Conduit Mandrel Test Report Form
Complete this form to document conduit mandrel test results, specifications, and verification details.
Job/Test Identification Number
*
Project Name or Location
*
Test Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Conduit Size
*
Please Select
2 inch
3 inch
4 inch
6 inch
Other
Conduit Type
*
Please Select
PVC
Steel
HDPE
Other
Mandrel Size (Diameter)
*
Please Select
1.5 inch
2.5 inch
3.5 inch
Custom Size
Mandrel Length
*
Please Select
6 inch
8 inch
12 inch
Custom Length
Test Result
*
Pass
Fail
Obstructions or Issues Found
*
No Obstructions
Minor Debris
Major Blockage
Other
Inspector Name
*
First Name
Last Name
Submit Report
Should be Empty: