Preventers with Integral Pressure
J. Orientation Reducing Boiler Feed Valve and Intermediate
K. Pressure loss Atmospheric Vent Style for Domestic and Light
L. Working pressure (minimum and maximum) Commercial Water Distribution Systems (ASSE
M. Working temperature (minimum and maximum) 1081, current edition)
4.2 The cross-connection control surveyor/specialist shall
identify and describe the performance characteristics 5.0 Conducting a Survey
of the following backflow prevention methods,
devices,and assemblies or related products: 5.1 The cross-connection control surveyor/specialist shall
A. Air Gaps in Plumbing Systems (ANSI A112.1.2) be able to identify and describe the actions taken
B. Atmospheric Type Vacuum Breakers (ASSE prior to conducting a cross-connection control survey
1001, current edition) inspection:
C. Anti-siphon Fill Valves (Ballcocks) for Gravity A. Notification to proper authorities
Water Closet Flush Tanks (ASSE 1002, current B. Notification to premise occupants
edition) C. Pre-survey documentation and materials
D. Hose Connection Vacuum Breakers (ASSE D. Display proper identification
1011, current edition)
5.2 The cross-connection control surveyor/specialist shall
E. Backflow Preventer with Intermediate
conduct an evaluation to determine potential safety
Atmospheric Vent (ASSE 1012, current edition)
hazards. Some of the issues to be examined are, but
F. Reduced Pressure Principle Backflow Prevention not limited to:
Assemblies (ASSE 1013, current edition)
A. Chemical, electrical or flammable hazards
G. Double Check Backflow Prevention Assemblies
B. Confined spaces – ventilation, access, oxygen
(ASSE 1015, current edition)
content
H. Vacuum Breaker Wall Hydrants, Freeze
C. Facility-specific safety requirements
Resistant, Automatic Draining Type (ASSE
D. Hazards related to elevation of devices
1019, current edition)
E. Hazards to the surveyor/specialist and other
I. Pressure Vacuum Breaker Assembly (ASSE 1020,
persons
current edition)
F. Noise
J. Anti-Siphon Fill Valves for Water Closet Tanks
(ASSE 1002, current edition) G. Toxic fumes
K. Backflow Preventer for Beverage Dispensing 5.3 A. The cross-connection control surveyor/specialist
Machines (ASSE 1022, current edition) shall complete a cross-connection control survey
L. Dual Check Backflow Preventers (ASSE 1024, checklist, which includes:
current edition) 1. Systems identification

FOR CERTIFICATION CLASS USE ONLY

M. Dual Check Valve Type Backflow Preventers 2. Existing and recommended assembly and
for Carbonated Beverage Dispensers - Post Mix device locations
Type (ASSE 1032, current edition) 3. Potential and actual cross-connections
N. Laboratory Faucet Backflow Preventers (ASSE B. The cross-connection control surveyor/specialist
1035, current edition) shall record the physical identification of
O. Pressurized Flushing Devices (Flushometers) for backflow prevention assemblies and devices,
Plumbing Fixtures(ASSE 1037, current edition) including the following:
P. Reduced Pressure Detector Backflow Prevention 1. Manufacturer
Assemblies (ASSE 1047, current edition) 2. Model number
Q. Double Check Detector Backflow Prevention 3. Serial number
Assemblies (ASSE 1048, current edition) 4. Size
R. Hose Connection Backflow Preventers (ASSE 5. Location of assembly
1052, current edition) 6. Type of shutoff valves
S. Chemical Dispensing Systems (ASSE 1055, 7. Building address
current edition) 8. Visual observation of physical condition
T. Spill Resistance Vacuum Breakers (ASSE 1056, 9. Type of device or assembly

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 19

Issued: March 2022
 C. A cross-connection control surveyor/specialist 8.0 Certification of Cross-Connection
shall complete a report that identifies unprotected Control Surveyor/Specialist
cross-connections, including the following
information: There are two sets of criteria for meeting the
1. Location requirements for certification. Track A is for
2. Hazard individuals who possess a current backflow tester
3. Type of device/assembly required certification in accordance with ASSE 5110,
4. Building address Professional Qualifications Standard for Backflow
D. The completed cross-connection control Prevention Assembly Testers. Track B is for
surveyor/specialist data shall contain: individuals who do not possess a current backflow
1. Surveyor/specialist’s printed name and tester certification in accordance with ASSE 5110.
signature
2. Cross-connection control surveyor/ 8.1 Eligibility Requirements for Certification
specialist certification number – Track A
3. Date and time of cross-connection control 8.1.1 A. Shall possess a current backflow tester
survey certification in accordance with ASSE 5110.
4. Compliance schedule as required by the B. Successful completion of a minimum 20-hour
authority having jurisdiction training course covering all aspects of ASSE
5.4 The cross-connection control surveyor/specialist shall 5120.
identify and describe the actions to be taken after C. Successfully passing a 50-question exam with a
completing a cross-connection control survey: score of 70% or higher.
A. Complete the proper documentation. D. Successfully passing a practical exam that
B. Provide copies of the completed survey to the includes either a virtual survey (score of 70%
customer and other responsible parties. or higher required) or an actual survey at a pre-
determined location.
E. Certification to this standard shall be through
6.0 Product Installation Knowledge a nationally recognized third-party certification
body. See 8.3 for the definition of third-party
6.1 The surveyor/specialist shall be able to describe certification.
the proper installation requirements for backflow F. Certification shall be for a three (3) year period.
prevention assemblies relating to:
8.1.2 Recertification – Track A
A. Manufacturer recommendations
B. Physical location and accessibility A. Must have a valid, current backflow tester
certification in accordance with ASSE 5110.
C. Local jurisdictional requirements
B. Successful completion of a minimum eight
6.2 The surveyor/specialist shall be able to identify and (8) hour training course on backflow assembly
describe the problems resulting from the improper testing.
installation of backflow prevention assemblies C. Successfully passing a 25-question exam with a
including, but not limited to: score of 70% or higher.
A. Environment D. Successfully passing a practical exam that
B. Flow capacity includes testing ASSE 1013, 1015, 1020 and

FOR CERTIFICATION CLASS USE ONLY

C. Location 1056 assemblies.
D. Orientation E. Certification to this standard shall be through
E. Temperature a nationally recognized third-party certification
body. See 8.3 for the definition of third-party
certification.
7.0 Terminology F. Certification shall be for a three (3) year period.

The cross-connection control surveyor/specialist 8.2 Eligibility Requirements for Certification

shall demonstrate a basic understanding of the terms – Track B
located in Appendix G. 8.2.1 A. Shall provide verification of five (5) years
experience in plumbing, mechanical, fire
protection, water distribution or a related
industry field using potable water.

20 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 B. Successful completion of a minimum 40-hour
training course covering all aspects of ASSE
5120.
C. Successfully passing a 100-question exam with
a score of 70% or higher.
D. Successfully passing a practical exam that
includes either a virtual survey (score of 70%
or higher required) or an actual survey.
E. Certification to this standard shall be through
a nationally recognized third-party certification
body. See 8.3 for the definition of third-party
certification.
F. Certification shall be for a three (3) year period.

8.2.2 Recertification – Track B

A. Must have a valid, current ASSE 5120 cross-
connection control surveyor certification.
B. Successful completion of a minimum eight
(8) hour training course on cross-connection
control surveying.
C. Successfully passing a -50 question exam with a
score of 70% or higher.
D. Certification to this standard shall be through
a nationally recognized third-party certification
body. See 8.3 for the definition of third-party
certification.
E. Certification shall be for a three (3) year period.

8.3 Third-Party Certification

A. A recognized third-party certification body shall,
at a minimum, be able to demonstrate to the
authority having jurisdiction (AHJ), compliance
with ISO/IEC 17024 Conformity assessment
– General requirements for bodies operating
certification of persons. For the avoidance of
doubt, demonstration of compliance does not
require accreditation to the ISO/IEC 17024
Standard however, third-party accreditation
to 17024 is evidence of satisfaction of this
Section.

FOR CERTIFICATION CLASS USE ONLY

B. The authority having jurisdiction (AHJ) is an
organization, office or individual responsible
for enforcing the requirements of a code or
standard, or for approving equipment, materials,
installations or procedures.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 21

Issued: March 2022
 SERIES 5000 • STANDARD #5130
Professional Qualifications Standard for
Backflow Prevention Assembly Repairers

1.0 Scope and Purpose K. Spring containment

L. Thermal expansion
1.1 Scope M. Torque requirements
N. Turbulence
This standard applies to any individual who is
O. Trouble shooting
certified in accordance with this standard to repair
P. Types of fasteners
all approved backflow prevention assemblies.
1.2 Purpose
4.0 Product Performance Knowledge
The purpose of this standard is to provide minimum
qualification criteria, as defined by the scope. The repairer shall be able to identify and describe the
performance characteristics of the following backflow
prevention devices and assemblies:
2.0 Limitations for a Backflow Prevention A. Air Gaps in Plumbing Systems (ANSI A112.1.2)
Assembly Repairer B. Atmospheric Type Vacuum Breakers (ASSE
1001, current edition)
2.1 The certification shall be valid for a period of three C. Anti-siphon Fill Valves (Ballcocks) for Gravity
(3) years. Water Closet Flush Tanks (ASSE 1002, current
2.2 Compliance with this standard in itself shall not edition)
constitute the requirements for a backflow prevention D. Hose Connection Vacuum Breakers (ASSE
assembly tester, as identified by ASSE Standard 5110, 1011, current edition)
a cross-connection control surveyor/specialist, as E. Backflow Preventer with Intermediate
identified by ASSE Standard 5120, a fire protection Atmospheric Vent (ASSE 1012, current edition)
system cross-connection control tester, as identified F. Reduced Pressure Principle Backflow Prevention
by ASSE Standard 5140, a backflow prevention Assemblies (ASSE 1013, current edition)
program administrator, as identified by ASSE G. Double Check Backflow Prevention Assemblies
Standard 5150, or as required by local jurisdiction. (ASSE 1015, current edition)
H. Vacuum Breaker Wall Hydrants, Freeze

FOR CERTIFICATION CLASS USE ONLY

Resistant, Automatic Draining Type (ASSE
3.0 General Knowledge 1019, current edition)
I. Pressure Vacuum Breaker Assembly (ASSE 1020,
The repairer shall identify and demonstrate knowledge current edition)
of the basics pertaining to: J. Anti-Siphon Fill Valves for Water Closet Tanks
A. Backflow (ASSE 1002, current edition)
B. Backpressure K. Backflow Preventer for Beverage Dispensing
C. Backsiphonage Machines (ASSE 1022, current edition)
D. Cavitation L. Dual Check Backflow Preventers (ASSE 1024,
E. Differential pressure current edition)
F. FDA approved lubricants M. Dual Check Valve Type Backflow Preventers
G. General knowledge of test procedures for Carbonated Beverage Dispensers - Post Mix
H. Plumbing code and general requirements Type (ASSE 1032, current edition)
I. Rigging (weight load) N. Laboratory Faucet Backflow Preventers (ASSE
J. Special tool requirements 1035, current edition)

22 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 O. Pressurized Flushing Devices (Flushometers) for 5.2 Purpose
Plumbing Fixtures (ASSE 1037, current edition)
The purpose of the backflow prevention assembly
P. Reduced Pressure Detector Backflow Prevention
test report is to convey the detailed information
Assemblies (ASSE 1047, current edition)
identifying the backflow assembly and that assembly’s
Q. Double Check Detector Backflow Prevention
operational condition to the owner and the
Assemblies (ASSE 1048, current edition)
appropriate Authority Having Jurisdiction. Each
R. Hose Connection Backflow Preventers (ASSE
backflow prevention test shall have a test report and
1052, current edition)
that test report shall contain, but not be limited to
S. Chemical Dispensing Systems (ASSE 1055,
the following information:
current edition)
T. Spill Resistance Vacuum Breakers (ASSE 1056,
current edition) A. Testing Company
U. Outdoor Enclosures for Fluid Conveying 1) Name, address, city, state, zip, phone
Components (ASSE 1060, current edition) number
V. Inflow Preventers (ASSE 1063, current edition) 2) Tester – Printed name (first and last),
W. Backflow Prevention Assembly Field Test Kits signature, tester license or certification
(ASSE 1064, current edition) number
X. Backflow Preventers with Integral Pressure 3) Test Gauge – Manufacturer, model number,
Reducing Boiler Feed Valve and Intermediate serial number, last date of calibration
Atmospheric Vent Style for Domestic and Light B. Premises (Property)
Commercial Water Distribution Systems (ASSE – Name, address, city, state, zip
1081, current edition) C. Backflow Assembly
1) Manufacturer Name
2) Model Number
5.0 Reporting 3) Size
4) Serial Number
The effective administration of any active cross- 5) Type (RP, DC, RPDA, DCDA, PVB. SVB)
connection control and backflow prevention program 6) Location: Physical location of assembly
requires the cooperation of all involved parties. At the within the premises (property). Must be
forefront of these cooperative efforts is the backflow as descriptive as possible. i.e. boiler room
assembly testing company and individual backflow west wall, at water meter, room number,
assembly testers. Because every installed backflow outside flower bed, etc.
prevention assembly presents an actual or potential 7) Hazard (the hazard that the backflow
entry point of pollutants or contaminants to the assembly is protecting the potable water
potable water distribution system it is essential that from). i.e. irrigation, boiler make-up, fire
the testing company communicate through the test protection, fire protection by-pass
report to the water authority all of the applicable 8) Test Results as required in Section 4.0
information required to effectively administer the D. General Information
backflow prevention program. Care should be 1) Date and time of test
taken to legibly and accurately provide the backflow 2) Repairs made, repair parts used, cleaning
prevention program manager the information performed as applicable
required to protect the community water supply from

FOR CERTIFICATION CLASS USE ONLY

3) Pass, Fail, Pass with deficiencies (if pass
the negative effects of each known cross-connection with deficiencies is indicated, describe the
protected by a backflow prevention assembly. deficiency in the comment section)
5.1 Scope 4) Comments
5) The testing company shall provide copies
All installed backflow prevention assemblies are of the test report to the owner and other
essential life safety elements of a successful cross- appropriate parties as required by state and
connection control and backflow prevention program. or local regulations. The testing company
Each installed backflow prevention assembly protects shall maintain copies of the test report
an actual or potential cross-connection within the in accordance with requirements of the
potable water distribution or plumbing system. authority having jurisdiction.
Accurate conveyance of backflow assembly data is the 6) Affirmation Statement: “The information
basis of an effective cross-connection and backflow contained herein is true and accurate at the
prevention program and shall be conveyed to the date and time of this test.”
appropriate authority having jurisdiction.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 23

Issued: March 2022
6.0 Safety Knowledge D. Successfully complete a practical performance
exam consisting of the disassembly and
6.1 The repairer shall describe the safety precautions and reassembly of at least four assemblies consisting
hazards relating to: of at least one (1) RP [2½ inches or larger],
A. Animals and insects one (1) DC [2½ inches or larger], one (1) PVB
B. Confined spaces [1½ inch or larger] and one (1) SRVB [3/4 inch
C. Electricity or larger]. The four (4) assemblies shall be of
D. Facility specific safety requirements different makes and models. 5130 certification
E. Falling objects also requires testing of 1013, 1015, 1020 and
F. Noise 1056 assemblies. The assemblies for testing
G. Pressurized fluids may be smaller assemblies (test stands). If 5110
H. Rigging (weight load) certification was acquired within 6 months,
I. Spring containment testing of the four (4) assemblies is not necessary.
J. Toxic fumes E. Certification to this standard shall be through
a nationally recognized third-party certification
K. Vehicle traffic
body, See 9-3 for the definition of third-party
certification.
7.0 Test Equipment Knowledge F. Certification shall be for a three (3) year period.

7.1 The repairer shall have knowledge of backflow

9.2 Recertification of Backflow Prevention Assembly
prevention assembly field test kits.
Repairers
7.2 The repairer shall be able to identify and describe the A. Must have valid, current 5110 and 5130
proper usage for the following equipment: certifications.
A. Differential pressure gauge B. Successful completion of a minimum eight
B. Multipurpose transducer (digital readout) (8) hour training course on backflow assembly
C. Sight tube (water column) testing.
C. Successfully passing a 25-question exam with a
7.3 All testing equipment shall be verified for accuracy score of 70% or higher.
and proper operation, in accordance with ASSE
D. Successfully passing a practical exam that
1064, at a minimum annually.
includes testing ASSE 1013, 1015, 1020 and
1056 assemblies.
8.0 Terminology E. Certification to this standard shall be through
a nationally recognized third-party certification
The backflow prevention assembly repairer shall body. See 9-3 for the definition of third-party
demonstrate a basic working knowledge of the terms certification.
located in Appendix G. F. Certification Shall be for a three (3) year period.

9.3 Third-Party Certification

9.0 Certification of Backflow Prevention
A. A recognized third-party certification body shall,
Assembly Repairers at a minimum, be able to demonstrate to the

FOR CERTIFICATION CLASS USE ONLY

authority having jurisdiction (AHJ), compliance
9.1 Eligibility Requirements for Certification
with ISO/IEC 17024 Conformity assessment
A. Shall possess a current backflow tester certification – General requirements for bodies operating
in accordance with ASSE 5110, Professional certification of persons. For the avoidance of
Qualifications Standard for Backflow Prevention doubt, demonstration of compliance does not
Assembly Testers require accreditation to the ISO/IEC 17024
B. Successful completion of a minimum twenty Standard however, third-party accreditation
20-hour training course covering all aspects of to 17024 is evidence of satisfaction of this
ASSE 5130. Section.
C. Successfully passing a 50-question exam with a B. The authority having jurisdiction (AHJ) is an
score of 70% or higher. organization, office or individual responsible
for enforcing the requirements of a code or
standard, or for approving equipment, materials,
installations or procedures.

24 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5140
Professional Qualifications Standard for
Fire Protection System Cross-Connection Control Testers

1.0 Scope and Purpose A. Alarms

B. Antifreeze loop
1.1 Scope C. Backflow
D. Backpressure
This applies to any individual who is certified in
E. Backsiphonage
accordance with this standard and who will test and
F. Butterfly valves
maintain all types of backflow prevention assemblies
G. Cavitation
utilized in fire protection systems.
H. Differential pressure
1.2 Purpose I. FDA approved lubricants
J. General knowledge of testing and troubleshooting
The purpose of this standard is to provide minimum
K. Indicating type and non-indicating type shutoff
qualification criteria, as defined by the scope.
valves
L. Injection systems
2.0 Limitations for a Fire Protection System M. Liability
N. Main drain
Cross-Connection Control Tester
O. Main drain test
2.1 The certification shall be valid for a period of three P. Normal/standby condition
(3) years. Q. Plumbing codes and fire codes
R. Pressure loss
2.2 Compliance with this standard in itself shall not S. Pumps
constitute the requirements for a cross-connection T. Rigging (weight load)
control surveyor/specialist, as identified by ASSE U. Riser
Standard 5120, a backflow prevention program V. Special tool requirements
administrator, as identified by ASSE Standard 5150, W. Spring containment
or as required by local jurisdiction. X. Standpipe
2.3 This certification is limited to the test and repair Y. Test equipment
of existing backflow assemblies. This certification Z. Thermal expansion

FOR CERTIFICATION CLASS USE ONLY

does not allow for modifications to, repair of, or aa. Torque requirements
installation of any type of fire protection system. bb. Turbulence
cc. Types of fasteners
dd. Water flow detector
3.0 General Knowledge
3.3 Safety
3.1 The individual shall be knowledgeable of codes and The individual shall be able to describe the safety
regulations from the federal, state and local levels, and precautions and hazards during backflow prevention
of approved listing agencies. The individual shall be assembly testing relating to:
knowledgeable of applicable maintenance procedures A. Coordination of fire department/monitoring
under all applicable ASSE standards, and NFPA 13 company
and 25. B. Confined spaces
3.2 The individual shall be able to identify and describe C. Electricity
the basics pertaining to: D. General safety
E. Fire watch/impairment procedures
F. Traffic safety

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 25

Issued: March 2022
4.0 Product Performance Knowledge information required to effectively administer the
backflow prevention program. Care should be
4.1 The individual shall be able to identify the major taken to legibly and accurately provide the backflow
components of backflow prevention assemblies. prevention program manager the information
required to protect the community water supply from
4.2 The individual shall be able to describe the proper the negative effects of each known cross-connection
application of backflow prevention assemblies and protected by a backflow prevention assembly.
their limitations with respect to:
A. Backflow 5.1 Scope
B. Degree of hazard All installed backflow prevention assemblies are
4.3 The individual shall be able to describe the operating essential life safety elements of a successful cross-
principles and performance characteristics of the connection control and backflow prevention program.
following components for the backflow prevention Each installed backflow prevention assembly protects
assemblies listed in Section 4.4 of this standard: an actual or potential cross-connection within the
A. Assembly working pressure (minimum and potable water distribution or plumbing system.
maximum) Accurate conveyance of backflow assembly data is the
B. Assembly working temperature (minimum and basis of an effective cross-connection and backflow
maximum) prevention program and shall be conveyed to the
C. Bypass assembly appropriate authority having jurisdiction.
D. Check valve 5.2 Purpose
E. Relief valves
F. Shutoff valves The purpose of the backflow prevention assembly
G. Test cocks test report is to convey the detailed information
identifying the backflow assembly and that assembly’s
4.4 The individual shall be able to identify and describe operational condition to the owner and the
the performance characteristics of the following appropriate Authority Having Jurisdiction. Each
backflow prevention assemblies: backflow prevention test shall have a test report and
A. Field test procedures for bypass assemblies that test report shall contain, but not be limited to
B. Reduced Pressure Principle Assembly the following information:
(ASSE 1013, current edition)
C. Double Check Valve Assembly (ASSE 1015, A. Testing Company
current edition) 1) Name, address, city, state, zip, phone
D. Reduced Pressure Detector Backflow Prevention number
Assemblies (ASSE 1047, current edition) 2) Tester – Printed name (first and last),
E. Double Check Detector Backflow Prevention signature, tester license or certification
Assemblies (ASSE 1048, current edition) number
4.5 The individual shall be able to identify and describe 3) Test Gauge – Manufacturer, model number,
the performance characteristics of the following serial number, last date of calibration
systems: B. Premises (Property)
A. Types of fire protection systems – Name, address, city, state, zip
C. Backflow Assembly

FOR CERTIFICATION CLASS USE ONLY

B. Monitoring and alarm systems
1) Manufacturer Name
2) Model Number
5.0 Reporting Knowledge 3) Size
4) Serial Number
The effective administration of any active cross- 5) Type (RP, DC, RPDA, DCDA, PVB. SVB)
connection control and backflow prevention program 6) Location: Physical location of assembly
requires the cooperation of all involved parties. At the within the premises (property). Must be
forefront of these cooperative efforts is the backflow as descriptive as possible. i.e. boiler room
assembly testing company and individual backflow west wall, at water meter, room number,
assembly testers. Because every installed backflow outside flower bed, etc.
prevention assembly presents an actual or potential 7) Hazard (The hazard that the backflow
entry point of pollutants or contaminants to the assembly is protecting the potable water
potable water distribution system it is essential that
the testing company communicate through the test
report to the water authority all of the applicable

26 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 from). i.e. irrigation, boiler make-up, fire 8.0 Terminology
protection, fire protection by-pass
8) Test Results as required in Section 4.0 The individual shall demonstrate a basic working
knowledge of the terms located in Appendix G and
D. General Information the terms below:
1) Date and time of test A. Dedicated line (service)
2) Repairs made, repair parts used, cleaning B. Forward flow test
performed as applicable C. Single check detector device
3) Pass, Fail, Pass with deficiencies (if pass D. Sprinkler system
with deficiencies is indicated, describe the E. Supervisory device
deficiency in the comment section) F. Supervised system
4) Comments G. Additional terms listed in section Chapter 3 of
5) The testing company shall provide copies NFPA 13
of the test report to the owner and other
appropriate parties as required by state and
or local regulations. The testing company 9.0 Certification of Fire Protection System
shall maintain copies of the test report Cross-Connection Control Testers
in accordance with requirements of the
authority having jurisdiction. 9.1 Eligibility Requirements for Certification
6) Affirmation Statement: “The information A. Shall possess a current backflow tester certification
contained herein is true and accurate at the in accordance with ASSE 5110, Professional
date and time of this test.” Qualifications Standard for Backflow Prevention
Assembly Testers.
B. Shall possess a current backflow repairer
6.0 Product Installation Knowledge certification in accordance with ASSE 5130,
Professional Qualifications Standard for
6.1 The individual shall be able to describe the proper
Backflow Prevention Assembly Repairers.
installation requirements for existing fire system
C. Shall provide verification of five (5) years of
backflow prevention assemblies relating to:
experience as a sprinkler fitter or plumber.
A. Manufacturer recommendations D. Successful completion of a minimum 30-hour
B. Physical location and accessibility training course covering all aspects of ASSE
C. Local jurisdiction requirements 5140.
D. Degree of hazard E. Successfully passing a 50-question exam with a
6.2 The individual shall be able to identify and describe score of 70% or higher.
the problems resulting from the improper installation F. Successfully complete a practical performance
of existing fire system backflow prevention assemblies. exam consisting of successfully shutting down
and testing of ASSE 1013, 1015, 1047 and
1048 assemblies, and restoring the fire-sprinkler
7.0 Backflow Assembly Test Equipment system to proper service, as defined by NFPA
Knowledge 13 and 25.
G. Certification to this standard shall be through

FOR CERTIFICATION CLASS USE ONLY

7.1 The individual shall have knowledge of backflow a nationally recognized third-party certification
prevention assembly field test kits. body See 9-3 for the definition of third-party
certification.
7.2 The individual shall be able to identify and describe H. Certification shall be for a three (3) year period.
the proper usage for the following equipment:
A. Differential pressure gauge 9.2 Recertification of Fire Protection System Cross-
B. Multipurpose transducer (digital readout) Connection Control Testers
C. Sight tube (water column) A. Must have a valid, current ASSE 5110, 5130
and 5140 certifications.
7.3 All testing equipment shall be verified for accuracy B. Successfully complete a minimum eight (8) hour
and proper operation, in accordance with ASSE training course.
1064, at a minimum annually. C. Successfully pass a 25-question exam with a score
of 70% or higher.
D. Successfully pass a practical exam that includes
testing ASSE 1013, 1015, 1020 and 1056
assemblies.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 27

Issued: March 2022
 E. Certification to this standard shall be through
a nationally recognized third-party certification
body. See 9-3 for the definition of third-party
certification.
F. Certification Shall be for a three (3) year period.
9.3 Third-Party Certification
A. A recognized third-party certification body shall,
at a minimum, be able to demonstrate to the
authority having jurisdiction (AHJ), compliance
with ISO/IEC 17024 Conformity assessment
– General requirements for bodies operating
certification of persons. For the avoidance of
doubt, demonstration of compliance does not
require accreditation to the ISO/IEC 17024
Standard however, third-party accreditation
to 17024 is evidence of satisfaction of this
Section.
B. The authority having jurisdiction (AHJ) is an
organization, office or individual responsible
for enforcing the requirements of a code or
standard, or for approving equipment, materials,
installations or procedures.

FOR CERTIFICATION CLASS USE ONLY

28 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • STANDARD #5150
Professional Qualifications Standard for
Backflow Prevention Program Administrators

1.0 Scope and Purpose 3.2 The program administrator shall be knowledgeable
of all professional requirements stated in ASSE
1.1 Scope Series 5000’s professionals qualifications standards
for backflow prevention assembly testers, repairers
This standard applies to any state licensed/certified and surveyors. At a minimum, backflow prevention
water plant operator, water distribution technician, assemblies shall be tested at time of installation, repair
water utility engineer and/or cross-connection or relocation and not less than on an annual schedule
control program administrator. It focuses on the thereafter. Backflow prevention assemblies shall also
drafting, implementation and enforcement of cross- be tested when returned to service after winterization
connection control programs and/or ordinances. or a similar extended period of time.. The test shall be
1.2 Purpose performed by a trained and certified backflow tester
meeting the requirements of the 5110 standard.
The purpose of this standard is to provide minimum
qualification criteria, as defined by the scope. 3.3 The program administrator shall be able to identify
and describe the basic hydraulics pertaining to:
A. Air gap
2.0 Limitations for a Backflow Prevention B. Absolute pressure
Program Administrator C. Atmospheric pressure
D. Backflow
2.1 The certification shall be valid for a period of three E. Backpressure
(3) years. F. Backsiphonage
G. Barometric loop
2.2 Compliance with this standard in itself shall
H. Bernoulli's principle
not constitute the requirements for a backflow
prevention assembly tester, as identified by ASSE I. Cavitation
Standard 5110, a cross-connection control surveyor/ J. Containment
specialist, as identified by ASSE Standard 5120, a K. Degree of hazard
backflow prevention assembly repairer, as identified L. Differential pressure
M. Direct cross-connections

FOR CERTIFICATION CLASS USE ONLY

by ASSE Standard 5130, a fire protection system
cross-connection control tester, as identified by ASSE N. Gauge pressure
Standard 5140, or as required by local jurisdiction. O. Head pressure
P. Indirect cross-connections
Q. Isolation
3.0 General Knowledge R. Negative pressure
S. Pressure equalization
3.1 The program administrator shall be knowledgeable T. Pressure loss
on codes and regulations from the federal, state U. Static pressure
and local levels, and on approved listing agencies V. Thermal expansion
pertaining to cross-connection control and backflow W. Turbulence
prevention. The individual shall be knowledgeable on X. Vacuum
the proper implementation of a backflow prevention Y. Venturi
and maintenance program under all applicable ASSE
standards that pertain to containment and isolation
protection.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 29

Issued: March 2022
4.0 Safety documentation to verify the air gaps are
adequate
The backflow prevention program dministrator shall 5. Documentation of all cross-connections,
describe the safety precautions and hazards during both protected and unprotected
backflow prevention assembly testing and surveying 6. Signature of surveyor and date isolation
relating to: survey was conducted
A. Coordination of fire department/monitoring 5.3 Identify and describe the actions a surveyor shall take
company when necessary after completing a cross-connection control survey
B. Confined spaces inspection:
C. Electricity
A. Complete the proper documentation, including
D. General safety
the containment/isolation survey checklist
E. Traffic safety
B. Notify the owner of survey completion and
F. Site specific safety requirements required corrective action(s).

5.0 Conducting a Survey 6.0 Product Performance Knowledge

The backflow prevention program administrator shall 6.1 The program administrator shall be able to identify the
demonstrate knowledge of the degree of hazard and major components of backflow prevention assemblies
its importance when conducting a cross-connection that are suitable for containment protection.
control survey and shall demonstrate knowledge of
common, potential, recurring and protected cross- 6.2 The program administrator shall be able to describe
connections found within water distribution systems. the proper application of backflow prevention
assemblies used for containment and their limitations
5.1 Identify and describe the actions a backflow with respect to:
prevention program administrator shall take prior to
A. Backflow
conducting a cross-connection control containment
1. Backpressure
survey inspection.
2. Backsiphonage
A. Notification to proper authorities
B. Degree of hazard
B. Notification to premise occupant/owner
C. Assembly working pressures (minimum and
C. Pre-survey documentation and materials
maximum)
D. Display proper identification
D. Assembly working temperatures (minimum and
5.2 Identify and describe the actions a backflow maximum)
prevention program surveyor/specialist shall take E. Pressure loss
when conducting a cross-connection control F. Continuous pressure
containment survey inspection. G. Installation limitations
A. Complete a cross-connection control 1. Assembly/device orientation
containment survey checklist, which includes: 2. Direction of flow
1. Degree of hazard of service connections 3. Elevation
2. Size of service connections 4. Installation clearances
3. Assembly type, model, serial number, H. Applicable plumbing codes

FOR CERTIFICATION CLASS USE ONLY

location and proper installation
6.3 The program administrator shall be able to describe
4. Location of all containment air gaps and
the operating principles and/or performance
documentation to verify the air gaps are
characteristics of the following components for the
adequate
backflow prevention assemblies listed in Section 6.4
5. Documentation of all cross-connections, of this standard:
both protected and unprotected
A. Air inlet valves
6. Signature of surveyor and date containment
B. Check valve
survey was conducted
C. Differential pressure relief valves
B. Completion of a cross-connection control
D. Shutoff valves
isolation survey checklist, which includes:
E. Test cocks
1. Degree of hazard at the point of use
2. Pipe size at point of use 6.4 The program administrator shall be able to identify
3. Assembly type, model, manufacturer, serial and describe the performance characteristics of the
number, location and proper installation following backflow prevention devices, assemblies
4. Location of all isolation air gaps and and methods:

30 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 A. Air Gaps in Plumbing Systems (ANSI A112.1.2) L. Te m p o r a r y c o n n e c t i o n p r o g r a m a n d
B. Reduced Pressure Principle Assembly (ASSE requirements
1013, current edition)
7.2 The backflow prevention program administrator
C. Double Check Valve Assembly (ASSE 1015,
shall be able to identify problems in the distribution
current edition)
system that could indicate an unprotected cross-
D. Pressure Vacuum Breaker Assembly (ASSE 1020, connection, or a failing backflow prevention assembly
current edition) or air gap, and be able to assess the actual or potential
E. Dual Check Backflow Preventer (ASSE 1024, threat that could threaten the health of the public
current edition) water supply customers.
F. Reduced Pressure Detector Backflow Prevention
Assemblies (ASSE 1047, current edition)
G. Double Check Detector Backflow Prevention 8.0 Terminology
Assemblies (ASSE 1048, current edition)
H. Hose Connection Backflow Preventers (ASSE 8.1 The backflow prevention program administrator shall
1052, current edition) demonstrate a basic working knowledge of the terms
I. Spill Resistant Vacuum Breaker (ASSE 1056, located in Appendix G.
current edition)
J. Inflow Preventers (ASSE 1063, current edition)
9.0 Test Equipment Knowledge
6.5 The backflow prevention program administrator
shall be able to describe the proper installation 9.1 The program administrator shall have knowledge
requirements for containment backflow prevention of ASSE Standard 1064, Performance Requirements
assemblies relating to: for Backflow Prevention Assembly Field Test Kits. All
A. Manufacturer recommendations testing equipment shall be verified for accuracy and
B. Physical location and accessibility proper operation in accordance with ASSE 1064, at
C. Local jurisdiction requirements a minimum annually.
6.6 The program administrator shall be able to 9.2 Test equipment verification documentation shall be
identify and describe the problems resulting from requested annually from all testers performing tests
the improper installation of backflow prevention within the program administrator’s jurisdiction and
assemblies. shall be retained for a minimum of five (5) years.

7.0 Cross-Connection Control Program 10.0 Certification of Backflow Prevention

Knowledge Program Administrators
7.1 The backflow prevention program administrator shall 10.1 Eligibility Requirements for Certification
demonstrate an understanding of the elements of A. Shall provide verification of five (5) years’
a cross-connection control program, including the experience in plumbing, mechanical, fire
following: protection, water distribution or a related
A. Understanding cross-connection control industry field using potable water.
concepts B. Successful completion of a minimum 32-hour

FOR CERTIFICATION CLASS USE ONLY

B. Understanding the importance of a legal training course covering all aspects of ASSE
foundation 5150.
C. Establishment of a priority system for C. Successfully passing a 50-question exam with a
implementation score of 70% or higher.
D. Estimating customer implementation costs D. Successfully passing a 25-question practical exam
E. Development of an implementation time table with a score of 70% or higher
F. Reviewing the proposed plan with government E. Certification to this standard shall be through
agencies and local code enforcement a nationally recognized third-party certification
G. Creating a public education program body, See 10-3 for the definition of third-party
H. Creating a customer notification program certification.
I. Creating a data management program and F. Certification shall be for a three (3) year period.
monitoring program progress
J. Initiation and maintenance of a testing program
K. Establishing backflow incident protocol and
emergency management plan

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 31

Issued: March 2022
10.2 Recertification of Backflow Prevention Program
Administrators
A. Must have a valid, current ASSE 5150 backflow
prevention administrator certification.
B. Successful completion of a minimum eight (8)
hour training course on ASSE 5150.
C. Successfully passing a 25-question written exam
with a score of 70% or higher.
D. Certification to this standard shall be through
a nationally recognized third-party certification
body. See 10-3 for the definition of third-party
certification.
E. Certification shall be for a three (3) year period.
10.3 Third-Party Certification
A. A recognized third-party certification body shall,
at a minimum, be able to demonstrate to the
authority having jurisdiction (AHJ), compliance
with ISO/IEC 17024 Conformity assessment
– General requirements for bodies operating
certification of persons. For the avoidance of
doubt, demonstration of compliance does not
require accreditation to the ISO/IEC 17024
Standard however, third-party accreditation
to 17024 is evidence of satisfaction of this
Section.
B. The authority having jurisdiction (AHJ) is an
organization, office or individual responsible
for enforcing the requirements of a code or
standard, or for approving equipment, materials,
installations or procedures.

FOR CERTIFICATION CLASS USE ONLY

32 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX A
Troubleshooting Flowcharts
ASSE Test Procedure Flowcharts

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 33

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1013 Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cocks?

YES
Close test cocks

Flow NO
stops? Repair or replace as needed

YES
Attach test kit

TEST #1
Tightness #2 shutoff valve

Close #2 shutoff valve

If a no flow condition
FAILURE can not be achieved,
Does repair shutoff number
YES #1 check valve is leaking & two or locate an additional
relief valve must be repaired
discharge? downstream shutoff before
continuing the test.

NO
Bypass pressure from TC #2 to TC #4

Close test cock #2

NO

FOR CERTIFICATION CLASS USE ONLY

Does NO Does YES Does
gauge reading gauge reading relief valve
remain drop? discharge?
steady?

YES
NO FAILURE
YES Gauge reading increase means #2 #2 check valve is leaking & must
shutoff is leaking under backpressure be repaired
PASS
TEST #1
Testing shall not proceed unless
#2 shutoff valve
the backpressure is relieved

~
is pressure tight

34 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1013 Assemblies

~
TEST #2
Check valve #2 leak tight
under backpressure

Does FAILURE
the gauge
Does NO reading drop YES Check valve #2 is leaking
the gauge & relief valve under backpressure &
reading remain discharge must be repaired
steady? continuously?

YES NO
PASS
TEST #2
Check valve #2 is leak tight
under backpressure Is
relief valve
discharge
intermittent?

YES
PASS
Line pressure fluctuation
is present & check valve

FOR CERTIFICATION CLASS USE ONLY

#2 can be recorded as leak
tight under backpressure

Proceed with testing

PASS
TEST #2
#2 check valve is leak
tight under backpressure

~
ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 35
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1013 Assemblies

~
TEST #3 FAILURE
Check valve #1
pressure differential #1 check valve seat or
rubber disk may be damaged
OR
Does #1 check valve may be
gauge reading fouled with debris
YES
drop & OR
1. Close bypass valve relief valve internal leaks through
2. Open test cock #2 discharge? the relief valve
3. Open low bleed valve diaphragm may be
4. Close low bleed valve present

Repair as needed
NO

Is
Is the gauge
the gauge NO reading <5 psid
reading with no relief
> 5 psid? valve
discharge?

YES YES
PASS FAILURE

TEST #3 #1 check valve requires

#1 check valve is maintenance. The rubber
disk or valve seat, or

FOR CERTIFICATION CLASS USE ONLY

working properly
both, may be damaged
or a possible weak spring

~
may exist

36 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1013 Assemblies

~
TEST #4
Relief valve opening
pressure differential

Slowly open the low valve

Does
the relief
Does valve drip with
FAILURE
the relief NO a gauge reading < 2 psid? YES
valve drip with The relief valve
OR does the gauge reading requires service
a gauge reading drop to 0 psid and the
> 2 psid? relief valve does
not open?

YES NO
The relief valve does not drip
PASS with the low valve wide open

The relief valve

is working properly
FAILURE
Is #2 The relief valve is
shutoff NO
stuck closed &
valve leaking requires service
now?

FOR CERTIFICATION CLASS USE ONLY

1. Remove test kit
2. Restore system to
pre-test condition YES

A no flow condition must be If a no flow condition

achieved by accommodating can not be achieved,
the leak with a bypass hose or #2 shutoff valve must
additional downstream shutoff be repaired
before completing the test
TEST
COMPLETE

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 37

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1015 Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cocks?

YES
Close test cocks

Flow NO
stops? Repair or replace as needed

YES
Attach test kit

TEST #1
Tightness of #2 shutoff

1. Close #2 shutoff
2. Open TC #4
3. Close TC #2

Does FAILURE
Differential NO
reading hold #2 shutoff valve is leaking & must be repaired
steady?

PASS YES

FOR CERTIFICATION CLASS USE ONLY

TEST #1
#2 shutoff is tight

TEST #2
Tightness #1 check valve

1. Close TC #4
2. Close high valve
3. Remove bypass hose from TC #4
4. Open TC #2
5. Slowly open low valve to cause differential reading to rise - close

38
~ ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1015 Assemblies

~
FAILURE
Is NO
differential Repair check
>1 psid?

YES
PASS
TEST #2
#1 check valve closed tight

TEST #3
Tightness #2 check valve

FAILURE
Is NO
differential Repair check or leaking #2
>1 psid? shutoff with backpressure

YES
PASS
TEST #3
#2 check valve closed tight

1. Remove test kit

FOR CERTIFICATION CLASS USE ONLY

2. Restore system to
pre-test condition

TEST COMPLETE

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 39

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1020 Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cocks?

YES
Close test cocks

Flow NO
stops? Repair or replace as needed

YES
Attach test kit

TEST #1
Leak tight #2 shutoff valve

1. Close #2 shutoff valve

2. Open high & low valves to “0” the gauge
3. Close high & low valves
4. Close shutoff #1

Does NO #2 shutoff valve is leaking

gauge remain A no flow condition must be achieved by an additional
at “0”? downstream shutoff or repair of the #2 shutoff valve

YES
PASS

FOR CERTIFICATION CLASS USE ONLY

TEST #1
#2 shutoff valve is leak tight

TEST #2
Check valve pressure differential

1. Open shutoff #1
2. Open low bleed valve to increase gauge reading
3. Close low bleed valve

~
40 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1020 Assemblies

~
Does the NO
gauge read Check valve requires service
>1 psid?

YES
PASS
TEST #2
The check valve is
working properly

TEST #3
Air inlet opening

Gauge reading is above 1.0 psid & air inlet is closed

Is
the air FAILURE
inlet valve
The leaky #1 shutoff valve must be repaired or replaced or a no flow
fully open & NO condition must be achieved with an additional upstream shutoff
does the gauge indicate
>1 psid when the
air inlet
opens?
Gauge reading drops below 1.0 psid

YES
PASS FAILURE
TEST #3 Air inlet disk stuck to seat
The air inlet valve is
working properly

FOR CERTIFICATION CLASS USE ONLY

1. Remove test kit
2. Restore system to
pre-test condition

TEST COMPLETE

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 41

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cocks?

YES
Close test cocks

Flow NO
stops? Repair or replace as needed

YES
Attach test kit to mainline assembly

TEST #1
Tightness #2 shutoff valve

Close #2 shutoff valve on

mainline & bypass line

FAILURE
Does
YES #1 check valve is leaking If a no flow condition can not be achieved,
relief valve
discharge? & must be repaired #2 shutoff valve must be repaired

#2 shutoff valve is leaking down stream

NO
A no flow condition must be achieved
Bypass pressure from TC 2 to TC 4 by accommodating the leak with a bypass
hose or additional downstream shutoff
Close test cock #2 before continuing the test

FOR CERTIFICATION CLASS USE ONLY

NO
Does Does YES Does
gauge reading NO
gauge reading relief valve
remain drop? discharge?
steady?
NO YES
YES Gauge reading increase means #2 FAILURE
shutoff is leaking under backpressure #2 check valve is leaking & must be repaired

Testing shall not proceed unless

~
the backpressure is relieved

42 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Assemblies

PASS
~
TEST #1
#2 shutoff valve
is closed tight

TEST #2
Check valve #2 leak tight
under backpressure

Does
FAILURE
the gauge
Does
NO reading drop YES Check valve #2 is leaking
the gauge
& relief valve under backpressure &
reading remain
discharge must be repaired
steady?
continuously?

YES NO
PASS
TEST #2
Check valve #2 is leak tight
under backpressure Is
relief valve
discharge

FOR CERTIFICATION CLASS USE ONLY

intermittent?

Proceed with testing

YES
PASS
PASS
TEST #2
TEST #2 Line pressure fluctuation is
Check valve #2 is leak tight present & check valve #2
under backpressure can be recorded as closed

~
tight under backpressure

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 43

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Assemblies

~ FAILURE
#1 check valve seat or
TEST #3 rubber disk may be
#1 check differential damaged
Does OR
gauge reading #1 check valve may be
YES fouled with debris
drop &
relief valve OR
1. Close bypass valve discharge? Internal leaks through
2. Open TC #2 the relief valve
3. Open low bleed valve diaphragm may
4. Close low bleed valve be present
NO Repair as needed

Is
the gauge
Is the NO reading <5 psid
gauge reading with no relief
> 5 psid? valve
discharge?

YES YES
FAILURE
PASS #1 check valve requires maintenance
TEST #3 The rubber disk or valve seat, or
#1 check both, may be damaged
is leak tight

FOR CERTIFICATION CLASS USE ONLY

TEST #4
Relief valve opening

Slowly open the low valve

~
44 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Assemblies

~
Does Does FAILURE
the relief NO the relief YES
valve drip with valve drip with a The relief valve
a gauge reading gauge reading requires service
of >2 psid? of <2 psid?

NO
YES
The relief valve does not drip
with the low valve wide open

FAILURE
Is #2 The relief valve is stuck
shutoff NO
closed & requires service
valve leaking
now?

Restore system by YES

bleeding TC #4
A no flow condition must be
achieved by accommodating If a no flow condition can
the leak with a bypass hose or not be achieved, #2 shutoff
additional downstream shutoff valve must be repaired
before completing the test

FAILURE

FOR CERTIFICATION CLASS USE ONLY

Does
the relief YES
This is an indication of
valve a clogged sensing line
discharge?

NO

PASS
#1 check valve is

~
working properly

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 45

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Assemblies

~
TEST #5
Bypass complete assembly ASSE 1013

Attach test kit to bypass ASSE 1013 assembly

Repeat Test 1-4

Remove Test Kit

TEST #6
Bypass water meter or signaling device

Open #2 shutoff on bypass line

Open TC #4

Does FAILURE
water meter
NO 1. Repair meter or signaling device
on signaling
2. Low differential on mainline assembly

FOR CERTIFICATION CLASS USE ONLY

device
indicate
flow?

YES

Restore system to
pre-test condition

* See Appendix B, Schematics, "ASSE 1047 with

TEST COMPLETE Bypass Check Assembly - 1013"

46 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Type II Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cocks?

YES
Close test cocks

Flow NO
stops? Repair or replace as needed

YES
Attach test kit to mainline assembly

TEST #1
Tightness #2 shutoff valve

Close #2 shutoff valve on

mainline & bypass line

FAILURE
Does YES
relief valve #1 check valve is leaking & If a no flow condition can not be achieved,
discharge? must be repaired #2 shutoff valve must be repaired

#2 shutoff valve is leaking down stream

NO
A no flow condition must be achieved by
Bypass pressure from TC 2 to TC 4 accommodating the leak with a bypass hose
or additional downstream shutoff before
Close test cock #2 continuing the test

FOR CERTIFICATION CLASS USE ONLY

NO
Does Does Does
gauge reading NO YES
gauge reading relief valve
remain drop? discharge?
steady?
NO YES
YES FAILURE
Gauge reading increase means #2
shutoff is leaking under backpressure #2 check valve is leaking & must be repaired

Testing shall not proceed unless

~
the backpressure is relieved

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 47

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Type II Assemblies

PASS
~
TEST #1
#2 shutoff valve
is closed tight

TEST #2
Check valve #2 leak tight
under backpressure

Does FAILURE
Does the gauge
the gauge NO YES Check valve #2 is leaking
reading drop & under backpressure &
reading remain relief valve discharge
steady? must be repaired
continuously?

YES NO
PASS
TEST #2
Check valve #2 is leak tight
under backpressure Is
relief valve
discharge

FOR CERTIFICATION CLASS USE ONLY

intermittent?

Proceed with testing

YES
PASS
PASS
TEST #2
TEST #2 Line pressure fluctuation is
Check valve #2 is leak tight present & check valve #2
under backpressure can be recorded as closed

~
tight under backpressure

48 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Type II Assemblies

~ FAILURE
#1 check valve seat or
TEST #3 rubber disk may be
#1 check differential damaged
OR
Does
#1 check valve may be
gauge reading YES
fouled with debris
drop &
OR
relief valve
1. Close bypass valve internal leaks through
discharge?
2. Open TC #2 the relief valve
3. Open low bleed valve diaphragm may
4. Close low bleed valve be present
NO Repair as needed

Is
Is the gauge
the gauge NO reading <5 psid
reading with no relief
> 5 psid? valve
discharge?

YES YES
FAILURE
PASS #1 check valve requires maintenance
TEST #3 The rubber disk or valve seat, or both,
#1 check may be damaged
is leak tight

FOR CERTIFICATION CLASS USE ONLY

TEST #4
Relief valve opening

Slowly open the low valve

~
ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 49
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Type II Assemblies

~
Does Does FAILURE
the relief NO the relief
YES The relief valve
valve drip with valve drip with a
a gauge reading gauge reading requires service
of >2 psid? of <2 psid?

NO
YES
The relief valve does not drip
with the low valve wide open

FAILURE
Is #2
NO The relief valve is
shutoff
stuck closed &
valve leaking
requires service
now?

Restore system by YES

bleeding TC #4
A no flow condition must be achieved If a no flow condition
by accommodating the leak with a can not be achieved,
bypass hose or additional downstream #2 shutoff valve must
shutoff before completing the test be repaired

FAILURE

FOR CERTIFICATION CLASS USE ONLY

Does
the relief YES This is an indication of
valve a clogged sensing line
discharge?

NO
PASS
#1 check valve is
working properly

~
50 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1047 Type II Assemblies

~
TEST #5*
Bypass check assembly ASSE 1047

Attach test kit for backpressure test on bypass check. Attach high hose to TC #2 on mainline assembly.
Attach low hose to TC #1 on bypass check assembly. Open TC #2 on mainline assembly.
Open high bleed – close. Open TC #1 on bypass assembly. Open low bleed – close.
Attach bypass hose to TC #2 on bypass assembly. Open high valve. Open TC #2 on bypass assembly.

Does
FAILURE
Does the gauge
the gauge NO reading drop & YES Bypass check is leaking under
reading remain relief valve discharge backpressure & must be repaired
steady? continuously?

NO
YES
PASS
Is
TEST #5 relief valve
Bypass check valve discharge
is leak tight intermittent?
under backpressure

YES
PASS
TEST #5
Line pressure fluctuation is present
and bypass check can be recorded as
Remove test kit closed tight under backpressure

FOR CERTIFICATION CLASS USE ONLY

Does FAILURE
water meter NO 1. Repair meter or signaling device
on signaling device 2. Low differential on mainline assembly
indicate
flow?

YES
Restore system to
pre-test condition

* See Appendix B, Schematics, "ASSE 1047

TEST COMPLETE with Bypass Check Assembly"

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 51

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1048 Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cocks?

YES
Close test cocks

Flow NO
Repair or replace as needed
stops?

YES
Attach test kit

TEST #1
Tightness of #2 shutoff valve

Close #2 shutoff on mainline & bypass

Open TC #4
Close TC #2

Does FAILURE
differential NO
reading hold #2 shutoff valve is leaking &
steady? must be repaired or replaced

YES
PASS

FOR CERTIFICATION CLASS USE ONLY

TEST #1
#2 shutoff is tight

TEST #2
Tightness of 1st check valve

1. Close TC #4
2. Close high valve
3. Remove bypass hose from TC #4
4. Open TC #2
5. Slowly open low valve to cause differential reading to rise - close

~
52 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1048 Assemblies

~
FAILURE
NO
Is differential Repair check
>1 psid?

YES
PASS
TEST #2
1st check closed tight

TEST #3
Tightness #2 check valve

FAILURE
NO
Is differential Repair check
>1 psid?

YES
PASS
TEST #3
#2 check closed tight

FOR CERTIFICATION CLASS USE ONLY

~

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 53

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1048 Assemblies

~TEST #4
Test bypass valve complete
assembly (1015)

Attach Test Kit to bypass assembly

Repeat Test 1, 2, 3

Remove Test Kit

TEST #5
Bypass water meter or
signaling device

Open #2 shutoff on bypass line

Open TC #4

FAILURE
Does NO
water meter 1. Repair meter or signaling device

FOR CERTIFICATION CLASS USE ONLY

indicate flow? 2. Low differentials on main line assembly

YES

Remove test kit

* See Appendix B, Schematics, "ASSE 1048

TEST COMPLETE with Bypass Check Assembly - 1015"

54 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1048 Type II Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cocks?

YES
Close test cocks

Flow NO
Repair or replace as needed
stops?

YES
Attach test kit

TEST #1
Tightness of #2 shutoff valve

Close #2 shutoff on mainline & bypass

Open TC #4
Close TC #2

FAILURE
NO
Differential #2 shutoff valve is leaking &
steady? must be repaired or replaced

YES
PASS

FOR CERTIFICATION CLASS USE ONLY

TEST #1
#2 shutoff is tight

TEST #2
Tightness of 1st check valve

1. Close TC #4
2. Close high valve
3. Remove bypass hose from TC #4
4. Open TC #2
5. Slowly open low valve to cause differential reading to rise - close

~
ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 55
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1048 Type II Assemblies

~
FAILURE
Is NO
differential Repair check
>1 psid?

YES
PASS
TEST #2
1st check closed tight

TEST #3
Tightness #2 check valve

FAILURE
NO
Is differential
Repair check
>1 psid?

YES
PASS
TEST #3
#2 check closed tight

~
FOR CERTIFICATION CLASS USE ONLY

56 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1048 Type II Assemblies

~
TEST #4
Test bypass check assembly 1048

Attach test kit to bypass check assembly

1. High hose to TC #1
2. Low hose to TC #2

Is FAILURE
differential NO
Repair check
steady at
>1 psid?

YES
PASS
Check is tight

Remove Test Kit

TEST #5
Bypass water meter or signaling device

Open #2 shutoff on bypass line

Open TC #4

FAILURE

FOR CERTIFICATION CLASS USE ONLY

Does NO 1. Repair meter or signaling device
water meter 2. Low differentials on main line assembly
indicate flow?

YES

Restore system to pre-test condition

TEST COMPLETE * See Appendix B, Schematics, "ASSE 1048

with Bypass Check Assembly"

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 57

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1056 Assemblies

1. Flush test cocks

2. Loosen vent screw and close vent screw

Flow
from test NO
cock & vent Repair or replace as needed
screw?
YES
Close test cock

Flow NO
stops? Repair or replace as needed

YES
Attach test kit

TEST #1
Tightness of check valve

Does FAILURE
bleed NO
#1 shutoff is leaking & must be repaired
discharge
stop?

YES
FAILURE
Is gauge NO
reading Check valve must be repaired
>1 psi?

PASS YES
TEST #1
Check is tight

FOR CERTIFICATION CLASS USE ONLY

TEST #2
Air inlet opening

1. Remove air inlet canopy/hood

2. Reduce differential pressure
FAILURE
Did NO
air inlet open at or Repair air inlet
above 1 psid?

PASS YES
TEST #2 1. Reinstall the air inlet canopy/hood
Air inlet is working properly TEST COMPLETE
2. Reinstall vent screw
3. Close TC
4. Restore to pre-test condition

58 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1063 Assemblies

Close isolation valve

Attach test kit

TEST #1
Tightness of lower chamber

Fill lower chamber and tube

Observe test cock B for 5 minutes

Drain water, remove apparatus

Close lower test cock A

FAILURE
Is water YES
observed at Lower chamber is leaking and
test cock B? must be cleaned/repaired

FOR CERTIFICATION CLASS USE ONLY

NO
PASS
TEST #1
Lower chamber is tight

TEST #2
Tightness of upper chamber

~
ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 59
Issued: March 2022
 ASSE Test Procedure Flowchart for ASSE 1063 Assemblies

~
Fill upper chamber and tube

Observe test cock C for 5 minutes

Drain water, remove apparatus

Close lower test cock B

FAILURE
Is water
YES Lower chamber is leaking and
observed at
test cock A? must be cleaned/repaired

NO
PASS
TEST #2
Lower chamber is tight

Close all test cocks

FOR CERTIFICATION CLASS USE ONLY

Remove bottom plug

Clean and replace screen

Slowly open isolation valve

TEST COMPLETE

60 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX A
Troubleshooting Flowcharts
One-Hose Test Procedure Flowcharts

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 61

Issued: March 2022
 One-Hose Test Procedure Flowchart for ASSE 1013 Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cock?
YES
Close test cocks

Flow NO
stops? Repair or replace as needed

YES

Attach test kit

TEST #1
Tightness of check #1

Close shutoff #2
Close shutoff #1
Open test cock #3

Test Flow
cock #3 NO stopped by NO
Determine flow source Leaking #2 check and #2 shutoff
flow opening high
stops? bleed?
YES YES FAILURE

FOR CERTIFICATION CLASS USE ONLY

Leaking shutoff #1 Repair or replace
as needed
FAILURE
Is result NO
Repair check #1 Repair or replace
>5 psid? as needed

YES
Record value
PASS
TEST #1
Check #1 is tight

62
~ ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard
Issued: March 2022
 One-Hose Test Procedure Flowchart for ASSE 1013 Assemblies

~
TEST #2
Relief valve opening

Slowly open the high pressure bleed valve

Relief
valve opens NO
Repair relief valve
at >2
psid?
YES
Record value
PASS
TEST #2
Relief valve opens
TEST #3
Tightness of check valve #2

Repressurize the assembly

Attach test kit

Close shutoff #2
Close shutoff #1
Open test cock #4

Test Flow
cock 4 NO stopped by NO
Determine flow source Leaking shutoff #2
flow opening high
stops? bleed?
YES YES FAILURE
Leaking shutoff #1 Repair or replace as needed

FOR CERTIFICATION CLASS USE ONLY

FAILURE
Is result NO
Repair check #1 Repair or replace
>1 psid? as needed

YES
Record value
PASS
TEST #3
Check #2 is tight

Restore system to pre-test condition

TEST COMPLETE

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 63

Issued: March 2022
 One-Hose Test Procedure Flowchart for ASSE 1015 Assemblies

Flush test cocks

Flow NO
from test Repair or replace as needed
cock?
YES
Close test cocks

Flow NO
stops? Repair or replace as needed

YES

Attach test kit

TEST #1
Tightness of check #1

Close shutoff #2
Close shutoff #1
Open test cock #3

Test Flow
cock #3 NO stopped by NO
Determine flow source Leaking #2 check and #2 shutoff
flow opening high
stops? bleed?
YES YES FAILURE

FOR CERTIFICATION CLASS USE ONLY

Leaking shutoff #1 Repair or replace as needed

FAILURE
NO
Is result Repair check #1 Repair or replace as
>1 psid? needed

YES
Record value
PASS
TEST #1
Check #1 is tight

64
~ ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard
Issued: March 2022
 One-Hose Test Procedure Flowchart for ASSE 1015 Assemblies

~
TEST #2
Tightness of check valve #2

Repressurize the assembly

Attach test kit

Close shutoff #2
Close shutoff #1
Open test cock #4

Test Flow
cock #4 NO stopped by NO
Determine flow source Leaking shutoff #2
flow opening high
stops? bleed?
YES YES FAILURE
Leaking shutoff #1 Repair or replace as needed

FAILURE
NO
Is result Repair check #1 Repair or replace
>1 psid? as needed

YES
Record value

PASS

FOR CERTIFICATION CLASS USE ONLY

TEST #2
Check #2 is tight

Restore system to
pre-test condition

TEST COMPLETE

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 65

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

66 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX B
Schematics
Backflow Assembly Schematics

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 67

Issued: March 2022
 ASSE 1013 – Reduced Pressure Principle Backflow Prevention Assemblies

#1 Shutoff #2 Shutoff

TC #1 TC #2 TC #3 TC #4

1st Check 2nd Check

Relief Valve

ASSE 1015 – Double Check Backflow Prevention Assemblies

#1 Shutoff #2 Shutoff

FOR CERTIFICATION CLASS USE ONLY

TC #1 TC #2 TC #3 TC #4

1st Check 2nd Check

68 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE 1020 – Pressure Vacuum Breaker Assembly

Air Inlet #2 Shutoff

TC #2

Check

TC #1

#1 Shutoff

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 69

Issued: March 2022
 ASSE 1047 – Reduced Pressure Detector Backflow
Prevention Assemblies

MAIN LINE ASSEMBLY

#1 Shut off #2 Shut off

TC #1 TC #2 TC #3 TC #4
1st Check 2nd Check

Relief
Valve

#1 Shutoff #2 Shutoff

TC #1 TC #2 TC #3 TC #4

FOR CERTIFICATION CLASS USE ONLY

1st Check 2nd Check

Relief Valve
Alarm Meter or
Alarm Signaling Device

BYPASS COMPLETE ASSEMBLY 1013

70 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE 1047 – Reduced Pressure Detector Backflow
Prevention Assemblies Type II

MAIN LINE ASSEMBLY

#1 Shutoff #2 Shutoff

TC #1 TC #2 TC #3 TC #4
1st Check 2nd Check

Relief
Valve

#1 Shutoff #2 Shutoff

TC #1 TC #2
Check

FOR CERTIFICATION CLASS USE ONLY

Alarm Meter or
Alarm Signaling Device

BYPASS CHECK ASSEMBLY 1047

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 71

Issued: March 2022
 ASSE 1048 – Double Check Detector Backflow Prevention Assemblies

MAIN LINE ASSEMBLY

#1 Shutoff #2 Shutoff

TC #1 TC #2 TC #3 TC #4
1st Check 2nd Check

#1 Shutoff #2 Shutoff

1st Check 2nd Check

TC #1 TC #2 TC #3 TC #4 FOR CERTIFICATION CLASS USE ONLY

Alarm Meter or
Alarm Signaling Device

BYPASS COMPLETE ASSEMBLY 1015

72 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE 1048 – Double Check Detector Backflow Prevention Assemblies Type II

MAIN LINE ASSEMBLY

#1 Shutoff #2 Shutoff

1st Check 2nd Check

TC #1 TC #2 TC #3 TC #4

#1 Shutoff #2 Shutoff

TC #1 TC #2
Check

FOR CERTIFICATION CLASS USE ONLY

Alarm Meter or
Alarm Signaling Device

BYPASS CHECK ASSEMBLY 1048

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 73

Issued: March 2022
 ASSE 1056 – Spill Resistant Vacuum Breakers

Air Inlet #2 Shutoff

Vent Valve Screw

Check

TC #1

#1 Shutoff

FOR CERTIFICATION CLASS USE ONLY

74 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 ASSE 1063 – Air Valve and Vent Inflow Preventer

Test Riser / Air Valve

Water Column
TC #C

TC #B Upper Check
Isolation Valve

TC #A Lower Check

Test Plug

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 75

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

76 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX B
Schematics
Backflow Test Kit Schematics

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 77

Issued: March 2022
 Three Valve Test Kit Schematics

Bypass

High Valve Low Valve

Bypass Hose

DIFFERENTIAL
GAUGE

FOR CERTIFICATION CLASS USE ONLY

High Hose Low Hose

78 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Five Valve Test Kit Schematics

High Bleed Low Bleed

DIFFERENTIAL
GAUGE

High Valve Low Valve

FOR CERTIFICATION CLASS USE ONLY

Bypass
Valve

High Hose Bypass Low Hose

Hose

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 79

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

80 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX C
Field Test Report Forms

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 81

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

82 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Reduced Pressure Principle Backflow Prevention Assemblies
ASSE Standard #1013 Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Assembly Model #

Size of Assembly Serial #
Location of Assembly and Equipment or System Application

Hazard: ☐ High ☐ Low

Test Equipment
Manufacturer Model # Serial #
Calibration Date
Date test was performed: Time test was performed: Static Line Pressure:

Pressure Differential
Check Valve #2 Shutoff Valve #2 Check Valve #1
Relief Valve
Initial Test ☐ Leaking ☐ Leaking ☐ Leaking ☐ Opened at
Closed Tight ☐ Static Condition ☐ Closed Tight ☐ _____________ psid
Pressure Drop Across
Check Valve #1: Did Not Open ☐
_____________ psid

Describe parts
and repairs
when needed
Final Test ☐ Leaking ☐ Leaking ☐ Leaking ☐ Opened at
Closed Tight ☐ Static Condition ☐ Closed Tight ☐ _____________ psid
Pressure Drop Across
Check Valve #1: Did Not Open ☐
_____________ psid

FOR CERTIFICATION CLASS USE ONLY

Certified Tester (print)
Address Assembly Final
City State Zip Test Performance
Phone #
License # Certification # Pass ☐

The information contained herein is true and accurate at the date and time of this test. Fail ☐
Signature Date

Comments or Recommendations (continue to other side, if needed):

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 83

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

84 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Double Check Backflow Prevention Assemblies
ASSE Standard #1015 Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Assembly Model #

Size of Assembly Serial #
Location of Assembly and Equipment or System Application

Hazard: ☐ High ☐ Low

Test Equipment
Manufacturer Model # Serial #
Calibration Date
Date test was performed: Time test was performed: Static Line Pressure:

Shutoff Valve #2 Check Valve #1 Check Valve #2

Initial Test ☐ Leaking ☐ Leaking ☐ Leaking ☐
Static Condition ☐ ___________ psid ___________ psid
Closed Tight ☐ Closed Tight ☐

Describe parts
and repairs
when needed
Final Test ☐ Leaking ☐ Leaking ☐ Leaking ☐
Static Condition ☐ ___________ psid ___________ psid
Closed Tight ☐ Closed Tight ☐

Certified Tester (print)

Address Assembly Final
City State Zip Test Performance

FOR CERTIFICATION CLASS USE ONLY

Phone #
License # Certification # Pass ☐

The information contained herein is true and accurate at the date and time of this test. Fail ☐
Signature Date

Comments or Recommendations (continue to other side, if needed):

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 85

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

86 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Pressure Vacuum Breaker Assemblies
ASSE Standard #1020 Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Assembly Model #

Size of Assembly Serial #
Location of Assembly and Equipment or System Application

Hazard: ☐ High ☐ Low

Test Equipment
Manufacturer Model # Serial #
Calibration Date
Date test was performed: Time test was performed: Static Line Pressure:

Shutoff Valve #2 Check Valve Air Inlet Valve

Initial Test ☐ Leaking ☐ Leaking ☐ Failed to Open
Static Condition ☐ Closed Tight ☐ _____________
Pressure Drop Across Opened at
Check Valve #1: _____________ psid
_____________ psid
Opened Fully ☐

Describe parts
and repairs
when needed
Final Test ☐ Leaking ☐ Leaking ☐ Opened at
Static Condition ☐ Closed Tight ☐ _____________ psid
Pressure Drop Across
Check Valve #1: Opened Fully ☐
_____________ psid

FOR CERTIFICATION CLASS USE ONLY

Certified Tester (print)
Address Assembly Final
City State Zip Test Performance
Phone #
License # Certification # Pass ☐

The information contained herein is true and accurate at the date and time of this test. Fail ☐
Signature Date

Comments or Recommendations (continue to other side, if needed):

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 87

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

88 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Reduced Pressure Detector Backflow Prevention Assemblies
ASSE Standard #1047 Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Assembly Model #

Size of Assembly Serial #
Location of Assembly and Equipment or System Application

Hazard: ☐ High ☐ Low

Test Equipment
Manufacturer Model # Serial #
Calibration Date
Date test was performed: Time test was performed: Static Line Pressure:

Pressure Differential
Primary Check Valve #2 Shutoff Valve #2 Check Valve #1
Relief Valve
Initial Test ☐ Leaking ☐ Leaking ☐ Leaking ☐ Opened at
Closed Tight ☐ Closed Tight ☐ Pressure Drop Across _____________ psid
Pressure Drop Across Check Valve #1:
Check Valve #2: _____________ psid
_____________ psid

Describe parts
and repairs
when needed
Final Test ☐ Check Valve #2: Closed Tight ☐ Check Valve #1: Opened at
_____________ psid _____________ psid _____________ psid

☐ Confirm Low Flow Through Meter Meter number ☐ Or Alarm

Model # Size of Device Serial #

FOR CERTIFICATION CLASS USE ONLY

Pressure Differential
Bypass Check Valve #2 Shutoff Valve #2 Check Valve #1
Relief Valve
Initial Test ☐ Leaking ☐ Leaking ☐ Leaking ☐ Opened at
Closed Tight ☐ Closed Tight ☐ Pressure Drop Across _____________ psid
Pressure Drop Across Check Valve #1:
Check Valve #2: _____________ psid
_____________ psid

Describe parts
and repairs
when needed
Final Test ☐ Check Valve #2: Closed Tight ☐ Check Valve #1: Opened at
_____________ psid _____________ psid _____________ psid

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 89

Issued: March 2022
 Certified Tester (print)
Address Assembly Final
City State Zip Test Performance
Phone #
License # Certification # Pass ☐

The information contained herein is true and accurate at the date and time of this test. Fail ☐
Signature Date

Comments or Recommendations (continue to other side, if needed):

FOR CERTIFICATION CLASS USE ONLY

90 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Reduced Pressure Detector Backflow Prevention Assemblies – Type 2
ASSE Standard #1047 (Type 2) Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Assembly Model #

Size of Assembly Serial #
Location of Assembly and Equipment or System Application

Hazard: ☐ High ☐ Low

Test Equipment
Manufacturer Model # Serial #
Calibration Date
Date test was performed: Time test was performed: Static Line Pressure:

Pressure Differential
Primary Check Valve #2 Shutoff Valve #2 Check Valve #1
Relief Valve
Initial Test ☐ Leaking ☐ Leaking ☐ Leaking ☐ Opened at
Closed Tight ☐ Closed Tight ☐ Pressure Drop Across _____________ psid
Pressure Drop Check Valve #1:
Across Check Valve _____________ psid
#2: _____________
psid

Describe parts
and repairs
when needed
Final Test ☐ Check Valve #2: Closed Tight ☐ Check Valve #1: Opened at
_____________ psid _____________ psid _____________ psid

☐ Confirm Low Flow Through Meter Meter number ☐ Or Alarm

Model # Size of Device Serial #

FOR CERTIFICATION CLASS USE ONLY

Bypass Check Valve Shutoff Valve #2
Initial Test ☐ Leaking ☐ Leaking ☐
Closed Tight ☐ Closed Tight ☐
Pressure Drop Across
Check Valve:
_____________ psid

Describe parts
and repairs
when needed
Final Test ☐ Check Valve: Closed Tight ☐
_____________ psid

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 91

Issued: March 2022
 Certified Tester (print)
Address Assembly Final
City State Zip Test Performance
Phone #
License # Certification # Pass ☐

The information contained herein is true and accurate at the date and time of this test. Fail ☐
Signature Date

Comments or Recommendations (continue to other side, if needed):

FOR CERTIFICATION CLASS USE ONLY

92 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Double Check Detector Backflow Prevention Assemblies
ASSE Standard #1048 Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Assembly Model #

Size of Assembly Serial #
Location of Assembly and Equipment or System Application

Hazard: ☐ High ☐ Low

Test Equipment
Manufacturer Model # Serial #
Calibration Date
Date test was performed: Time test was performed: Static Line Pressure:

Primary Check Valve #2 Shutoff Valve #2 Check Valve #1

Initial Test ☐ Leaking ☐ Leaking ☐ Leaking ☐
Pressure Drop Across Closed Tight ☐ Pressure Drop Across
Check Valve #2: Check Valve #1:
_____________ psid _____________ psid
Describe parts
and repairs
when needed

Final Test ☐ Check Valve #2: Closed Tight ☐ Check Valve #1:
_____________ psid _____________ psid

☐ Confirm Low Flow Through Meter Meter number ☐ Or Alarm

Model # Size of Device Serial #

Bypass Check Valve #2 Shutoff Valve #2 Check Valve #1

Initial Test ☐ Leaking ☐ Leaking ☐ Leaking ☐

FOR CERTIFICATION CLASS USE ONLY

Pressure Drop Across Closed Tight ☐ Pressure Drop Across
Check Valve #2: Check Valve #1:
_____________ psid _____________ psid
Describe parts
and repairs
when needed

Final Test ☐ Check Valve #2: Closed Tight ☐ Check Valve #1:
_____________ psid _____________ psid

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 93

Issued: March 2022
 Certified Tester (print)
Address Assembly Final
City State Zip Test Performance
Phone #
License # Certification # Pass ☐

The information contained herein is true and accurate at the date and time of this test. Fail ☐
Signature Date

Comments or Recommendations (continue to other side, if needed):

FOR CERTIFICATION CLASS USE ONLY

94 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Double Check Detector Backflow Prevention Assemblies – Type 2
ASSE Standard #1048 (Type 2) Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Assembly Model #

Size of Assembly Serial #
Location of Assembly and Equipment or System Application

Hazard: ☐ High ☐ Low

Test Equipment
Manufacturer Model # Serial #
Calibration Date
Date test was performed: Time test was performed: Static Line Pressure:

Primary Check Valve #2 Shutoff Valve #2 Check Valve #1

Initial Test ☐ Leaking ☐ Leaking ☐ Leaking ☐
Pressure Drop Across Closed Tight ☐ Pressure Drop Across
Check Valve #2: Check Valve #1:
_____________ psid _____________ psid
Describe parts
and repairs
when needed

Final Test ☐ Check Valve #2: Closed Tight ☐ Check Valve #1:
_____________ psid _____________ psid

☐ Confirm Low Flow Through Meter Meter number ☐ Or Alarm

Model # Size of Device Serial #

Bypass Check Valve Shutoff Valve #2

Initial Test ☐ Leaking ☐ Leaking ☐

FOR CERTIFICATION CLASS USE ONLY

Pressure Drop Across Check Valve: Closed Tight ☐
_____________ psid
Describe
parts and
repairs when
needed
Final Test ☐ Check Valve: Closed Tight ☐
_____________ psid

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 95

Issued: March 2022
 Certified Tester (print)
Address Assembly Final
City State Zip Test Performance
Phone #
License # Certification # Pass ☐

The information contained herein is true and accurate at the date and time of this test. Fail ☐
Signature Date

Comments or Recommendations (continue to other side, if needed):

FOR CERTIFICATION CLASS USE ONLY

96 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Spill Resistant Vacuum Breaker Assemblies
ASSE Standard #1056 Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Assembly Model #

Size of Assembly Serial #
Location of Assembly and Equipment or System Application

Hazard: ☐ High ☐ Low

Test Equipment
Manufacturer Model # Serial #
Calibration Date
Date test was performed: Time test was performed: Static Line Pressure:

Check Valve Air Inlet Valve

Initial Test ☐ Leaking ☐ Failed to open ☐
Closed Tight ☐ Opened at _____________ psid
Pressure Drop Across Check Valve: Did valve open completely?
_____________ psid ☐ Yes ☐ No

Describe parts
and repairs
when needed
Final Test ☐ Leaking ☐ Opened at _____________ psid
Closed Tight ☐ Did valve open completely?
☐ Yes ☐ No
Pressure Drop Across Check Valve:
_____________ psid

FOR CERTIFICATION CLASS USE ONLY

Certified Tester (print)
Address Assembly Final
City State Zip Test Performance
Phone #
License # Certification # Pass ☐

The information contained herein is true and accurate at the date and time of this test. Fail ☐
Signature Date

Comments or Recommendations (continue to other side, if needed):

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 97

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

98 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Air Valve and Vent Inflow Preventer
ASSE Standard #1063 Field Test Report Sample Form

Facility Name
Facility Address
City State Zip Code

Testing Company Name

Testing Company Address
City State Zip Code

Tester’s Name
License or Certification Number

Manufacturer of Device Model #

Size of Device Serial #
Location of Device and Equipment or System Application

Hazard: ☐ High ☐ Low

Date test was performed: Time test was performed:

Isolation Valve Inflow Preventer Inflow Preventer

Under Air Valve Lower Chamber Upper Chamber

Leaking ☐ Test cock OK ☐ Test cock OK ☐

Closed Tight ☐ Test cock replaced ☐ Test cock replaced ☐
☐
Leaking at test cock B ☐ Leaking at test cock C ☐
No leakage observed ☐ No leakage observed ☐

Record any maintenance performed: Record any maintenance performed: Record any maintenance performed:

Certified Tester (print)

Address Device Final Test
City State Zip Performance
Phone #
License # Certification # Pass ☐

Fail ☐

FOR CERTIFICATION CLASS USE ONLY

The information contained herein is true and accurate at the date and time of this test.
Signature Date

Comments or Recommendations (continue to other side, if needed):

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 99

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

100 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX D
Troubleshooting Guide

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 101

Issued: March 2022
 Troubleshooting Guide for ASSE 1013
Reduced Pressure Principle Backflow Prevention Assemblies

PROBLEM CAUSE SOLUTION

Test cocks (TC)
Fail to open for water flow Corrosion/debris Open flow path / replace TC
as necessary
Damaged valve stem Replace TC
Fail to close Corrosion Replace TC
Component failure Replace TC
Debris Flush TC
Shutoff valve #1 (‘tight’)
Leakage Corrosion Replace SO #1
Component failure Replace SO #1
Debris Flush SO #1
Check valve #1 (5 psid minimum)
Low value (less than 5 psid) Damaged disc Replace disc
Damaged O-ring Replace O-ring
Debris Clean check
Disc swollen Replace disc
Damaged spring Replace spring
Chemical decay/corrosion Clean deposits
replace elastomers
Temperature extreme Replace damaged parts

High value Leaking SO #2 Replace/repair SO #2

Bypass hose to compensate for
SO #2 leakage
No value (0 psid) Broken check valve Replace broken components

FOR CERTIFICATION CLASS USE ONLY

Missing spring Install spring
Damaged check disc Replace disc
Debris Clean check valve
Damaged O-ring Replace O-ring
Damaged seat Replace seat/assembly
as necessary
Missing disc Install disc
Disc swollen Replace disc
Fluctuating value Hydraulic shock/water hammer Isolate assembly for field test
supply pressure fluctuation

102 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Troubleshooting Guide for ASSE 1013
Reduced Pressure Principle Backflow Prevention Assemblies

PROBLEM CAUSE SOLUTION

Relief valve (2 psid minimum)
Low value (less than 2 psid) Damaged spring Replace spring
Plugged air vent Clean
Hard diaphragm/deformed Replace diaphragm
Incorrectly re-assembled Repair
diaphragm
High value Disc hardens Replace disc
Seat wear – surface flattens Replace seat
Disc encrusted with minerals Replace disc
No value (0 psid) Plugged sensing line Clean/repair sensing line
Missing spring Replace spring
Plugged air vent Clean
Enlarged stem O-ring Replace O-ring
Chemical decay/corrosion Clean deposits / replace elastomers
Damaged/missing spring Replace spring
Fluctuating value Hydraulic shock/water hammer Isolate assembly for field test
supply pressure fluctuation
RV diagnostic observation
Intermittent discharge Hydraulic shock Install soft-seated check valve
upstream of assembly
Debris in check valve 1 Clean check valve
Continuous ‘threaded bead’ Damaged internal components Repair assembly
discharge (check valve #1/check valve #2/relief
valve/plugged sensing line)
Excessive discharge Broken spring or large debris in Repair assembly

FOR CERTIFICATION CLASS USE ONLY

check valve or plugged sensing line
Check valve #2 (1 minimum)
Low value (less than 1 psid) Damaged disc Replace disc
Damaged O-ring Replace O-ring
Debris Clean check
Disc swollen Replace disc
Damaged spring Replace spring
Chemical decay/corrosion Clean deposits/replace elastomers
Temperature extreme Replace damaged parts

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 103

Issued: March 2022
 Troubleshooting Guide for ASSE 1013
Reduced Pressure Principle Backflow Prevention Assemblies

PROBLEM CAUSE SOLUTION

Check valve #2 (1 minimum)
High value Leaking SO #2 Replace/repair SO #2
Bypass hose to compensate for
SO #2 leakage
No value (0 psid) Broken check valve Repair
Missing spring Replace spring
Damaged check disc Replace disc
Debris Clean assembly
Damaged O-ring Replace O-ring
Damaged seat Replace seat / assembly
as necessary
Missing disc Replace disc
Disc swollen Replace disc
Fluctuating value Hydraulic shock/water hammer Isolate assembly for field test
supply pressure fluctuation
Shutoff valve #2 (‘tight’)
Leakage through #2 shutoff valve Corrosion Replace SO #2
Component failure Replace SO #2
Debris Flush SO #2

FOR CERTIFICATION CLASS USE ONLY

104 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Troubleshooting Guide for ASSE 1015
Double Check Backflow Prevention Assemblies

PROBLEM CAUSE SOLUTION

Test cocks (TC)
Fail to open for water flow Corrosion/debris Open flow path/replace TC
as necessary
Damaged valve stem Replace TC
Fail to close Corrosion Replace TC
Component failure Replace TC
Debris Flush TC
Shutoff valve #1 (‘tight’)
Leakage Corrosion Replace SO #1
Component failure Replace SO #1
Debris Flush SO #1
Check valve #1 (1 psid minimum)
Low value (less than 1 psid) Damaged disc Replace disc
Damaged O-ring Replace O-ring
Debris Clean check
Disc swollen Replace disc
Damaged spring Replace spring
Chemical decay/corrosion Clean deposits/replace elastomers
Temperature extreme Replace damaged parts
High value Leaking SO #2 Replace/repair SO #2
Bypass hose to compensate for
SO #2 leakage
No value (0 psid) Broken check valve Replace broken components
Missing spring Install spring

FOR CERTIFICATION CLASS USE ONLY

Damaged check disc Replace disc
Debris Clean check valve
Damaged O-ring Replace O-ring
Damaged seat Replace seat / assembly
as necessary
Missing disc Install disc
Disc swollen Replace disc
Fluctuating value Hydraulic shock/water hammer Isolate assembly for field test
supply pressure fluctuation

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 105

Issued: March 2022
 Troubleshooting Guide for ASSE 1015
Double Check Backflow Prevention Assemblies

PROBLEM CAUSE SOLUTION

Check valve #2 (1 minimum)
Low value (less than 1 psid) Damaged disc Replace disc
Damaged O-ring Replace O-ring
Leaking SO #2 Replace/repair SO #2
Bypass hose to compensate for
SO #2 leakage
No value (0 psid) Broken check valve Repair
Missing spring Replace spring
Damaged check disc Replace disc
Debris Clean assembly
Damaged O-ring Replace O-ring
Damaged seat Replace seat/assembly
as necessary
Missing disc Replace disc
Disc swollen Replace disc
Fluctuating value Hydraulic shock/water hammer Isolate assembly for field test
supply pressure fluctuation
Shutoff valve #2 (‘tight’)
Leakage Corrosion Replace SO #2
Component failure Replace SO #2
Debris Flush SO #2

FOR CERTIFICATION CLASS USE ONLY

106 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Troubleshooting Guide for ASSE 1020
Pressure Vacuum Breaker Assembly & Spill Resistant Vacuum Breaker Assemblies

PROBLEM CAUSE SOLUTION

Test cocks (TC)
Fail to open for water flow Corrosion/debris Open flow path/replace TC
as necessary
Damaged valve stem Replace TC
Fail to close Corrosion Replace TC
Component failure Replace TC
Debris Flush TC
Shutoff valve #1 (‘tight’)
Leakage Corrosion Replace SO #1
Component failure Replace SO #1
Debris Flush SO #1
Check valve #1 (1 psid minimum)
Low value (less than 1 psid) Damaged disc Replace disc
Damaged O-ring Replace O-ring
Debris Clean check
Disc swollen Replace disc
Damaged spring Replace spring
Chemical decay/corrosion Clean deposits/replace elastomers
Temperature extreme Replace damaged parts
High value Leaking SO #2 Replace/Repair SO #2
Bypass hose to compensate for
SO #2 leakage
No value (0 psid) Broken check valve Replace broken components
Missing spring Install spring

FOR CERTIFICATION CLASS USE ONLY

Damaged check disc Replace disc
Debris Clean check valve
Damaged O-ring Replace O-ring
Damaged seat Replace seat / assembly
as necessary
Missing disc Install disc
Disc swollen Replace disc
Fluctuating value Hydraulic shock/water hammer Isolate assembly for field test
supply pressure fluctuation

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 107

Issued: March 2022
 Troubleshooting Guide for ASSE 1020
Pressure Vacuum Breaker Assembly & Spill Resistant Vacuum Breaker Assemblies

PROBLEM CAUSE SOLUTION

Air-inlet valve (1 minimum)
Low value (less than 1 psid) Damaged spring Replace spring
Hard disc/deformed Replace disc
Incorrectly re-assembled bonnet Repair
No value (0 psid) Broken valve Repair
Missing spring Replace spring
Damaged disc Replace disc
Debris Clean valve
Damaged O-ring Replace O-ring
Damaged bonnet/seat Replace bonnet/seat
Missing disc Replace disc
Disc swollen Replace disc
Diagnostic observation
Continuous discharge from air-inlet Damaged components Repair assembly
valve
Low supply pressure SO #1 completely open/ verify
supply pressure
Chatter – flow condition High velocity flow/undersized Verify SO #1 valve open/
assembly repair components
Confirm capacity for application
Shutoff valve #2 (‘tight’)
Leakage Corrosion Replace SO #2
Component failure Replace SO #2
Debris Flush SO #2

FOR CERTIFICATION CLASS USE ONLY

108 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX E
ASSE Field Test Procedures
Using Three- and Five-Valve Test Kits

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 109

Issued: March 2022
 3 Valve Test on an ASSE 1013
Reduced Pressure Principle Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install test adapters (if applicable)
B. Arrangements/notifications shall be made where Step #2 - Open TC #4 - let trickle
a continuous water supply is necessary or where Step #3 - Open TC #1 - close
testing creates a special hazard, inconvenience or Step #4 - Open TC #2 - close
risk in buildings or piping systems. Examples of such Step #5 - Open TC #3 - close
buildings or systems include, but are not limited Step #6 - Close TC #4
to, hospitals, manufacturing plants, fire protection
systems, alarm companies/fire departments, insurance Attach Test Kit
carriers and others where special notification is Step #1 - Close high and low valves and open
necessary. bypass valve on test kit
Step #2 - Attach high hose to TC #2
C. The proper information, reporting forms and Step #3 - Attach low hose to TC #3
equipment shall be gathered to properly conduct the Step #4 - Open TC #2
test. Step #5 - Open high valve - bleed air - close
Step #6 - Open TC #3
Step #7 - Open low valve - bleed air - close
Site Issues Step #8 - Attach bypass hose to TC #4
Step #9 - Open low valve
A. Safety Inspection
Step #10 - Loosen bypass hose at TC #4 - bleed
The initial field evaluation shall be made for safety air - tighten
hazards in accordance with applicable federal, state Step #11 - Close low valve
and local safety regulations and statutes. Some of the Step #12 - Open high valve
issues to be examined include, but are not limited to,
confined spaces, ventilation, access, oxygen content, Test #1 -Tightness of the #2 Shutoff Valve
chemical, electrical or flammable hazards, hazards Step #1 - Close #2 shutoff valve
related to elevation of assemblies, and hazards to the Step #2 - Open TC #4
tester and other persons. Step #3 - Close TC #2
Step #4 - Read differential gauge
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

The proper application of the assembly shall be
– TEST RESULTS –
confirmed for code compliance with respect to the
degree of hazard, markings, prohibited locations (i.e. If the differential gauge reading remains steady, record #2
where subjected to flooding or freezing) and special shutoff valve as tight.
installation requirements. The assembly orientation
and direction of flow shall be confirmed as proper. The
assembly shall be checked for alterations or special Test #2 - #2 Check with Backpressure Test
needs, such as, but not limited to, the adequacy of
the air gap, the evidence of illegal bypasses and the If the differential gauge reading remains steady in Test #1,
adequacy of drainage systems from the assembly. The record #2 check valve as tight.
general appearance of the assembly shall be checked
for condition of excessive discharge, condition of the
shutoff valves, test cocks, relief valve and air gap, and
adequacy of drainage, should leakage occur.

110 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Test #3 - #1 Check Differential
Step #1 - Close TC #4
Step #2 - Close high valve
Step #3 - Remove bypass hose from TC #4
Step #4 - Open TC #2
Step #5 - Open low valve to cause differential gauge
reading to increase
Step #6 - Close low valve

– TEST RESULTS –
Record gauge value.
Record the pressure differential across #1 check valve.
If the differential gauge reading is 5 psid or above, record #1
check valve as tight.

Test #4 - Relief Valve Opening

Step #1 - Close bypass valve
Step #2 - Open high valve
Step #3 - Slowly open low valve

– TEST RESULTS –
Record relief valve psid opening point. The relief valve must
drip when the differential gauge reading is 2 psid or above.

Restore System
Step #1 - Close all TCs
Step #2 - Remove hoses
Step #3 - Open all valves on test kit to drain water
Step #4 - Restore #2 shutoff valve to pre-test
condition
The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 111

Issued: March 2022
 5 Valve Test on an ASSE 1013
Reduced Pressure Principle Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install test adapters (if applicable)
Step #2 - Open TC #4 - let trickle
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #1 - close
testing creates a special hazard, inconvenience or Step #4 - Open TC #2 - close
risk in buildings or piping systems. Examples of such Step #5 - Open TC #3 - close
buildings or systems include, but are not limited Step #6 - Close TC #4
to, hospitals, manufacturing plants, fire protection
Attach Test Kit
systems, alarm companies/fire departments, insurance
carriers and others where special notification is Step #1 - Close high, low and bypass valves and
necessary. high and low bleed valves on test kit
Step #2 - Attach high hose to TC #2
C. The proper information, reporting forms and Step #3 - Attach low hose to TC #3
equipment shall be gathered to properly conduct the Step #4 - Open TC #2
test. Step #5 - Open high bleed valve - bleed air - close
Step #6 - Open TC #3
Step #7 - Open low bleed valve - bleed air - close
Site Issues Step #8 - Attach bypass hose to TC #4
Step #9 - Open high valve
A. Safety Inspection Step #10 - Open bypass valve
The initial field evaluation shall be made for safety Step #11 - Loosen bypass hose at TC #4 - bleed air -
hazards in accordance with applicable federal, state tighten
and local safety regulations and statutes. Some of the Step #12 - Slowly open low bleed valve to cause
issues to be examined include, but are not limited to, differential gauge reading to rise - close
confined spaces, ventilation, access, oxygen content,
chemical, electrical or flammable hazards, hazards Test #1 - Tightness of #2 Shutoff Valve
related to elevation of assemblies, and hazards to the Step #1 - Close # 2 shutoff valve
tester and other persons. Step #2 - Open TC #4
Step #3 - Close TC #2

FOR CERTIFICATION CLASS USE ONLY

B. Inspection of the Installation Step #4 - Read differential gauge
The proper application of the assembly shall be
confirmed for code compliance with respect to the – TEST RESULTS –
degree of hazard, markings, prohibited locations (i.e.
where subjected to flooding or freezing) and special If the differential gauge reading remains steady, record #2
installation requirements. The assembly orientation shutoff valve as tight.
and direction of flow shall be confirmed as proper. The
assembly shall be checked for alterations or special
needs, such as, but not limited to, the adequacy of Test #2 - #2 Check with Backpressure Test
the air gap, the evidence of illegal bypasses and the
If the differential gauge reading remains steady in Test #1,
adequacy of drainage systems from the assembly. The
record #2 check valve as tight.
general appearance of the assembly shall be checked
for evidence of excessive discharge, condition of
shutoff valves, test cocks, relief valve and air gap, and
adequacy of drainage, should leakage occur.

112 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Test #3 - #1 Check Differential
Step #1 - Close bypass valve
Step #2 - Open TC #2
Step #3 - Open low bleed valve to cause reading to
increase
Step #4 - Close low bleed valve

– TEST RESULTS –
Record gauge value.
Record the pressure differential across #1 check valve.
If the differential gauge reading is 5 psid or above, record #1
check valve as tight.

Test #4 - Relief Valve Opening

Step #1 - Slowly open low valve

– TEST RESULTS –
The relief valve must drip when the differential gauge reading
is 2 psid or above.

Restore System
Step #1 - Close all TCs
Step #2 - Remove hoses
Step #3 - Open all valves on test kit to drain water
Step #4 - Restore #2 shutoff valve to pre-test
condition
The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 113

Issued: March 2022
 3 Valve Test on an ASSE 1015
Double Check Backflow Prevention Assemblies

Administrative Issues Field Testing Requirement

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install test adapters (if applicable)
Step #2 - Open TC #4 - let trickle
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #1 - close
testing creates a special hazard, inconvenience or Step #4 - Open TC #2 - close
risk in buildings or piping systems. Examples of such Step #5 - Open TC #3 - close
buildings or systems include, but are not limited Step #6 - Close TC #4
to, hospitals, manufacturing plants, fire protection
Attach Test Kit
systems, alarm companies/fire departments, insurance
carriers and others where special notification is Step #1 - Close high and low valves and open
necessary. bypass valve on test kit
Step #2 - Attach high hose to TC #2
C. The proper information, reporting forms and Step #3 - Attach low hose to TC #3
equipment shall be gathered to properly conduct the Step #4 - Open TC #2
test. Step #5 - Open high valve - bleed air - close
Step #6 - Open TC #3
Step #7 - Open low valve - bleed air - close
Site Issues Step #8 - Attach bypass hose to TC #4
Step #9 - Open low valve
A. Safety Inspection Step #10 - Loosen bypass hose at TC #4 - bleed air -
The initial field evaluation shall be made for safety tighten
hazards in accordance with applicable federal, state Step #11 - Close low valve
and local safety regulations and statutes. Some of the Step #12 - Open high valve
issues to be examined include, but are not limited to,
confined spaces, ventilation, access, oxygen content, Test #1 -Tightness of #2 Shutoff Valve
chemical, electrical or flammable hazards, hazards Step #1 - Close #2 shutoff valve
related to elevation of assemblies, and hazards to the Step #2 - Open TC #4
tester and other persons. Step #3 - Close TC #2 (pause to allow gauge to
readjust)
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

Step #4 - Read differential gauge
The proper application of the assembly shall be
confirmed for code compliance with respect to the – TEST RESULTS –
degree of hazard, markings, prohibited locations (i.e.
where subjected to flooding or freezing) and special If differential gauge reading remains steady, record #2 Shutoff
installation requirements. The assembly orientation as tight.
and direction of flow shall be confirmed as proper.
The assembly shall be checked for alterations or
special needs, such as, but not limited to, the evidence Test #2 - Tightness of #1 Check Valve
of illegal bypasses. The general appearance of the Step #1 - Close TC #4
assembly shall be checked for the condition of the Step #2 - Close high valve
shutoff valves, test cocks, etc. Step #3 - Remove bypass hose from TC #4
Step #4 - Open TC #2
Step #5 - Open low valve to cause differential gauge
reading to rise - close

114 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 – TEST RESULTS –
Record gauge value.
If differential gauge reading holds steady at 1 psid or higher,
record #1 check valve as tight.

Test #3 - Tightness of #2 Check Valve

Step #1 - Close TC #2 and TC #3
Step #2 - Remove high and low hoses
Step #3 - Attach high hose to TC #3
Step #4 - Attach low hose to TC #4
Step #5 - Open TC #3
Step #6 - Open high valve - bleed air - close
Step #7 - Open TC #4
Step #8 - Open low valve - bleed air - close

– TEST RESULTS –
Record gauge value.
If differential gauge reading holds steady at 1 psid or higher,
record #2 check as tight.

Restore System
Step #1 - Close all TCs
Step #2 - Remove hoses
Step #3 - Open all valves on test kit to
drain water
Step #4 - Restore #2 shutoff valve to
pre-test condition
The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 115

Issued: March 2022
 5 Valve Test on an ASSE 1015
Double Check Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install test adapters (if applicable)
Step #2 - Open TC #4 - let trickle
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #1 - close
testing creates a special hazard, inconvenience or Step #4 - Open TC #2 - close
risk in buildings or piping systems. Examples of such Step #5 - Open TC #3 - close
buildings or systems include, but are not limited Step #6 - Close TC #4
to, hospitals, manufacturing plants, fire protection
Attach Test Kit
systems, alarm companies/fire departments, insurance
carriers and others where special notification is Step #1 - Close high, low and bypass valves and
necessary. high and low bleed valves on test kit
Step #2 - Attach high hose to TC #2
C. The proper information, reporting forms and Step #3 - Attach low hose to TC #3
equipment shall be gathered to properly conduct the Step #4 - Open TC #2
test. Step #5 - Open high bleed valve - bleed air - close
Step #6 - Open TC #3
Step #7 - Open low bleed valve - bleed air - close
Site Issues Step #8 - Attach bypass hose to TC #4
Step #9 - Open high valve
A. Safety Inspection Step #10 - Open bypass valve
The initial field evaluation shall be made for safety Step #11 - Loosen bypass at TC #4 - bleed air -
hazards in accordance with applicable federal, state tighten
and local safety regulations and statutes. Some of the Step #12 - Slowly open low bleed valve to cause
issues to be examined include but are not limited to, differential gauge reading to rise - close
confined spaces, ventilation, access, oxygen content,
chemical, electrical or flammable hazards, hazards Test #1 -Tightness of #2 Shutoff Valve
related to elevation of assemblies, and hazards to the Step #1 - Close #2 shutoff valve
tester and other persons. Step #2 - Open TC #4
Step #3 - Close TC #2 (pause to allow gauge to
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

readjust)
The proper application of the assembly shall be Step #4 - Read differential gauge
confirmed for code compliance with respect to the
degree of hazard, markings, prohibited locations (i.e. – TEST RESULTS –
where subjected to flooding or freezing) and special
installation requirements. The assembly orientation If differential gauge reading remains steady, record #2 shutoff
and direction of flow shall be confirmed as proper. as tight.
The assembly shall be checked for alterations or
special needs, such as, but not limited to, the evidence
of illegal bypasses. The general appearance of the Test #2 - Tightness of #1 Check Valve
assembly shall be checked for the condition of shutoff Step #1 - Close TC #4
valves, test cocks, etc. Step #2 - Close high valve
Step #3 - Remove bypass hose from TC #4
Step #4 - Open TC #2
Step #5 - Slowly open low bleed valve to cause
differential gauge reading to rise - close

116 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 – TEST RESULTS –
Record gauge value.
If differential gauge reading holds steady at 1 psid or higher,
record #1 check valve as tight.

Test #3 - Tightness of #2 Check Valve

Step #1 - Close TC #2 and TC #3
Step #2 - Remove high and low hoses
Step #3 - Attach high hose to TC #3
Step #4 - Attach low hose to TC #4
Step #5 - Open TC #3
Step #6 - Open high bleed valve - bleed air - close
Step #7 - Open TC #4
Step #8 - Open low bleed valve - bleed air - close

– TEST RESULTS –
Record gauge value.
If differential gauge reading holds steady at 1 psid or higher,
record #2 check valve as tight.

Restore System
Step #1 - Close all TCs
Step #2 - Remove hoses
Step #3 - Open all valves on test kit to
drain water
Step #4 - Restore #2 shutoff valve to
pre-test condition
The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 117

Issued: March 2022
 3 Valve Test on an ASSE 1020
Pressure Vacuum Breaker Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install test adapters (if applicable)
Step #2 - Open TC #1 - close
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #2 - close
testing creates a special hazard, inconvenience or Step #4 - Remove air-inlet canopy/hood
risk in buildings or piping systems. Examples of such
Attach Test Kit
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #1 - Close high and low valves and open
systems, alarm companies/fire departments, insurance Bypass valve on test kit
carriers and others where special notification is Step #2 - Attach high hose to TC #1
necessary. Step #3 - Attach low hose to TC #2
Step #4 - Open TC #1
C. The proper information, reporting forms and Step #5 - Open high valve - bleed air - close
equipment shall be gathered to properly conduct the Step #6 - Open TC #2
test. Step #7 - Open low valve - bleed air - close

Test #1 - Tightness of #2 Shutoff Valve

Site Issues Step #1 - Close #2 shutoff valve
Step #2 - Close bypass valve
A. Safety Inspection Step #3 - Open high valve
The initial field evaluation shall be made for safety Step #4 - Open low valve (differential will read
hazards in accordance with applicable federal, state zero)
and local safety regulations and statutes. Some of the Step #5 - Close high valve
issues to be examined include, but are not limited to, Step #6 - Close low valve
confined spaces, ventilation, access, oxygen content, Step #7 - Close #1 shutoff valve
chemical, electrical or flammable hazards, hazards
related to elevation of assemblies, and hazards to the – TEST RESULTS –
tester and other persons.
If differential gauge reading does not rise above zero (0), record
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

#2 shutoff valve as tight.
The proper application of the assembly shall be
confirmed for code compliance with respect to the
degree of hazard, markings, prohibited locations (i.e. Test #2 - Tightness of the Check Valve
where subjected to flooding or freezing) and special Step #1 - Open #1 shutoff valve
installation requirements. The assembly orientation Step #2 - Open bypass valve
and direction of flow shall be confirmed as proper. Step #3 - Open low valve, bleed, close low valve
The assembly shall be checked for alterations or
special needs, such as, but not limited to, the evidence
– TEST RESULTS –
of illegal bypasses and the adequacy of drainage
systems from the assembly. The general appearance of If there is a differential gauge reading of 1 psid or higher after
the assembly shall be checked for evidence of excessive reading stabilizes, record check valve as tight.
discharge, condition of shutoff valves and test cocks,
and adequacy of drainage, should leakage occur.

118 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Test #3 - Air Inlet Opening
Step #1 - Close TC #1 and TC #2
Step #2 - Remove hoses from TC #1 and TC #2
Step #3 - Attach high hose to TC #2
Step #4 - Open TC #2
Step #5 - Open high valve - bleed air – close
Step #6 - Center differential gauge at TC #2
Step #7 - Close #1 shutoff
Step #8 - Open high valve and record differential
gauge reading when the air inlet opens

– TEST RESULTS –
Record gauge value. If air inlet is visibly open when differential
gauge reading is 1 psid or higher, record valve as passed.

Restore System
Step #1 - Close TC #2
Step #2 - Remove hose
Step #3 - Open all valves on test kit to drain water
Step #4 - Restore to pre-test condition
Step #5 - Replace air inlet canopy/hood
The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 119

Issued: March 2022
 5 Valve Test on an ASSE 1020
Pressure Vacuum Breaker Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install test adapters (if applicable)
Step #2 - Open TC #1 - close
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #2 - close
testing creates a special hazard, inconvenience or Step #4 - Remove air-inlet canopy/hood
risk in buildings or piping systems. Examples of such
Attach Test Kit
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #1 - Close high, low and bypass valves and
systems, alarm companies/fire departments, insurance High and low bleed valves on test kit
carriers and others where special notification is Step #2 - Attach high hose to TC #1
necessary. Step #3 - Attach low hose to TC #2
Step #4 - Open TC #1
C. The proper information, reporting forms and Step #5 - Open high bleed valve - bleed air - close
equipment shall be gathered to properly conduct the Step #6 - Open TC #2
test. Step #7 - Open low bleed valve - bleed air - close

Test #1 - Tightness of #2 Shutoff Valve

Site Issues Step #1 - Close #2 shutoff valve
Step #2 - Open high valve
A. Safety Inspection Step #3 - Open low valve (differential will read zero)
The initial field evaluation shall be made for safety Step #4 - Close high valve
hazards in accordance with applicable federal, state Step #5 - Close low valve
and local safety regulations and statutes. Some of the Step #6 - Close #1 shutoff valve
issues to be examined include, but are not limited to,
confined spaces, ventilation, access, oxygen content, – TEST RESULTS –
chemical, electrical or flammable hazards, hazards
related to elevation of assemblies, and hazards to the Record gauge value. If differential gauge reading does not rise
tester and other persons. above zero (0), record #2 shutoff as tight.

B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

The proper application of the assembly shall be Test #2 - Tightness of Check Valve
confirmed for code compliance with respect to the Step #1 - Open #1 shutoff valve
degree of hazard, markings, prohibited locations (i.e. Step #2 - Open low bleed valve - close low bleed
where subjected to flooding or freezing) and special valve
installation requirements. The assembly orientation
and direction of flow shall be confirmed as proper.
– TEST RESULTS –
The assembly shall be checked for alterations or
special needs, such as, but not limited to, the evidence If differential gauge reading holds steady at 1 psid or higher,
of illegal bypasses and the adequacy of drainage record check valve as tight.
systems from the assembly. The general appearance of
the assembly shall be checked for evidence of excessive
discharge, condition of shutoff valves and test cocks,
and adequacy of drainage, should leakage occur.

120 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Test #3 - Air Inlet Opening
Step #1 - Close TC #1 and TC #2
Step #2 - Remove hoses from TC #1 and TC #2
Step #3 - Attach high hose to TC #2
Step #4 - Open TC #2
Step #5 - Open high bleed valve - bleed air – close
Step #6 - Center differential gauge at TC #2
Step #7 - Close #1 shutoff
Step #8 - Open high bleed valve and record
differential gauge reading when the air
inlet opens

– TEST RESULTS –
Record gauge value. If air inlet is visibly open when differential
gauge reading is 1 psid or higher, record valve as passed.

Restore System
Step #1 - Close TC #2
Step #2 - Remove hose
Step #3 - Open all valves on test kit to drain water
Step #4 - Restore to pre-test condition
Step #5 - Reinstall air inlet canopy/hood
The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 121

Issued: March 2022
 3 Valve Test on an ASSE 1047
Reduced Pressure Detector Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Mainline Assembly
responsible party to schedule the test.
Flush Test Cocks (TC)
B. Arrangements/notifications shall be made where
Step #1 - Install test adapters (if applicable)
a continuous water supply is necessary or where
Step #2 - Open TC #4 - let trickle
testing creates a special hazard, inconvenience or
Step #3 - Open TC #1 - close
risk in buildings or piping systems. Examples of such
Step #4 - Open TC #2 - close
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #5 - Open TC #3 - close
systems, alarm companies/fire departments, insurance Step #6 - Close TC #4
carriers and others where special notification is
Attach Test Kit
necessary.
Step #1 - Close high, low valves and open bypass
C. The proper information, reporting forms and valve on test kit
equipment shall be gathered to properly conduct the Step #2 - Attach high hose to TC #2
test. Step #3 - Attach low hose to TC #3
Step #4 - Open TC #2
Step #5 - Open high valve - bleed air - close
Site Issues Step #6 - Open TC #3
Step #7 - Open low valve - bleed air - close
A. Safety Inspection Step #8 - Attach bypass hose to TC #4
The initial field evaluation shall be made for safety Step #9 - Open low valve
hazards in accordance with applicable federal, state Step #10 - Loosen bypass hose at TC #4 - bleed air -
and local safety regulations and statutes. Some of the tighten
issues to be examined include, but are not limited to, Step #11 - Close low valve
confined spaces, ventilation, access, oxygen content, Step #12 - Open high valve
chemical, electrical or flammable hazards, hazards
related to elevation of assemblies, and hazards to the
Test #1 - Tightness of the #2 Shutoff Valve
tester and other persons. Step #1 - Close # 2 shutoff valve in mainline
Step #2 - Close #2 shutoff in bypass line
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

Step #3 - Open TC #4
(Pause to allow gauge to readjust)
The proper application of the assembly shall be
confirmed for code compliance with respect to the Step #4 - Close TC #2
degree of hazard, markings, prohibited locations (i.e. Step #5 - Read differential gauge
where subjected to flooding or freezing) and special
installation requirements. The assembly orientation – TEST RESULTS –
and direction of flow shall be confirmed as proper. The
assembly shall be checked for alterations or special Observe gauge value. If the differential gauge reading remains
needs, such as, but not limited to, the adequacy of steady, record mainline #2 shutoff valve as tight.
the air gap, the evidence of illegal bypasses and the
adequacy of drainage systems from the assembly. The Test #2 - #2 Check with Backpressure Test
general appearance of the assembly shall be checked If the differential gauge reading remains steady in Test #1,
for evidence of excessive discharge, condition of record #2 check valve as tight.
shutoff valves test cocks, relief valve and air gap, and
adequacy of drainage, should leakage occur.

122 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Test #3 - #1 Check Differential Repeat Mainline Assembly Test #4 on Bypass
Step #1 - Close TC #4 Assembly -Relief Valve Opening on Bypass Assembly
Step #2 - Close high valve
Step #3 - Remove bypass from TC #4 or
Step #4 - Open TC #2
Step #5 - Open low valve to cause differential gauge Test #5B - Bypass Check Assembly (1047)
reading to increase (Second Check Only)
Step #6 - Close low valve Step #1 - Close high valve - open bypass valve
Step #2 - Attach high hose to TC #2 (mainline
assembly)
– TEST RESULTS –
Step #3 - Attach low hose to TC #1 on bypass
Record the pressure differential across #1 check valve. check
Step #4 - Open TC #2 on mainline assembly
If the differential gauge reading is 5 psid or above, record #1 Step #5 - Open high valve - bleed air - close
check valve as tight.
Step #6 - Open TC #1 on bypass check assembly
Step #7 - Open low valve - bleed air - close
Step #8 - Attach bypass hose to TC #2 on bypass
Test #4 - Relief Valve Opening check assembly
Step #1 - Close bypass valve Step #9 - Open low valve
Step #2 - Open high valve Step #10 - Loosen bypass hose at TC #2 - bleed air -
Step #3 - Slowly open low valve tighten
Step #11 - Close low valve
– TEST RESULTS – Step #12 - Open high valve
Step #13 - Open TC #2 on bypass check assembly
Record relief valve psid opening point. The relief valve must
drip when the differential gauge reading is 2 psid or above.
– TEST RESULTS –
If differential gauge reading remains steady, record bypass
Test #5A - Bypass Assembly (1013) check as tight.
Remove Test Kit From Mainline Valve
Test #6 - Bypass Water Meter
Attach Test Kit to Bypass Assembly (1047)
Step #1 - Open #2 shutoff valve on bypass line
Step #1 - Close high, low valves and open bypass
Step #2 - Open TC #4 on mainline assembly
valve on test kit
Step #2 - Attach high hose to TC #2
Step #3 - Attach low hose to TC #3 – TEST RESULTS –
Step #4 - Open TC #2
Step #5 - Open high valve - bleed air - close Verify that the water meter indicates flow.
Step #6 - Open TC #3
Step #7 - Open low valve - bleed air - close

FOR CERTIFICATION CLASS USE ONLY

Step #8 - Attach bypass hose to TC #4
Restore System
Step #9 - Open low valve Step #1 - Close all TCs
Step #10 - Loosen bypass hose at TC #4 - bleed air - Step #2 - Remove hoses
tighten Step #3 - Open all valves on test kit to drain water
Step #11 - Close low valve Step #4 - Restore mainline and bypass #2 shutoff
Step #12 - Open high valve valve to pre-test condition*”
Step #5 - If this assembly serves a fire protection
Repeat Mainline Assembly Test #1 on system verify the #2 shutoff valve opened
Bypass Assembly - Tightness of Bypass by performing a valve status test per
Assembly #2 Shutoff Valve NFPA 25
The tester shall provide copies of the test results to the owner
Repeat Mainline Assembly Test #2 - Check #2
and other appropriate parties as required.
with Backpressure Test
*If pre-test condition was in a closed position, notify the
Repeat Mainline Assembly Test #3 on Bypass appropriate parties and the AHJ that the fire protection
Assembly - Tightness of Bypass Assembly's #2 system is out of service.
Check Valve
ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 123
Issued: March 2022
 5 Valve Test on an ASSE 1047
Reduced Pressure Detector Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Mainline Assembly
responsible party to schedule the test.
Flush Test Cocks (TC)
B. Arrangements/notifications shall be made where
Step #1 - Install test adapters (if applicable)
a continuous water supply is necessary or where
Step #2 - Open TC #4 - let trickle
testing creates a special hazard, inconvenience or
Step #3 - Open TC #1 - close
risk in buildings or piping systems. Examples of such
Step #4 - Open TC #2 - close
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #5 - Open TC #3 - close
systems, alarm companies/fire departments, insurance Step #6 - Close TC #4
carriers and others where special notification is
Attach Test Kit
necessary.
Step #1 - Close high, low and bypass valves and
C. The proper information, reporting forms and high and low bleed valves on test kit
equipment shall be gathered to properly conduct the Step #2 - Attach high hose to TC #2
test. Step #3 - Attach low hose to TC #3
Step #4 - Open TC #2
Step #5 - Open high bleed valve - bleed air - close
Site Issues Step #6 - Open TC #3
Step #7 - Open low bleed valve - bleed air - close
A. Safety Inspection Step #8 - Attach bypass hose to TC #4
The initial field evaluation shall be made for safety Step #9 - Open high valve
hazards in accordance with applicable federal, state Step #10 - Open bypass valve
and local safety regulations and statutes. Some of the Step #11 - Loosen bypass at TC #4 - bleed air -
issues to be examined include but are not limited to, tighten
confined spaces, ventilation, access, oxygen content, Step #12 - Slowly open low bleed valve to cause
chemical, electrical or flammable hazards, hazards differential gauge reading to rise - close
related to elevation of assemblies, and hazards to the
tester and other persons.
Test #1 - Tightness of the #2 Shutoff Valve
Step #1 - Close # 2 shutoff valve in mainline
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

Step #2 - Close #2 shutoff in bypass line
Step #3 - Open TC #4
The proper application of the assembly shall be
confirmed for code compliance with respect to the Step #4 - Close TC #2
degree of hazard, markings, prohibited locations (i.e. (Pause to allow gauge to readjust)
where subjected to flooding or freezing) and special Step #5 - Read differential gauge
installation requirements. The assembly orientation
and direction of flow shall be confirmed as proper. – TEST RESULTS –
The assembly shall be checked for alterations or
special needs, such as, but not limited to, the If the differential gauge reading remains steady, record #2
adequacy of the air gap, to the evidence of illegal Shutoff valve as tight.
bypasses and the adequacy of drainage systems from
the assembly. The general appearance of the assembly Test #2 - #2 Check with Backpressure Test
shall be checked for evidence of excessive discharge, If the differential gauge reading remains steady in Test #1,
condition of shutoff valves, test cocks, relief valve and record #2 check valve as tight.
air gap, and adequacy of drainage, should leakage
occur.

124 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Test #3 - #1 Check Differential Repeat Mainline Assembly Test #4 on Bypass
Step #1 - Close bypass valve Assembly -Relief Valve Opening on Bypass Assembly
Step #2 - Open TC #2
Step #3 - Open low bleed valve to cause reading to or
increase
Step #4 - Close low bleed valve Test #5B Bypass Check Assembly (1047)
(Second Check Only)
Step #1 - Remove test kit from mainline assembly
– TEST RESULTS –
Step #2 - Close high, low bleed valves and high and
Record gauge value. Record the pressure differential across #1 low valve - open bypass valve
check valve. Step #3 - Attach high hose to TC #2 mainline
assembly
If the differential gauge reading is 5 psid or above, record
Step #4 - Attach low hose to TC #1 on bypass
check valve #1 as tight.
check assembly
Step #5 - Open TC #2 on mainline assembly
Step #6 - Open high bleed to release air - close
Test #4 - Relief Valve Opening
Step #7 - Open TC #1 on bypass check assembly
Step #1 - Slowly open low valve Step #8 - Open low bleed to release air - close
Step #9 - Attach bypass hose to TC #2 on bypass
– TEST RESULTS – check assembly
Step #10 - Open high valve
The relief valve must drip when the differential gauge reading Step #11 - Loosen bypass hose at TC #2 to bleed air
is 2 psid or above. - tighten
Step #12 - Open TC #2 on bypass check assembly
Test #5A - Bypass Assembly (1013)

Remove Test Kit From Mainline Assembly – TEST RESULTS –

Attach Test Kit to Bypass Assembly If differential gauge reading remains steady, record bypass
check as tight.
Step #1 - Close high, low and bypass valves and
high and low bleed valves on test kit Test #6 - Bypass Water Meter
Step #2 - Attach high hose to TC #2
Step #1 - Open #2 shutoff on bypass line
Step #3 - Attach low hose to TC #3
Step #2 - Open TC #4 on mainline assembly
Step #4 - Open TC #2
Step #5 - Open high bleed valve - bleed air - close
Step #6 - Open TC #3 – TEST RESULTS –
Step #7 - Open low bleed valve - bleed air - close
Verify that the water meter indicates flow.
Step #8 - Attach bypass hose to TC #4
Step #9 - Open high valve
Restore System
Step #10 - Open bypass valve

FOR CERTIFICATION CLASS USE ONLY

Step #1 - Close all TCs
Step #11 - Loosen bypass hose at TC #4 - bleed air -
Step #2 - Remove hoses
tighten
Step #3 - Open all valves on test kit to drain water
Step #12 - Slowly open low bleed valve to cause
differential gauge reading to rise - close Step #4 - Restore mainline and bypass #2 shutoff
valve to pre-test state
Repeat Mainline Assembly Test #1 on Bypass Step #5 - If this assembly serves a fire protection
Assembly - Tightness of Bypass Assembly #2 system verify the #2 shutoff valve opened
Shutoff Valve by performing a valve status test per
NFPA 25
Repeat Mainline Assembly Test #2 - #2 Check The tester shall provide copies of the test results to the owner
with Backpressure Test and other appropriate parties as required.
Repeat Mainline Assembly Test #3 on Bypass *If pre-test condition was in a closed position, notify the
Assembly - Tightness of Bypass Assembly's #2 appropriate parties and the AHJ that the fire protection system
Check Valve is out of service.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 125

Issued: March 2022
 3 Valve Test on an ASSE 1048
Double Check Detector Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Mainline Assembly
responsible party to schedule the test.
Flush Test Cocks (TC)
B. Arrangements/notifications shall be made where
Step #1 - Install test adapters (if applicable)
a continuous water supply is necessary or where
Step #2 - Open TC #4 - let trickle
testing creates a special hazard, inconvenience or
Step #3 - Open TC #1 - close
risk in buildings or piping systems. Examples of such
Step #4 - Open TC #2 - close
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #5 - Open TC #3 - close
systems, alarm companies/fire departments, insurance Step #6 - Close TC #4
carriers and others where special notification is
Attach Test Kit to Mainline Assembly
necessary.
Step #1 - Close high and low valves - open bypass
C. The proper information, reporting forms and valve on test kit
equipment shall be gathered to properly conduct the Step #2 - Attach high hose to TC #2
test. Step #3 - Attach low hose to TC #3
Step #4 - Open TC #2
Step #5 - Open high valve - bleed air - close
Site Issues Step #6 - Open TC #3
Step #7 - Open low valve - bleed air - close
A. Safety Inspection Step #8 - Attach bypass hose to TC #4
The initial field evaluation shall be made for safety Step #9 - Open low valve
hazards in accordance with applicable federal, state Step #10 - Loosen bypass hose at TC #4 - bleed air -
and local safety regulations and statutes. Some of the tighten
issues to be examined include, but are not limited to, Step #11 - Close low valve
confined spaces, ventilation, access, oxygen content, Step #12 - Open high valve
chemical, electrica or flammable hazards, hazards
related to elevation of assemblies, and hazards to the
Test #1 -Tightness of #2 Shutoff Valve
tester and other persons. Step #1 - Close #2 shutoff on mainline
Step #2 - Close #2 shutoff on bypass line
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

Step #3 - Open TC #4
The proper application of the assembly shall be Step #4 - Close TC #2
confirmed for code compliance with respect to the (Pause to allow gauge to readjust)
degree of hazard, markings, prohibited locations (i.e. Step #5 - Read differential gauge
where subjected to flooding or freezing) and special
installation requirements. The assembly orientation – TEST RESULTS –
and direction of flow shall be confirmed as proper.
The assembly shall be checked for alterations or Observe gauge value. If differential reading remains steady,
special needs, such as, but not limited to, the evidence record mainline #2 shutoff valve as tight.
of illegal bypasses. The general appearance of the
assembly shall be checked for the condition of shutoff
valves, test cocks, etc.

126 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Test #2 - Tightness of #1 Check Valve Repeat Mainline Assembly Test #2 on Bypass
Step #1 - Close TC #4 Assembly - Tightness of Bypass Assembly's #1
Step #2 - Close high valve Check Valve
Step #3 - Remove bypass hose from TC #4
Step #4 - Open TC #2 Repeat Mainline Assembly Test #3 on Bypass
Step #5 - Slowly open low valve to cause differential Assembly - Tightness of Bypass Assembly's
gauge reading to rise - close #2 Check Valve

or
– TEST RESULTS –
Test 4B - Bypass Check Assembly (1048)
Record gauge value. If differential reading holds steady at
1.0 psid or higher, record mainline #1 check valve as tight. (Second Check Only)
Step #1 - Attach high hose to TC #1 on bypass
check and low hose to TC #2 on
Test #3 - Tightness of #2 Check Valve bypass check
Step #1 - Close TC #2 and TC #3 Step #2 - Open TC #1 & TC #2 on bypass check
Step #2 - Remove high and low hoses Step #3 - Bleed high valve - close when air is
Step #3 - Attach high hose to TC #3 released
Step #4 - Attach low hose to TC #4 Step #4 - Bleed low valve - close when air is
Step #5 - Open TC #3 released
Step #6 - Open high valve - bleed air - close
Step #7 - Open TC #4 – TEST RESULTS –
Step #8 - Open low valve - bleed air - close
Record gauge value. If the differential reading holds steady at
1.0 psid or higher, record the bypass check as tight.
– TEST RESULTS –
Record gauge value. If differential reading holds steady at 1.0
psid or higher, record mainline #2 check valve as tight.
Test #5 - Bypass Water Meter
Step #1 - Open #2 shutoff valve on bypass line
Step #2 - Open TC #4 on mainline assembly
Step 4A - Bypass Assembly (1048)
– TEST RESULTS –
Remove Test Kit from Mainline Assembly
Verify that the water meter indicates flow.
Attach Test Kit To Bypass Assembly (1048)
Step #1 - Close high and low valves and open
bypass on test kit Restore System
Step #2 - Attach high hose to TC #2 Step #1 - Close all TCs
Step #3 - Attach low hose to TC #3 Step #2 - Remove test kit

FOR CERTIFICATION CLASS USE ONLY

Step #4 - Open TC #2 Step #3 - Open all valves on test kit to drain water
Step #5 - Open high valve - bleed air - close Step #4 - Restore mainline and bypass #2 shutoff
Step #6 - Open TC #3 valve to pre-test condition*
Step #7 - Open low valve - bleed air - close Step #5 - If this assembly serves a fire protection
Step #8 - Attach bypass hose to TC #4 system verify the #2 shutoff valve opened
Step #9 - Open low valve by performing a valve status test per
Step #10 - Loosen bypass hose at TC #4 - bleed air - NFPA 25
tighten The tester shall provide copies of the test results to the owner
Step #11 - Close low valve and other appropriate parties as required.
Step #12 - Open high valve
*If pre-test condition was in a closed position, notify the
Repeat Mainline Assembly Test #1 on Bypass appropriate parties and the AHJ that the fire protection system
Assembly - Tightness of Bypass Assembly's #2 is out of service.
Shutoff Valve

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 127

Issued: March 2022
 5 Valve Test on an ASSE 1048
Double Check Detector Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Mainline Valve
responsible party to schedule the test.
Flush Test Cocks (TC)
B. Arrangements/notifications shall be made where
Step #1 - Install test adapters (if applicable)
a continuous water supply is necessary or where
Step #2 - Open TC #4 - let trickle
testing creates a special hazard, inconvenience or
Step #3 - Open TC #1 - close
risk in buildings or piping systems. Examples of such
Step #4 - Open TC #2 - close
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #5 - Open TC #3 - close
systems, alarm companies/fire departments, insurance Step #6 - Close TC #4
carriers and others where special notification is
Attach Test Kit
necessary.
Step #1 - Close high, low and bypass valves and
C. The proper information, reporting forms and high and low bleed valves on test kit
equipment shall be gathered to properly conduct the Step #2 - Attach high hose to TC #2
test. Step #3 - Attach low hose to TC #3
Step #4 - Open TC #2
Step #5 - Open high bleed valve - bleed air - close
Site Issues Step #6 - Open TC #3
Step #7 - Open low bleed valve - bleed air - close
A. Safety Inspection Step #8 - Attach bypass hose to TC #4
The initial field evaluation shall be made for safety Step #9 - Open high valve
hazards in accordance with applicable federal, state Step #10 - Open bypass valve
and local safety regulations and statutes. Some of the Step #11 - Loosen bypass at TC #4 - bleed air -
issues to be examined include, but are not limited to, tighten
confined spaces, ventilation, access, oxygen content, Step #12 - Slowly open low bleed valve to cause
chemical, electrical or flammable hazards, hazards differential gauge reading to rise - close
related to elevation of assemblies, and hazards to the
tester and other persons.
Test #1 -Tightness of #2 Shutoff
Step #1 - Close #2 shutoff valve on mainline
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

Step #2 - Close #2 shutoff on bypass line
Step #3 - Open TC #4
The proper application of the assembly shall be
confirmed for code compliance with respect to the Step #4 - Close TC #2
degree of hazard, markings, prohibited locations (i.e. (Pause to allow gauge to readjust)
where subjected to flooding or freezing) and special Step #5 - Read differential gauge
installation requirements. The assembly orientation
and direction of flow shall be confirmed as proper. – TEST RESULTS –
The assembly shall be checked for alterations or
special needs, such as, but not limited to, the evidence If differential gauge reading holds steady, record #2 shutoff
of illegal bypasses. The general appearance of the as tight.
assembly shall be checked for the condition of shutoff
valves, test cocks, etc.

128 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Test #2 - Tightness of #1 Check Valve Repeat Mainline Assembly Test #2 on Bypass
Step #1 - Close TC #4 Assembly - Tightness of Bypass Assembly's #1
Step #2 - Close high valve Check Valve
Step #3 - Remove bypass hose from TC #4
Step #4 - Open TC #2 Repeat Mainline Assembly Test #3 on Bypass
Step #5 - Slowly open low bleed valve to cause Assembly - Tightness of Bypass Assembly's #2
differential gauge reading to rise - close Check Valve

or
– TEST RESULTS –
Test #4B - Bypass Check Assembly (1048)
Record gauge value. Record the pressure differential across #1
check valve. If differential gauge reading holds steady at 1.0 (Second Check Only)
psid or higher, record #1 check valve as tight. Step #1 - Attach high hose to TC #1 on bypass
check
Test #3 - Tightness of #2 Check Valve Step #2 - Attach Low hose to TC #2 on the bypass
Step #1 - Close TC #2 and TC #3 check
Step #2 - Remove high and low hoses Step #3 - Close high and low valves and high and
Step #3 - Attach high hose to TC #3 low bleed valves
Step #4 - Attach low hose to TC #4 Step #4 - Open TC #1 and TC #2 on bypass check
Step #5 - Open TC #3 and TC #4 Step #5 - Open high bleed to remove air - close
Step #6 - Open high bleed valve - bleed air - close Step #6 - Open low bleed to remove air - close
Step #7 - Open low bleed valve - bleed air - close
– TEST RESULTS –
– TEST RESULTS – If the differential gauge reading holds steady at 1.0 psid or
If differential gauge reading holds steady at 1.0 psid or higher, higher, record the bypass check as tight.
record #2 check valve as tight.
Test #5 Bypass Water Meter
Test 4A -Bypass Assembly (1015) Step #1 - Open #2 shutoff on bypass line
Step #2 - Open TC #4 on mainline assembly
Remove Test Kit from Mainline Valve

Attach Test Kit to Bypass Assembly – TEST RESULTS –

Step #1 - Close high, low and bypass valves and Verify that the water meter indicates flow.
high and low bleed valves on test kit
Step #2 - Attach high hose to TC #2 Restore System
Step #3 - Attach low hose to TC #3 Step #1 - Close all TCs
Step #4 - Open TC #2 Step #2 - Remove hoses
Step #5 - Open high bleed valve - bleed air - close Step #3 - Open all valves on test kit to drain water
Step #6 - Open TC #3 Step #4 - Restore mainline and bypass #2 shutoff

FOR CERTIFICATION CLASS USE ONLY

Step #7 - Open low bleed valve - bleed air - close valve to pre-test condition*
Step #8 - Attach bypass hose to TC #4 Step #5 - If this assembly serves a fire protection
Step #9 - Open high valve system verify the #2 shutoff valve opened
Step #10 - Open bypass valve by performing a valve status test per
Step #11 - Loosen bypass at TC #4 - bleed air - close NFPA 25
Step #12 - Slow open low bleed valve to cause
The tester shall provide copies of the test results to the owner
differential gauge reading to rise - close
and other appropriate parties as required.
Repeat Mainline Assembly Test #1 on Bypass *If pre-test condition was in a closed position, notify the
Assembly - Tightness of Bypass Assembly's #2 appropriate parties and the AHJ that the fire protection system
Shutoff Valve is out of service.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 129

Issued: March 2022
 3 Valve Test on an ASSE 1056
Spill Resistant Vacuum Breakers

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks
responsible party to schedule the test. Step #1 - Bleed test cock
Step #2 - Loosen vent screw - close vent screw
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Remove air inlet canopy/hood
testing creates a special hazard, inconvenience or
Attach Test Kit
risk in buildings or piping systems. Examples of such
Step #1 - Attach test kit
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #2 - Close high and low valves - open
systems, alarm companies/fire departments, insurance bypass valve
carriers and others where special notification is Step #3 - Attach high to TC #1
necessary. Step #4 - Open TC #1
Step #5 - Open high valve - bleed air - close
C. The proper information, reporting forms and
equipment shall be gathered to properly conduct the Test #1 - Tightness of Check Valve
test. Step #1 - Close #2 shutoff
Step #2 - Center test kit at the vent screw elevation
Step #3 - Close #1 shutoff
Site Issues Step #4 - Slowly remove vent screw

A. Safety Inspection – TEST RESULTS –

The initial field evaluation shall be made for safety Record gauge value. If the differential gauge reading is
hazards in accordance with applicable federal, state 1 psid or higher when the discharge from the vent screw
and local safety regulations and statutes. Some of the stops, record as tight.
issues to be examined include, but are not limited to,
confined spaces, ventilation, access, oxygen content, Test #2 - Air Inlet Opening
chemical, electrical or flammable hazards, hazards Step #1 - Open high valve and record differential
related to elevation of assemblies, and hazards to the gauge reading when the air inlet opens
tester and other persons. Step#2 - Record if air inlet valve is fully open
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

– TEST RESULTS –
The proper application of the assembly shall be If the air inlet is visibly open when the differential gauge
confirmed for code compliance with respect to the reading is 1 psid or greater, record valve passed.
degree of hazard, markings, prohibited locations (i.e.
where subjected to flooding or freezing) and special Restore System
installation requirements. The assembly orientation Step #1 - Close all TC's
and direction of flow shall be confirmed as proper. Step #2 - Remove hose
The assembly shall be checked for alterations or Step #3 - Open all valves on test kit to drain water
special needs, such as, but not limited to, the evidence Step #4 - Restore to pre-test condition
of illegal bypasses. The general appearance of the Step #5 - Reinstall air-inlet canopy/hood
assembly shall be checked for evidence of excessive
discharge, condition of shutoff valves and test cocks, The tester shall provide copies of the test results to the owner
and adequacy of drainage, should leakage occur. and other appropriate parties as required.

130 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 5 Valve Test on an ASSE 1056
Spill Resistant Vacuum Breakers (SRVB)

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cock
responsible party to schedule the test.
Step #1 - Open TC - close
B. Arrangements/notifications shall be made where Step #2 - Loosen vent screw - close vent screw
a continuous water supply is necessary or where Step #3 - Remove air inlet canopy/hood
testing creates a special hazard, inconvenience or
risk in buildings or piping systems. Examples of such Attach Test Kit
buildings or systems include, but are not limited Step #1 - Attach test kit
to, hospitals, manufacturing plants, fire protection Step #2 - Close high and low valve and high and low
systems, alarm companies/fire departments, insurance bleed valves - open bypass valve
carriers and others where special notification is Step #3 - Attach high to TC #1
necessary. Step #4 - Open TC #1
Step #5 - Bleed air by opening high bleed
C. The proper information, reporting forms and
valve - close
equipment shall be gathered to properly conduct the
test. Test #1 - Tightness of Check Valve
Step #1 - Close #2 shutoff
Step #2 - Center test kit at the vent screw elevation
Site Issues Step #3 - Close #1 shutoff
Step #4 - Slowly remove vent screw on SVB
A. Safety Inspection
The initial field evaluation shall be made for safety – TEST RESULTS –
hazards in accordance with applicable federal, state
Record gauge value. If the differential gauge reading is 1 psid
and local safety regulations and statutes. Some of the
or higher when the discharge from the bleed vent stops, record
issues to be examined include, but are not limited to,
check valve as tight.
confined spaces, ventilation, access, oxygen content,
chemical, electrical or flammable hazards, hazards
Test #2 - Air Inlet Opening
related to elevation of assemblies, and hazards to the
tester and other persons. Step #1 - Open high valve and record differential
gauge reading when the air inlet opens
B. Inspection of the Installation Step #2 - Record if air inlet valve is fully open

FOR CERTIFICATION CLASS USE ONLY

The proper application of the assembly shall be – TEST RESULTS –
confirmed for code compliance with respect to the
If the air inlet is visibly open when the differential gauge reading
degree of hazard, markings, prohibited locations (i.e.
is 1 psid or greater, record valve as passed.
where subjected to flooding or freezing) and special
installation requirements. The assembly orientation
Restore System
and direction of flow shall be confirmed as proper.
The assembly shall be checked for alterations or Step #1 - Close all TCs
special needs, such as, but not limited to, the evidence Step #2 - Remove hose
of illegal bypasses. The general appearance of the Step #3 - Open all valves on test kit to drain water
assembly shall be checked for evidence of excessive Step #4 - Restore to pre-test condition
discharge, condition of shutoff valves and test cocks, Step #5 - Reinstall air-inlet canopy/hood
and adequacy of drainage, should leakage occur. The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 131

Issued: March 2022
 Test on an ASSE 1063
Air Valve and Vent Inflow Preventer

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Close Isolation Valve Underneath
responsible party to schedule the test. the Adjacent Air Valve
Step #1 - Close isolation valve
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Attach Test Kit
testing creates a special hazard, inconvenience or
Step #1 - Remove three pipe plugs
risk in buildings or piping systems. Examples of such
Step #2 - Install and close test cocks
buildings or systems include, but are not limited
Step #3 - Remove basket screen
to, hospitals, manufacturing plants, fire protection
systems, alarm companies/fire departments, insurance Step #4 - Block outlet with plug assembly provided
carriers and others where special notification is Step #5 - Connect test apparatus to lower chamber
necessary. test cock A
Step #6 - Open test cock C in cover
C. The proper information, reporting forms and
equipment shall be gathered to properly conduct this Test #1 – Tightness of Lower Chamber
test. Step #1 - Fill riser tube and lower chamber with
clean water
Step #2 - Maintain water level above “minimum
Site Issues test level”
Step #3 - Observe leakage from test cock B for 5
A. Safety Inspection minutes
Step #4 - When complete, remove test apparatus
The initial field evaluation shall be made for safety
hazards in accordance with applicable federal, state Step #5 - Close lower test cock A
and local safety regulations and statutes. Some of the – TEST RESULTS –
issues to be examined include, but are not limited to,
confined spaces, ventilation, access, oxygen content, If no water is observed from test cock B, record as passed.
chemical, electrical or flammable hazards, hazards
related to elevation of assemblies, hazards related to Test #2 - Tightness of Upper Chamber
pressurized fluid, and hazards to the tester and other Step #1 - Connect test apparatus to upper chamber
persons. test cock B

FOR CERTIFICATION CLASS USE ONLY

Step #2 - Fill riser tube and both chambers with
B. Inspection of the Installation clean water
The proper application of the assembly shall be Step #3 - Maintain water level above “minimum
confirmed for code compliance with respect to the test level”
degree of hazard, markings, prohibited locations Step #4 - Observe leakage from test cock C for 5
and special installation requirements. The assembly minutes
orientation and direction of flow shall be confirmed Step #5 - When complete, remove test apparatus
as proper. The assembly shall be checked for – TEST RESULTS –
alterations or special needs, such as, but not limited
to, the size of the pipe connections and the adequacy If no water is observed from test cock C, record as passed
of the clearances on the sides and bottom of the
assembly. The general appearance of the assembly
shall be checked for evidence of excessive water
discharge, condition of shut-off valves and test cocks,
and cleanliness of the basket.

132 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Restore System
Step #1 - Close test cocks A, B and C
Step #2 - Remove bottom test plug assembly
Step #3 - Clean and reinstall basket screen
Step #4 - Slowly open isolation valve underneath
air valve
The tester shall provide copies of the test results to the owner
and other appropriate parties as required.
The test report shall contain, but not be limited to, the
following information: manufacturer’s name, model number,
serial number and size of assembly; owner’s name and address;
building address; physical location of assembly within the
building or along the pipeline (as descriptive as possible);
description of application (i.e. equipment or system served);
initial test results (pass-fail of first check and second check);
test kit manufacturer; repairs made; repair parts used; cleaning
performed; final test results, as applicable; printed name,
signature and certification number of the tester/repairer; type
of assembly; affirmation statement of device performance at
the date and time of the test.

– FIELD TEST PIPING –

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 133

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

134 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX F
One-Hose Field Test Procedures

One-Hose Test Notes:

When using any type one hose field procedure the height When testing the tightness of the first check of a vertically
of the test kit is critical to ensure the accuracy of the field test. installed assembly with the flow upward, it is only necessary for
Water has weight and depending on the height of the hoses or the tube to be extended above the chamber located between the
test kit in relationship to the assembly that weight can factor into check valves. If a tester is unable to determine the proper position,
inaccurate reading during the testing procedure. A water column the tester should simply make sure the tube height reaches the
of only 2-3/4 inches will exert a pressure of 0.1 PSI. If the test kit elevation of the number four test cock. This will confirm that
is held 2-3/4 inches above the proper location the reading will the end of the reference tube is above the highest point between
be inaccurate and lower by 0.1 PSI. If the test kit is held 2-3/4 the check valves. As the tester moves on to testing the second
inches below the proper location the reading will be inaccurate check valve, the reference tube is installed on the number four
and raised by 0.1 PSI. Holding the test kit at distances greater test cock and the reference tube height should be at or above
than 2-3/4 inches above or below the proper location increase the elevation of the number two shutoff valve and the tube shall
the errors further. be filled completely with water. Depending on the specific size
If you are testing using only the high hose of the testing and assembly type, the tester will need a longer tube than the
equipment you should remove, when possible, the additional tube used in testing horizontal assemblies to obtain the proper
test kit hoses to prevent their elevation and any water present reference tube height. As with testing the double check or reduced
in them from affecting the test readings. If it is not possible to pressure principle assembly installed in the horizontal orientation,
remove the additional hoses from the kit, then they should be it is critical that the tester maintain the field test kit centered at
wrapped around the test kit to prevent them from being a factor the same level as the water in the reference tube before closing
in the testing. the number one shutoff or shutting off the supply pressure to
When using a one hose field test on a reduced pressure the assembly. The test kit shall be held at the level of the water
principle or double check valve assembly, If the downstream test in the reference tube while the test procedure of the specific
cock is on the top of the assembly in a horizontal orientation, component is tested.
then that is the location with which you should center the test When testing the tightness of the first check of a vertically
kit before closing the number one shutoff (supply pressure). If installed assembly with the flow downward, it is important to
the test cocks come off the side of the assembly in a horizontal remember that the test kit must be held at the same level or
orientation or if the assembly is in a vertical up flow or a vertical elevation as the water level on the downstream side of the check

FOR CERTIFICATION CLASS USE ONLY

down flow orientation it will then be necessary to use a reference valve being tested. The reference tube you are using must be the
tube during the field test procedure to ensure accurate readings. proper length to match the assembly size and model being tested.
The reference tube will be attached to the downstream test cock
and filled with water to its overflow point before the assembly’s
number one shut off is closed. You will then need to center the
test kit with the top of the reference tube to ensure the weight
of the water is not a factor in your gauge readings. If the level of
water in the reference tube changes due to air bubbles or other
factors, you will need to reposition the test kit at the water level
in the tube as the testing progresses.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 135

Issued: March 2022
 One-Hose Test Procedure for an ASSE 1013 (3-Valve)
Reduced Pressure Principle Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install gauge adapters (if applicable)
Step #2 - Open TC #4
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #1 and close
testing creates a special hazard, inconvenience or Step #4 - Open TC #2 and close
risk in buildings or piping systems. Examples of such Step #5 - Open TC #3 and close
buildings or systems include, but are not limited Step #6 - Close TC #4
to, hospitals, manufacturing plants, fire protection
Attach Test Kit
systems, alarm companies/fire departments, insurance
carriers and others where special notification is Step #1 - Close gauge high and low valves, open
necessary. bypass control valve
Step #2 - Attach high hose to TC #2
C. The proper information, reporting forms and Step #3 - Open high valve
equipment shall be gathered to properly conduct the Step #4 - Open TC #2
test. Step # 5 - Close the high valve
Step # 6 - Maintain the center of the test kit at the
proper elevation during testing
Site Issues
Test #1 - Check Valve #1 Differential
A. Safety Inspection Step #1 - Close shutoff #2
The initial field evaluation shall be made for safety Step #2 - Close shutoff #1
hazards in accordance with applicable federal, state Step #3 - Open test cock #3
and local safety regulations and statutes. Some of the Step #4 - When water stops flowing from TC #3,
issues to be examined include, but are not limited to, record the gauge value for check valve #1
confined spaces, ventilation, access, oxygen content,
chemical, electrical or flammable hazards, hazards – TEST RESULTS –
related to elevation of assemblies, and hazards to the
tester and other persons. Record the pressure differential across #1 check valve.

B. Inspection of the Installation If the differential gauge reading is 5 psid or above, record #1

FOR CERTIFICATION CLASS USE ONLY

check valve as tight.
The proper application of the assembly shall be
confirmed for code compliance with respect to the
degree of hazard, markings, prohibited locations (i.e.
where subjected to flooding or freezing) and special Test #2 - Relief Valve Opening
installation requirements. The assembly orientation Step #1 - Slowly open gauge high-pressure valve
and direction of flow shall be confirmed as proper. Step #2 - Feel for relief valve discharge and record
The assembly shall be checked for alterations or gauge value at opening
special needs, such as, but not limited to, the Step #3 - Continue to open high valve and verify
adequacy of the air gap, the evidence of illegal that relief valve fully opens
bypasses and the adequacy of drainage systems Step #4 - Close TC #2 and TC #3 and remove
from the assembly. The general appearance of the high hose
assembly shall be checked for evidence of excessive
discharge, condition of shutoff valves, test cocks, relief
valve and air gap, and adequacy of drainage, should
leakage occur.

136 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 – TEST RESULTS –
The relief valve must drip when the differential gauge reading
is 2 psid or above.

Test #2 - Check Valve #2 Differential

Step #1 - Reestablish pressure to assembly
Step #2 - Attach gauge high hose to TC #3
Step #3 - Open high valve
Step #4 - Open TC #3
Step #5 - Close high valve
Step #6 - Open TC #4
Step #7 - When water stops flowing from TC #4,
record the gauge value
Step #8 - Close TC #3 and TC #4
Step #9 - Remove high hose
Step #10 - Restore assembly to pre-test condition

– TEST RESULTS –
Record the pressure differential across #2 check valve.
If the differential gauge reading is 1 psid or above, record #2
check valve as tight.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 137

Issued: March 2022
 One-Hose Test Procedure for an ASSE 1013 (5-Valve)
Reduced Pressure Principle Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install gauge adapters (if applicable)
Step #2 - Open TC #4
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #1 and close
testing creates a special hazard, inconvenience or Step #4 - Open TC #2 and close
risk in buildings or piping systems. Examples of such Step #5 - Open TC #3 and close
buildings or systems include, but are not limited Step #6 - Close TC #4
to, hospitals, manufacturing plants, fire protection
Attach Test Kit
systems, alarm companies/fire departments, insurance
carriers and others where special notification is Step #1 - Close high, low, and bypass valves and
necessary. low valve bleed
Step #2 - Open gauge high-bleed valve
C. The proper information, reporting forms and Step #3 - Attach high hose to TC #2
equipment shall be gathered to properly conduct the Step #4 - Open TC #2, bleed air, close
test. high-bleed valve
Step # 5 - Maintain the center of the test kit at the
proper elevation during testing.
Site Issues
Test #1 - Check Valve #1 Differential
A. Safety Inspection Step #1 - Close shutoff #2 then close shutoff #1
The initial field evaluation shall be made for safety Step #2 - Slowly open TC #3
hazards in accordance with applicable federal, state Step #3 - When water stops flowing from TC #3,
and local safety regulations and statutes. Some of the record the gauge value for check valve #1
issues to be examined include, but are not limited to,
confined spaces, ventilation, access, oxygen content, – TEST RESULTS –
chemical, electrical or flammable hazards, hazards
related to elevation of assemblies, and hazards to the Record the pressure differential across #1 check valve.
tester and other persons.
If the differential gauge reading is 5 psid or above, record #1
B. Inspection of the Installation check valve as tight.

FOR CERTIFICATION CLASS USE ONLY

The proper application of the assembly shall be
confirmed for code compliance with respect to the Test #2 - Relief Valve Opening
degree of hazard, markings, prohibited locations (i.e. Step #1 - Slowly open gauge high-pressure bleed
where subjected to flooding or freezing) and special valve
installation requirements. The assembly orientation
Step #2 - Feel for relief valve discharge and record
and direction of flow shall be confirmed as proper.
gauge value at opening
The assembly shall be checked for alterations or
Step #3 - Continue to open high-bleed valve and
special needs, such as, but not limited to, the
verify that relief valve fully opens
adequacy of the air gap, the evidence of illegal
Step #4 - Close TC #2 and TC #3 and remove
bypasses and the adequacy of drainage systems
high hose
from the assembly. The general appearance of the
assembly shall be checked for evidence of excessive
discharge, condition of shutoff valves, test cocks, relief
valve and air gap, and adequacy of drainage, should
leakage occur.

138 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 – TEST RESULTS –
The relief valve must drip when the differential gauge reading
is 2 psid or above.

Test #3 - Check Valve #2 Differential

Step #1 - Reestablish pressure to assembly
Step #2 - Attach gauge high hose to TC #3
Step #3 - Open TC #3
Step #4 - Close gauge high-bleed valve
Step #5 - Maintain kit at proper elevation,
close shut off one
Step #6 - Slowly open TC #4
Step #7 - When water stops flowing from TC #4,
record the gauge value for check valve #2
Step #8 - Close TC #3 and TC #4. Remove
high hose.
Step #9 - Restore assembly to pre-test condition

– TEST RESULTS –
Record the pressure differential across #2 check valve.
If the differential gauge reading is 1 psid or above, record #2
check valve as tight.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 139

Issued: March 2022
 One-Hose Test Procedure for an ASSE 1015 (3-Valve)
Double Check Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install gauge adapters (if applicable)
Step #2 - Open TC #4
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #1 and close
testing creates a special hazard, inconvenience or Step #4 - Open TC #2 and close
risk in buildings or piping systems. Examples of such Step #5 - Open TC #3 and close
buildings or systems include, but are not limited Step #6 - Close TC #4
to, hospitals, manufacturing plants, fire protection
Attach Test Kit
systems, alarm companies/fire departments, insurance
carriers and others where special notification is Step #1 - Close gauge high and low valves and
necessary. open bypass manifold valve
Step #2 - Open high hose to TC #2
C. The proper information, reporting forms and Step #3 - Open high valve
equipment shall be gathered to properly conduct the Step #4 - Open TC #2, bleed air, close high valve
test. Step # 5 - Maintain the center of the test kit at the
proper elevation during testing.

Site Issues Test #1 - Check Valve #1 Differential

Step #1 - Close shutoff #2
A. Safety Inspection Step #2 - Close shutoff #1
The initial field evaluation shall be made for safety Step #3 - Open TC #3
hazards in accordance with applicable federal, state Step #4 - When water stops flowing from TC #3,
and local safety regulations and statutes. Some of the record the gauge value for check valve #1
issues to be examined include, but are not limited to, Step #5 - Close TC #2 and TC #3 and remove
confined spaces, ventilation, access, oxygen content, high hose
chemical, electrical or flammable hazards, hazards
related to elevation of assemblies, and hazards to the – TEST RESULTS –
tester and other persons.
Record the pressure differential across #1 check valve.
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

If the differential gauge reading is 5 psid or above, record #1
The proper application of the assembly shall be check valve as tight.
confirmed for code compliance with respect to the
degree of hazard, markings, prohibited locations (i.e.
where subjected to flooding or freezing) and special Test #2 - Check Valve #2 Differential
installation requirements. The assembly orientation
Step #1 - Reestablish pressure to assembly
and direction of flow shall be confirmed as proper.
Step #2 - Attach gauge high hose to TC #3
The assembly shall be checked for alterations or
Step #3 - Open the gauge high valve
special needs, such as, but not limited to, the
Step #4 - Open TC #3
adequacy of the air gap, the evidence of illegal
Step #5 - Close the high valve
bypasses and the adequacy of drainage systems
from the assembly. The general appearance of the Step #6 - Close shutoff #1
assembly shall be checked for evidence of excessive Step #7 - Open TC #4
discharge, condition of shutoff valves, test cocks, relief Step #8 - When water stops flowing from TC #4,
valve and air gap, and adequacy of drainage, should record the gauge value for check valve #2
leakage occur. Step #9 - Close TC #3 and TC #4

140 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 Step #10 - Remove high hose
Step #11 - Restore assembly to pre-test condition

– TEST RESULTS –
Record the pressure differential across #2 check valve.
If the differential gauge reading is 1 psid or above, record #2
check valve as tight.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 141

Issued: March 2022
 One-Hose Test Procedure for an ASSE 1015 (5-Valve)
Double Check Backflow Prevention Assemblies

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install gauge adapters (if applicable)
Step #2 - Open TC #4
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #1 and close
testing creates a special hazard, inconvenience or Step #4 - Open TC #2 and close
risk in buildings or piping systems. Examples of such Step #5 - Open TC #3 and close
buildings or systems include, but are not limited Step #6 - Close TC #4
to, hospitals, manufacturing plants, fire protection
Attach Test Kit
systems, alarm companies/fire departments, insurance
carriers and others where special notification is Step #1 - Close gauge valves and low-pressure bleed
necessary. Step #2 - Open gauge high-bleed valve
Step #3 - Attach gauge high hose to TC #2
C. The proper information, reporting forms and Step #4 - Open TC #2
equipment shall be gathered to properly conduct the Step # 5 - Close high bleed valve
test. Step # 6 - Maintain the center of the test kit at the
proper elevation during testing.

Site Issues Test #1 - Check Valve #1 Differential

Step #1 - Close shutoff #2 then close shut off #1
A. Safety Inspection Step #2 - Slowly open TC #3
The initial field evaluation shall be made for safety Step #3 - When water stops flowing from TC #3,
hazards in accordance with applicable federal, state record the gauge value for check valve #1
and local safety regulations and statutes. Some of the Step #4 - Close TC #2 and TC #3 and remove
issues to be examined include, but are not limited to, high hose
confined spaces, ventilation, access, oxygen content,
chemical, electrical or flammable hazards, hazards – TEST RESULTS –
related to elevation of assemblies, and hazards to the
tester and other persons. Record the pressure differential across #1 check valve.

B. Inspection of the Installation If the differential gauge reading is 1 psid or above, record #1

FOR CERTIFICATION CLASS USE ONLY

check valve as tight.
The proper application of the assembly shall be
confirmed for code compliance with respect to the
degree of hazard, markings, prohibited locations (i.e. Test #2 - Check Valve #2 Differential
where subjected to flooding or freezing) and special
Step #1 - Reestablish pressure to assembly
installation requirements. The assembly orientation
and direction of flow shall be confirmed as proper. Step #2 - Attach gauge high hose to TC #3
The assembly shall be checked for alterations or Step #3 - Open TC #3
special needs, such as, but not limited to, the Step #4 - Close gauge high-bleed valve
adequacy of the air gap, the evidence of illegal Step #5 - Close shut off #1
bypasses and the adequacy of drainage systems Step #6 - Slowly open TC #4
from the assembly. The general appearance of the Step #7 - When water stops flowing from TC #4,
assembly shall be checked for evidence of excessive record the gauge value for check valve #2
discharge, condition of shutoff valves, test cocks, relief Step #8 - Close TC #3 and TC #4. Remove
valve and air gap, and adequacy of drainage, should high hose.
leakage occur. Step #9 - Restore assembly to pre-test condition

142 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 – TEST RESULTS –
Record the pressure differential across #2 check valve.
If the differential gauge reading is 1 psid or above, record #2
check valve as tight.

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 143

Issued: March 2022
 One-Hose Test Procedure for an ASSE 1020 (3-Valve)
Pressure Vacuum Breaker Assembly

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install test adapters (if applicable)
Step #2 - Open TC #1 - close
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #2 - close
testing creates a special hazard, inconvenience or Step #4 - Remove air-inlet canopy/hood
risk in buildings or piping systems. Examples of such
Attach Test Kit - Air Inlet Valve
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #1 - Close the high and low valves, open the
systems, alarm companies/fire departments, insurance bypass valve
carriers and others where special notification is Step #2 - Attached the test kit high hose to test TC #2
necessary. Step #3 - Open the high valve
Step #4 - Open TC #2
C. The proper information, reporting forms and Step #5 - Close the high valve
equipment shall be gathered to properly conduct the
test. Test #1 - Air Inlet Valve Opening
Step #1 - Close #2 shutoff
Step #2 - Center the test kit at the air-inlet elevation
Site Issues Step #3 - Close #1 shutoff
Step #4 - Slowly open the gauge high valve
A. Safety Inspection Step #5 - Record when the air-inlet valve opens
The initial field evaluation shall be made for safety (this value must be 1 psid or greater).
hazards in accordance with applicable federal, state Ensure the air-inlet is fuly open.
and local safety regulations and statutes. Some of the Step #6 - Close TC#2
issues to be examined include, but are not limited to, Step #7 - Remove high hose from test cock #2
confined spaces, ventilation, access, oxygen content,
Attach Test Kit - Check Valve
chemical, electrical, or flammable hazards, hazards
related to elevation of assemblies, hazards to the tester Step #1 - Open #1 shutoff
and other persons. Step #2 - Open gauge high valve
Step #3 - Attach the high hose to TC #1
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

Step #4 - Open TC #1
Step #5 - Close the high manifold control valve
The proper application of the assembly shall be
confirmed for code compliance with respect to the Step #6 - Center the test kit at the #2 TC elevation
degree of hazard, markings, prohibited locations (i.e.
Test #2 - Tightness of Check Valve
where subjected to flooding or freezing) and special
Step #1 - Close #1 shutoff valve
installation requirements. The assembly orientation
and direction of flow shall be confirmed as proper. Step #2 - Slowly open TC#2. Observe and record
The assembly shall be checked for alterations or the value when water stops flowing from
special needs, such as, but not limited to, the evidence the test cock. (Note: This value must be 1
of illegal bypasses and the adequacy of drainage psid or greater)
systems from the assembly. The general appearance of Step #3 - Close TC#1 and TC#2
the assembly shall be checked for evidence of excessive Step #4 - Remove the high hose from TC #1
discharge, condition of shutoff valves and test cocks, Step #5 - Restore assembly to pre-test condition
and adequacy of drainage, should leakage occur. Step #5 - Reinstall the air-inlet canopy/hood

144 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 One-Hose Test Procedure for an ASSE 1020 (5-Valve)
Pressure Vacuum Breaker Assembly

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cocks (TC)
responsible party to schedule the test. Step #1 - Install test adapters (if applicable)
Step #2 - Open TC #1 - close
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 - Open TC #2 - close
testing creates a special hazard, inconvenience or Step #4 - Remove canopy from air-inlet valve
risk in buildings or piping systems. Examples of such
Attach Test Kit - Air Inlet Valve
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #1 - Close all the gauge valves
systems, alarm companies/fire departments, insurance Step #2 - Open gauge high-bleed valve
carriers and others where special notification is Step #3 - Attach the test kit high hose to test TC#2
necessary. Step #4 - Open TC #2
Step #5 - Close the gauge high-bleed valve
C. The proper information, reporting forms and
equipment shall be gathered to properly conduct the Test #1 - Air Inlet Valve Opening
test. Step #1 - Close #2 shutoff
Step #2 - Center the test kit at the
air-inlet elevation
Site Issues Step #3 - Close #1 shutoff
Step #4 - Slowly open the gauge high-bleed valve
A. Safety Inspection Step #5 - Record when the air-inlet valve opens
The initial field evaluation shall be made for safety (this value must be 1 psid or greater).
hazards in accordance with applicable federal, state Ensure the air-inlet is fuly open.
and local safety regulations and statutes. Some of the Step #6 - Close TC#2
issues to be examined include, but are not limited to, Step #7 - Remove high hose from test cock #2
confined spaces, ventilation, access, oxygen content,
Attach Test Kit - Check Valve
chemical, electrical, or flammable hazards, hazards
related to elevation of assemblies, hazards to the tester Step #1 - Open #1 shutoff
and other persons. Step #2 - Open gauge high-bleed valve
Step #3 - Attach the high-pressure hose to TC #1
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

Step #4 - Open TC #1
Step #5 - Close the high bleed valve
The proper application of the assembly shall be
confirmed for code compliance with respect to the Step #6 - Center the test kit at the #2 TC elevation
degree of hazard, markings, prohibited locations (i.e.
Test #2 - Tightness of Check Valve
where subjected to flooding or freezing) and special
Step #1 - Close #1 shutoff valve
installation requirements. The assembly orientation
and direction of flow shall be confirmed as proper. Step #2 - Slowly open TC#2. Observe and record
The assembly shall be checked for alterations or the value when water stops flowing from
special needs, such as, but not limited to, the evidence the test cock. (Note: This value must be 1
of illegal bypasses and the adequacy of drainage psid or greater)
systems from the assembly. The general appearance of Step #3 - Close TC#1 and TC#2
the assembly shall be checked for evidence of excessive Step #4 - Restore assembly to pre-test condition
discharge, condition of shutoff valves and test cocks, Step #5 - Reinstall the air-inlet canopy/hood
and adequacy of drainage, should leakage occur.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 145

Issued: March 2022
 One-Hose Test Procedure for an ASSE 1056 (3-Valve)
Spill Resistant Vacuum Breakers

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cock
responsible party to schedule the test. Step #1 - Open TC - close
Step #2 – Loosen vent screw - close vent screw
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 – Remove the air-inlet canopy/hood
testing creates a special hazard, inconvenience or
Attach Test Kit
risk in buildings or piping systems. Examples of such
Step #1 - Attach test kit
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #2 - Close high and low valves, open
systems, alarm companies/fire departments, insurance the bypass
carriers and others where special notification is Step #3 - Attach high hose to the test cock
necessary. Step #4 - Open the high valve
Step #5 - Open the test cock
C. The proper information, reporting forms and Step #5 - Close the high valve
equipment shall be gathered to properly conduct the
test. Test #1 - Tightness of Check Valve/Shutoff Valves
Step #1 - Close #2 shutoff
Step #2 - Center the test kit at the vent screw elevation
Site Issues Step #3 - Close #1 shutoff
Step #4 - Slowly remove vent screw completely
A. Safety Inspection
The initial field evaluation shall be made for safety – TEST RESULTS –
hazards in accordance with applicable federal, state If the differential gauge reading is 1 psid or higher when the
and local safety regulations and statutes. Some of the discharge from the vent screw stops and the air-inlet remains
issues to be examined include, but are not limited to, closed, record as passed.
confined spaces, ventilation, access, oxygen content,
chemical, electrical or flammable hazards, hazards Test #2 - Air Inlet Opening
related to elevation of assemblies, and hazards to the
Step #1 - Open the high valve and record test kit
tester and other persons.
gauge reading when the air inlet opens
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

– TEST RESULTS –
The proper application of the assembly shall be If the air inlet is visually open when the differential gauge reading is
confirmed for code compliance with respect to the 1 psid or greater and the air-inlet fully opens, record valve as passed.
degree of hazard, markings, prohibited locations (i.e.
where subjected to flooding or freezing) and special Restore System
installation requirements. The assembly orientation Step #1 - Close test cock
and direction of flow shall be confirmed as proper. Step #2 - Reinstall the vent screw
The assembly shall be checked for alterations or Step #3 - Remove hose
special needs, such as, but not limited to, the evidence Step #4 - Open #1 Shutoff
of illegal bypasses. The general appearance of the Step #5 - Reinstall air-inlet canopy/hood
assembly shall be checked for evidence of excessive Step #6 - Restore to pre-test condition
discharge, condition of shutoff valves and test cocks,
and adequacy of drainage, should leakage occur. The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

146 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 One-Hose Test Procedure for an ASSE 1056 (5-Valve)
Spill Resistant Vacuum Breakers

Administrative Issues Field Testing Requirements

A. Initial arrangements shall be made with the Flush Test Cock
responsible party to schedule the test. Step #1 - Open TC - close
Step #2 – Loosen vent screw - close vent screw
B. Arrangements/notifications shall be made where
a continuous water supply is necessary or where Step #3 – Remove the air-inlet canopy/hood
testing creates a special hazard, inconvenience or
Attach Test Kit
risk in buildings or piping systems. Examples of such
Step #1 - Attach test kit
buildings or systems include, but are not limited
to, hospitals, manufacturing plants, fire protection Step #2 - Close high, low, and bypass valves and the
systems, alarm companies/fire departments, insurance low bleed valve - open the high bleed valve
carriers and others where special notification is Step #3 - Attach high hose to the test cock
necessary. Step #4 - Open the test cock
Step #5 - Close the high bleed
C. The proper information, reporting forms and
equipment shall be gathered to properly conduct the Test #1 - Tightness of Check Valve/Shutoff Valves
test. Step #1 - Close #2 shutoff
Step #2 - Center the test kit at the vent
screw elevation
Site Issues Step #3 - Close #1 shutoff
Step #4 - Slowly remove vent screw completely
A. Safety Inspection
The initial field evaluation shall be made for safety – TEST RESULTS –
hazards in accordance with applicable federal, state If the differential gauge reading is 1 psid or higher when the
and local safety regulations and statutes. Some of the discharge from the vent screw stops and the air-inlet remains
issues to be examined include, but are not limited to, closed, record as passed.
confined spaces, ventilation, access, oxygen content,
chemical, electrical or flammable hazards, hazards Test #2 - Air Inlet Opening
related to elevation of assemblies, and hazards to the Step #1 - Open high bleed valve and record test
tester and other persons.
kit gauge reading when the air inlet opens
B. Inspection of the Installation

FOR CERTIFICATION CLASS USE ONLY

The proper application of the assembly shall be – TEST RESULTS –
confirmed for code compliance with respect to the If the air inlet is visually open when the differential gauge reading is
degree of hazard, markings, prohibited locations (i.e. 1 psid or greater and the air-inlet fully opens, record valve as passed.
where subjected to flooding or freezing) and special
installation requirements. The assembly orientation Restore System
and direction of flow shall be confirmed as proper. Step #1 - Close test cock
The assembly shall be checked for alterations or Step #2 - Reinstall the vent screw
special needs, such as, but not limited to, the evidence Step #3 - Remove hose
of illegal bypasses. The general appearance of the Step #4 - Open #1 Shutoff
assembly shall be checked for evidence of excessive Step #5 - Reinstall air-inlet canopy/hood
discharge, condition of shutoff valves and test cocks, Step #6 - Restore to pre-test condition
and adequacy of drainage, should leakage occur.
The tester shall provide copies of the test results to the owner
and other appropriate parties as required.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 147

Issued: March 2022
 FOR CERTIFICATION CLASS USE ONLY

148 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
 SERIES 5000 • APPENDIX G
Vocabulary and Definitions

FOR CERTIFICATION CLASS USE ONLY

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 149

Issued: March 2022
Absolute Pressure Authority Having Jurisdiction (AHJ)
The total pressure equal to that measured from an absolute The individual official, board, department, entity or agency
vacuum, equal to the sum of the gauge pressure and established and authorized by law to administer and enforce
barometric atmospheric pressure, and expressed in pounds the provisions of a particular code. Also called administrative
per square inch absolute (psia), kilopascals absolute (kPa authority.
absolute), bar absolute or kilograms per square centimeter
absolute (kg/cm2 absolute). Auxiliary Water Supply
Any water supply on, or available to, the premises other than
Acute Health Effect the water supplier’s approved public potable water supply.
Adverse effect on human health as a result of short-term
exposure. Acute health effects occur within hours or days of Backflow
the time an individual consumes a contaminant. 1) A term that denotes the reversal of flow from that normally
intended. 2) The flow of water or other liquids, mixtures or
Air Gap, Water Supply System substances into the distributing pipes of a potable supply
The unobstructed vertical distance through the free of water from any source or sources other than its intended
atmosphere between the lowest opening of any pipe or faucet source.
supply water to a tank, plumbing fixture or other device,
and the flood level rim of the receptor. Backflow Prevention Assembly
An arrangement of components for the means of preventing
Air Inlet backflow. Assemblies must be inline testable, inline
The opening or series of openings through the body of a repairable and have full port resilient seated valves that are
device from the free atmosphere to the liquid passage of approved in a specific order and orientation.
the device.
Backflow Prevention Assembly Tester
Alternative Engineered Design A competent individual who is certified to make inspections,
A plumbing system that performs in accordance with the tests and reports on backflow prevention assemblies.
intent of the plumbing code and provides an equivalent level To become and remain certified, this individual shall
of performance for the protection of public health, safety successfully complete the certification and continuing
and welfare. System design is not specifically regulated by the education requirements through a certification program
plumbing code. Alternative designs require documentation, for backflow prevention that is recognized by the regulatory
including test reports and acceptable third-party certification authority having jurisdiction. Also, this individual shall
and listings, showing that it will function properly. Also be conversant with applicable laws, rules and regulations,
called an engineered system. have demonstrated competency in plumbing, or have other
qualifications which, in the opinion of the regulatory agency
Ambient Temperature having jurisdiction, are equivalent.
The actual air or liquid temperature that occurs in the area
encompassing where a test or an event is scheduled to take Backflow Prevention Assembly Repairer
place. A competent individual who is certified to make inspections,
test, repair, and report on backflow prevention assemblies. To
Antifreeze Sprinkler System become and remain certified, this individual shall successfully
A subsystem to a wet-based fire sprinkler system in which complete the certification and continuing education
the sprinkler distribution piping is filled with a mixed liquid requirements through a certification program for backflow
solution of antifreeze prepared with a freezing point below prevention repairers that is recognized by the regulatory
the expected minimum temperature for the locality, intended

FOR CERTIFICATION CLASS USE ONLY

agency having jurisdiction. Also, this individual shall be
to discharge the solution upon sprinkler operation followed conversant with applicable laws, rules and regulations, be
immediately by water from a water supply. The solution employed by a contractor, have demonstrated competency
shall be UL listed. in plumbing, or have qualifications which, in the opinion
Atmospheric Pressure of the regulatory agency having jurisdiction, are equivalent.
The pressure exerted by the weight of the atmosphere, which Backflow Prevention Method
at sea level has a mean value of 14.7 psig, 100 kPa, 1 bar Means of preventing backflow either through a testable
or 1 kg/cm2. assembly, a non-testable device or a non-mechanical means
Atmospheric Type Vacuum Breaker (AVB, ASSE 1001) such as an Air-Gap or a Barometric Loop.
A term applied to backflow preventers or anti-siphon devices,
which incorporate moving or movable parts, for the purpose
of preventing backsiphonage backflow in a water distribution
system when the backflow source is subject to atmospheric
pressure only.

150 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Backflow Prevention Program Administrator Check Valve
A competent individual who is certified to draft, implement A valve that permits flow in one direction but that closes
and enforce cross-connection control programs and/or automatically to retard the flow of fluid in a reverse direction.
ordinances. To become and remain certified, this individual
shall successfully complete the certification and continuing Chronic Health Effect
education required through a certification program for An adverse health effect resulting from long-term exposure to
backflow prevention administrators that is recognized by the a substance. The term is also applied to a persistent (months,
regulatory agency having jurisdiction. Also, this individual years or permanent) adverse health effect resulting from a
shall be a state licensed/certified water plant operator, water short-term (acute) exposure.
distribution technician, water utility engineer and/or a Clearance
cross connection control program administrator, or have The amount of space or distance by which an object is free
qualifications which, in the opinion of the regulatory agency or freed from connection or contact.
having jurisdiction, are equivalent.
Code
Backflow Prevention Surveyor/Specialist An authoritative book of rules and regulations. Those
A competent individual who is certified to perform cross regulations, subsequent amendments thereto, or any
connection control surveys. To become and remain certified, emergency rule or regulation which the authority having
this individual shall successfully complete the certification jurisdiction may lawfully adopt.
and continuing education requirements through a
certification program for cross-connection control Competent Individual
surveyors that is recognized by the regulatory agency having An individual who is capable of identifying existing
jurisdiction. Also, this individual shall be conversant with and predictable hazards in the surroundings or working
applicable laws, rules and regulations, be employed by a conditions that are unsanitary, hazardous or dangerous to
contractor, have demonstrated competency in plumbing; or employees, and who has authorization.
have qualifications which, in the opinion of the regulatory Condition of Service
agency having jurisdiction, are equivalent. An agreement between the water supplier and the consumer
Backpressure that specifies the obligation and responsibilities of each in
A pressure differential where the downstream (outlet) order for service to be provided.
pressure is greater than the upstream (supply) pressure and Confined Space
the pressures are greater than atmospheric. An area large enough for an employee to enter fully and
Backsiphonage perform assigned work, it is not designed for continuous
The backflow of water in the potable water supply system occupancy by the employee and has a limited or restricted
or the potable water distribution systems as a result of the means of entry or exit.
pressure in the water system becoming less than atmospheric. Consumer
Barometric Loop An individual receiving service from a potable water system
A fabricated piping arrangement rising at least 35 feet at purveyor.
its topmost point above the highest fixture it supplies; used Containment
in water supply systems to protect against backsiphonage. A backflow prevention policy of installing protection at
It may not be used to protect against backpressure. Its the point of entry to the water distribution system service
operation, in the protection against backsiphonage, is based connection.

FOR CERTIFICATION CLASS USE ONLY

upon the principle that a water column, at sea level pressure,
will not rise above 33.9 feet under an applied vacuum. Contaminant
1. Any substance (solid, liquid or gas) which, if introduced
Bypass into a potable water supply, would cause it to be unfit for
Any arrangement of pipes, plumbing or hoses designed human consumption. 2. An impairment of the quality of
to divert the flow around an installed device or assembly the water that creates an actual health hazard to the public
through which the flow normally passes. through poisoning, or through the spread of disease by
Cavitation sewage, industrial fluids or waste.
1) The formation and sudden collapse of vapor bubbles in Continuous Pressure
a liquid, caused when the pressure of the liquid falls below A condition where upstream pressure is applied continuously
its vapor pressure. 2) A vacuum created when the discharge (more than 12 hours) to a device or assembly, which
capacity of a pump exceeds the replacement in the suction can cause mechanical parts within a backflow preventer
line, causing bubbling and vibrations that can damage the to become stuck or frozen in place, thus causing it
pump over time. to malfunction.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 151

Issued: March 2022
Control Valve Disc Holder
An indicating valve employed to control (shut) a supply of A part which actually holds the disc, usually within a
water to a sprinkler system. depression (this can also be a poppet or stem).
Critical Installation Level Disc Retainer
A designated operational limitation prescribing a safe height A flat washer-like part which holds the disc in the disc holder.
for the installed vacuum breaker above the flood level rim of
the fixture or receptacle served. In absence of physical mark Distribution System
on the device, indicating a height measurement reference All pipes, fittings, fixtures used to convey liquid or gas from
point, the extreme bottom of the device shall be considered one point to another.
this height reference point. Double Check Backflow Prevention Assembly (ASSE 1015)
Critical Level Marking An assembly composed of two independently operating
A point on a backflow preventer that specifies the minimum check valves, resilient seated shutoff valves at each end of
elevation above the flood level rim of the fixture served. the assembly and fitted with properly located test cocks.

Cross-Connection Double Check Detector Backflow Prevention Assembly

An actual or potential connection between two pipes in (ASSE 1048)
the same water supply system or between two otherwise A specially designed assembly composed of a line-sized
separated water supply systems – one containing potable approved double check valve assembly with a specific bypass
water and the other containing a substance of unknown or including a water meter and an approved double check valve
questionable safety. assembly (type one), or a specific bypass water meter and an
approved single check assembly (type two). The meter shall
Cross-Connection Control Surveyor/Specialist register accurately for only very low rates of flow and shall
See Backflow Surveyor/Specialist. show a registration for all rates of flow.
Dedicated Line Dry Pipe Sprinkler System
A service line or branch designed to supply only one specific A fire suppression system in which water is not present in
system or fixture. the piping until the system operates. Used in spaces in which
the ambient temperature may be cold enough to freeze the
Degree of Hazard water in a wet-pipe system.
Derived from the evaluation of a condition within a water
system that can be classified as either a “health (high) hazard” Dual Check Valve (ASSE 1024)
or “non-health (low) hazard.” A device composed of two independently acting check valves,
internally forced loaded to a normally closed position, and
Demand designed and constructed to operate under intermittent or
The estimated flow or use expected under specific operating continuous pressure conditions.
conditions.
Effective Opening
Diaphragm The minimum cross-sectional area at the point of water-
A flexible, pliable barrier that provides a separation between supply discharge, measured or expressed in terms of the
two areas. diameter of a circle or, if the opening is not circular, the
Differential Pressure diameter of a circle of equivalent cross-sectional.
The difference in pressure of the fluid between two points Fire-Sprinkler System Cross-Connection Control Tester

FOR CERTIFICATION CLASS USE ONLY

in a piping system. A competent individual who is certified to make inspections,
Direct Cross-Connection test and report on backflow prevention assemblies utilized
An arrangement of pipes, fixtures or devices connecting a in fire-sprinkler systems. To become and remain certified, this
potable water supply directly to a non-potable source that individual shall successfully complete the certification and
may be subjected to backpressure or backsiphonage. continuing education requirements through a certification
program for backflow prevention testers of fire-sprinkler
Direction of Flow systems that is recognized by the regulatory agency having
1) The path a liquid follows through an assembly, as jurisdiction. Also, this individual shall be conversant with
mandated by the manufacturer’s design specifications. applicable laws, rules and regulations, be employed by a
2) The intended or designed flow path in a piping system contractor, have demonstrated competency in plumbing, or
of a gas or fluid. have qualifications which, in the opinion of the regulatory
Disc agency having jurisdiction, are equivalent.
A rubberized part that makes a seal against another surface
(generally the seat).

152 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Flood Level Rim Hydrostatic Test
The edge of the receptacle from which water overflows. The A test of a closed piping system and its attached appurtenances
level from which liquid will flow to the floor when all drain consisting of subjecting the piping to an increased internal
and overflow openings built into the device are obstructed. pressure for a specified period of duration to verify system
The lowest point in a receptacle from which water overflows. integrity and leak rates.
Flow Rate Indicating Valve
The quantity of water flowing, in a unit of time, often given A valve that has components that show if the valve is open
in gallons per minute or gallons per hour. or closed. Examples are outside screw and yoke (OS&Y)
gate valves and ball valves.
Friction
Resistance to the relative motion of a liquid or body, sliding, Indirect Cross-Connection
rolling or flowing over another with which it is in contact. A cross-connection that may be subject to backsiphonage
The resultant drag or diminishment of velocity of a fluid at only.
the surface with which it is in contact.
Isolation
Gauge A backflow prevention policy of installing protection at the
A device or instrument for measuring, registering point of use.
measurements or testing.
Labeled
Gauge Pressure Equipment or materials to which has been attached a
The pressure at a point in a fluid above that of the label, symbol or other identifying mark of an organization
atmosphere. Compare with absolute pressure. that is acceptable to the authority having jurisdiction
and concerned with product evaluation, that maintains
Hanger periodic inspection of production of labeled equipment or
Something that hangs, overhangs or is suspended. A device materials, and by whose labeling the manufacturer indicates
or contrivance by which, or to which, something is hung or compliance with appropriate standards or performance in
hangs. Devices for supporting and securing pipe, fixtures and a specified manner.
equipment to walls, ceilings, floors or any other structural
member. Laminar Flow
Fluid flow in which the fluid particles move in layers in
Head Pressure straight, parallel paths and the viscosity of the fluid is
Pressure created by the weight of a given height (or depth) dominant.
of water column at its bottom end.
Liability
Hose Connection Backflow Preventer (ASSE 1052) Legally responsible for or being obligated by law for the
A backflow prevention device designed to be connected to protection of the potable water supply.
a hose threaded outlet on a potable water system, consisting
of two independent check valves force loaded in the closed Listed
position with an atmospheric vent located between the two Equipment, materials or services included in a list published
check valves, which is force loaded in the closed position by an organization that is acceptable to the authority having
and provided with a means for attaching a hose. jurisdiction and concerned with evaluation of products or
services, that maintains periodic inspection of production
Hose Connection Vacuum Breaker (ASSE 1011) of listed equipment or materials, or periodic evaluation of
A backflow prevention device containing a check valve and

FOR CERTIFICATION CLASS USE ONLY

services, and whose listing states that either the equipment,
a vacuum breaker designed to be installed on the discharge material or service meets appropriate designated standards
side of a hose bibb or sill cock. or has been tested and found suitable for a specified purpose.
Hydraulic Main Drain (Fire Protection)
Operated by or employing water or other liquids in motion. The primary drain connection located on the system riser
Operated by water, or other liquids, under pressure. and also utilized as a flow test connection.
Hydraulic Calculation Mainline Valve Assembly
The practice of calculating the flow of liquids through a The primary valve assembly in a double check valve detector
medium (usually a piping network). assembly or reduced pressure detector assembly in relation
Hydraulically Designed System to the smaller bypass assembly that contains the flow meter.
A system designed and sized to supply the proper amount Maximum Contaminant Level (MCL)
of liquid to each fixture or terminal at the proper pressure The legally enforceable standard that applies to public water
and volume. systems. Primary standards protect public health by limiting
the levels of contaminants in drinking water.

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 153

Issued: March 2022
Negative Pressure Pressure Loss
Pressure that is less than atmospheric. In a piping system The reduction of pressure that occurs when liquid passes
it can induce a partial vacuum that can siphon fluids back through an assembly. The decrease in pressure in a piping
into the potable water distribution system. systems due to the resistance caused by pipes, fittings, valves,
filters, water meters, backflow assemblies, etc.
Negligence
Not meeting one’s responsibilities and causing harm. The Pressure Vacuum Breaker Assembly (PVB, ASSE 1020)
failure to exercise the care that a prudent individual usually The term shall apply to an assembly containing an
exercises. independently operating loaded check valve and an
independently operated loaded air inlet valve located on
Non-Potable Water or System the discharge side of the check valve. The assembly is to
Water not safe for drinking, personal or culinary use. be equipped with properly loaded test cocks and tightly
Pathogen closing shutoff valves located at each end of the assembly.
A disease causing agent or organism. This assembly is designed to protect against a health hazard
(i.e. contaminant) under a backsiphonage condition only.
Permit Required Confined Space
A confined space that contains or has the potential to Primacy
contain a hazardous atmosphere, contains a material with The responsibility for ensuring that a law is implemented,
the potential to engulf someone who enters the space, has and the authority to enforce a law and related regulations.
an internal configuration that might cause an entrant to be A primacy agency has the primary responsibility for
trapped or asphyxiated by inwardly converging walls or be administrating and enforcing regulations.
a floor that slopes downward and tapers to a smaller cross Public Notification
section; and/or contains any other recognized serious safety A program intended to ensure that consumers will always
or health hazards. know if there is a problem with their drinking water. These
Point of Service notices immediately alert consumers if there is a serious
See SERVICE CONNECTION. problem with their drinking water that may pose a risk to
public health.
Poison
A substance that can injure, impair or cause death to a living Qualified Individual
organism. See COMPETENT INDIVDUAL.

Pollutant Reduced Pressure Principle Backflow Prevention Assembly

A substance that deteriorates the aesthetic quality of potable (ASSE 1013)
water or other materials, but is not harmful to health. An assembly containing two independently acting, approved
Pollutants are considered non-health hazards. check valves, together with a hydraulically operating,
mechanically independent pressure differential relief valve
Poppet located between the check valves and, at the same time,
A valve that floats free or is lifted bodily from its point of below the first check valve. The unit shall include four
sealing (usually the seat) instead of being hinged. properly located test cocks and tightly closing shutoff valves
Potable Water at each end of the assembly.
1) Water that is suitable for drinking, culinary, and personal Reduced Pressure Detector Backflow Prevention Assembly
purposes. 2) Water free from impurities present in amounts (ASSE 1047)

FOR CERTIFICATION CLASS USE ONLY

sufficient to cause disease or harmful physiological effects. A specially designed assembly composed of a line-sized,
3) Water from any source that has been approved for human approved reduced pressure principle assembly with a specific
consumption by the health agency having jurisdiction. bypass water meter and an approved reduced pressure
Pressure principle assembly (type one), or a specific bypass water
The force exerted on a surface expressed as force acting per meter and an approved single check assembly (type two).
unit area. P=F/A Common units of pressure are pounds per The meter shall register accurately for only very low rates of
square inch (PSI), kilopascals (kPa), bar and kilograms per flow and shall show a registration for all rates of flow.
square centimeter (kg/cm2). Residual Pressure
Pressure, Differential 1) The minimum pressure required at the most remote
The difference in pressure of the fluid between two points fixture in the plumbing system (i.e. the pressure at the highest
in a piping system (i.e. the difference between the inlet and fixture). 2) Water pressure less than static pressure that varies
outlet on a water filter or backflow preventer). with flow rate. See flowing pressure.

154 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
Safe Drinking Water Act located in an appendix or annex, footnote or fine-print note
Act of 1974, the Federal Government established national and are not to be considered a part of the requirements of
standards of safe drinking water. through the Environmental the standard.
Protection Agency (EPA).
Static Pressure
Seat The pressure that exists at a given point under normal
The fixed portion of a valve, usually a smooth surface, to distribution system conditions, measured with no
receive a moving stem, disc or gate and thereby accomplish water flowing.
a seal.
Stem
Service Connection A usually threaded shaft attached to a valve disc by which
The terminal end of a service connection from the public the valve is opened or closed.
potable water system where the water purveyor may lose
jurisdiction and sanitary control over the water at its point Submerged Inlet
of delivery to the consumer’s water system. If a meter is The opening of a water supply inlet below the flood level
installed at the end of the service connection, then the service rim of a receptacle.
connection shall mean the downstream end of the meter. Supervisory Device
Shall A device arranged to supervise the operative condition of
The term, when used in a plumbing code, has a mandatory automatic sprinkler systems.
meaning. Compare “may,” which is permissive rather than Supervisory (Tamper) Switch
mandatory. A mandatory requirement. A device attached to the handle of a valve that, when the valve
Should is operated, annunciates a trouble signal at a remote location.
A term that indicates a feature which is desirable but not Supply Pressure
mandatory. Indicates a recommended procedure, technique. 1) The pressure supplied from street main or other main
Sight Tube supply source. 2) The water distribution system pressure
A clear tube, calibrated in inches of water column, used to available at the utility service connection.
test certain types of backflow prevention equipment. System Pressure
Spill Resistant Vacuum Breaker (SRVB, ASSE 1056) The pressure within the system (e.g. above the control valve).
An assembly containing an internally loaded check valve and Test Cock
internally loaded air inlet valve located on the discharge side An appurtenance on an assembly or valve that is used when
of the check valve. This assembly is to be equipped with a testing the assembly.
properly located resilient seated test cock, a properly located
bleed/vent valve, and tightly closed resilient sealed shutoff Tester
valves attached at each end of the assembly. This assembly is See BACKFLOW PREVENTION ASSEMBLY TESTER.
designed to prevent water spillage at the air inlet valve, and Thermal Expansion
to protect against a backsiphonage condition only. The dimensional change in an object or substance due to
Sprinkler System (Fire Protection) temperature changes when pressure is constant.
An integrated fire protection system of piping designed Toxic
in accordance with fire-protection engineering standards, A substance that is poisonous and capable of causing injury

FOR CERTIFICATION CLASS USE ONLY

including one or more automatic water supplies, a network or death. A toxin may be ingested, inhaled or absorbed
of specially sized or hydraulically designed piping, sprinklers, through the skin. A substance that has not been approved
valves and a device for actuating an alarm when the system for human consumption by the health agency having
is in operation. jurisdiction.
Sprinkler System (Irrigation) Turbulence
A system of piping and other components which includes 1) A fluid flow in which the velocity varies erratically in
the water source, water distribution network, control magnitude and direction. 2) An essentially variable and
components, emission devices and possibly other general disturbed flow of liquid or air.
irrigation equipment.
Vacuum
Standard A pressure less than atmospheric pressure and sometimes
A document, the main text of which contains only referred to as suction. It is usually measured by the number
mandatory provisions using the word “shall” to indicate of inches of mercury below atmospheric pressure.
requirements and which is in a form generally suitable
for mandatory reference by another standard or code for
adoption into law. Non-mandatory provisions shall be

ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard 155

Issued: March 2022
Vacuum Breaker
A device to prevent the creation or formation of a vacuum
by admitting air at atmospheric pressure and used to prevent
backsiphonage.
Valve
A device by which the flow may be started, stopped or
regulated by a moveable part that opens or obstructs
the passage.
Venturi Tube
A short tube with flared ends and a narrow middle, used to
measure fluid flow.
Venturi Effect
In fluid dynamics, a physical principle stating that as the
speed of a moving fluid increases, the pressure within the
fluid decreases. Also known as the Bernoulli’s principle.
Water
An odorless, tasteless, slightly compressible liquid consisting
of an oxide of hydrogen. Water consists of the proportion of
two atoms of hydrogen to one atom of oxygen (H2O). It is a
liquid, which at sea level, freezes at 32°F (0°C), and boils at
212°F (100°C). It has a maximum density at 39.2°F (4°C).
Water Purveyor
1) Any agency charged with the delivery, distribution
and protection of potable water to the consumer. 2) The
municipal water department, water board, public service
district or other administrative authority invested with the
authority and responsibility for the implementation of a
cross-connection control program and for the enforcement
of the provisions of the ordinance.
Water Supply
The sources of water for public or private use. Furnishing
potable water under pressure for domestic, commercial,
industrial and public service use.
Waterborne Disease
Any disease that is primarily transmitted through water (i.e.
typhoid, cholera, giardiasis).
Water Flow Alarm/Detector

FOR CERTIFICATION CLASS USE ONLY

A sounding device activated by a water flow check valve.
Wet Pipe Sprinkler System
A type of fire suppression system employing automatic
sprinklers attached to piping containing water under pressure
at all times.
Working Pressure
The maximum pressure in a water piping system, or its
appurtenances, allowable under normal working conditions
(i.e. the maximum pressure a storage tank can be subjected
to under normal working conditions).

156 ASSE/IAPMO/ANSI Series 5000 Professional Qualifications Standard

Issued: March 2022
FOR CERTIFICATION CLASS USE ONLY
FOR CERTIFICATION CLASS USE ONLY
FOR CERTIFICATION CLASS USE ONLY
 FOR CERTIFICATION CLASS USE ONLY

ASSE International Chapter of IAPMO, LLC

18927 Hickory Creek Drive, Suite 220 | Mokena, Illinois 60448
(708) 995-3019 | www.asse-plumbing.org