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newSchoolWorks.com › VoTechWorks › Building & Construction › Plumbing & Pipefitting › Backflow Prevention: Principles, Devices, and Field Testing › Lesson 11
BLD-PLUM06-08 · Lesson 11 · 10 clock hours · theory

Code Compliance, Survey Reports, and Local Program Requirements

Objective. The learner completes a cross-connection control survey form for a simulated building, identifies required assemblies by location, and explains the annual test and reporting obligations that the local water authority typically requires of the building owner and the licensed tester.

⚠ Pending professional review

This lesson, its worked examples and its practice questions has not yet been verified by a licensed professional engineer or master tradesperson or by a certification or approval body. It is a study draft and may contain errors. Do not use it as instructions for work on a job site or on live equipment. Always follow your instructor, your supervising professional, and current official references and regulations.

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Why Cross-Connection Control Programs Exist

Every public water system is required to protect its distribution water from contamination at the point where it enters private property. Cross-connection control programs—run by local water authorities—carry out that protection by requiring building owners to survey their plumbing systems, install approved backflow prevention assemblies, and have those assemblies tested on a schedule. As a licensed tester, you are the professional who makes the program work in the field. Understanding the legal framework helps you fill out paperwork correctly, communicate with building owners clearly, and avoid liability.

The Legal Chain: Code, Program, and Owner Obligation

Federal and state safe drinking water rules require local water suppliers to maintain a cross-connection control program. Those suppliers then pass obligations downstream to their customers—the building owners—through service agreements and local ordinances. The International Plumbing Code (IPC) and the Uniform Plumbing Code (UPC) both contain chapters addressing cross-connection control, specifying where protection is required and what degree of protection applies. Local amendments may be stricter than the model codes; always check the authority having jurisdiction (AHJ) before you specify an assembly.

The building owner is responsible for:

The certified tester is responsible for:

The Cross-Connection Control Survey Report

A cross-connection control survey is a systematic inspection of a building's plumbing to find every point where non-potable substances could enter the potable water system. The resulting survey report is a written record that documents each hazardous connection and the assembly required to protect it.

A typical survey form contains:

1. Property information – address, owner name and contact, water meter number, account number

2. Survey date and tester credentials – your name, license or certification number, and the certifying body (for example, ASSE International)

3. Hazard inventory table – one row per cross-connection listing: location in the building, connected equipment or system, degree of hazard (high or low), required assembly type, assembly manufacturer/model/serial number, and test interval

4. Installed assembly status – whether a compliant assembly is already present, needs replacement, or needs to be newly installed

5. Tester signature and date – you certify the accuracy of the report

6. Owner acknowledgment – the owner or authorized representative signs to confirm they received the findings

The water authority retains its copy to track compliance. The owner keeps a copy for their records. You keep a copy for yours.

Matching Hazard Degree to Assembly Type

The survey's most important technical judgment is matching each cross-connection to the correct assembly. The two main categories used in most programs are:

Always verify with the AHJ. Some local programs classify all commercial laundry connections as high hazard because chemical concentrations are significant.

Annual Testing and Reporting Obligations

Most local programs require each assembly to be tested at initial installation, after any repair or replacement, and at least once every twelve months thereafter. The tester uses field test procedures published by the certifying body and records differential pressure readings at each check valve or relief valve port. Those readings must meet the manufacturer's minimum performance specifications and any code-required minimums.

When an assembly fails a field test, you must:

1. Document the failure on the test report

2. Notify the building owner immediately

3. Notify the water authority promptly—many programs require same-day or next-business-day notification for high-hazard failures

4. Re-test after the assembly is repaired or replaced and submit a passing report before the file is closed

Deadlines matter. Many water authorities set a fixed date by which all reports for a given facility must be on file. Missing the deadline can result in fines to the owner and, in serious cases, termination of water service.

Safety Reminders for Survey and Testing Work

Before entering mechanical rooms or accessing assemblies:

Accurate paperwork protects the public's health. A missed cross-connection on a survey form is not just a compliance failure—it is a potential contamination event.

Key terms9

Cross-connection control surveyA systematic inspection of a building's plumbing that identifies every point where a non-potable substance could enter the potable water supply, documented in a written report submitted to the water authority.
Authority having jurisdiction (AHJ)The organization, office, or individual—such as a local water authority or building department—that is legally responsible for enforcing code requirements in a given area.
Degree of hazardA classification of the severity of potential contamination at a cross-connection: high hazard indicates a substance that is health-endangering; low hazard indicates a substance that is non-toxic or aesthetically objectionable.
Reduced-pressure principle assembly (RP)A backflow prevention assembly containing two independent check valves and a pressure-differential relief valve, required at high-hazard cross-connections to prevent both backpressure and backsiphonage.
Double check valve assembly (DC)A backflow prevention assembly containing two independently operating check valves, acceptable for low-hazard connections in most programs but not approved for high-hazard applications.
Air gapA physical separation between the water supply outlet and the flood level rim of a receiving vessel; the only backflow protection method that is entirely mechanical and non-testable in the device sense.
Test reportThe official form completed by the certified tester documenting field test gauge readings, pass or fail status, and corrective actions taken; submitted to the water authority to demonstrate assembly compliance.
Test intervalThe maximum time allowed between successive field tests of a backflow prevention assembly, typically at least once every twelve months but more frequently if required by the local program or by the assembly's condition.
Local cross-connection control programThe specific rules, forms, deadlines, and enforcement procedures adopted by a water utility or municipality to implement state and federal safe drinking water requirements for backflow prevention.
In class: Instructor-led walkthrough of a sample cross-connection control survey report; learners annotate each section noting what the tester provides versus what the building owner is responsible for · Simulated building survey: learners receive a building floor plan (commercial laundry) and complete a blank cross-connection control survey form, listing each hazardous connection, the required assembly, and the test interval · Role-play: one learner plays the certified tester explaining survey findings and reporting obligations to a building manager (played by the instructor); class evaluates clarity and accuracy using a provided rubric
Materials: Sample cross-connection control survey forms; sample local water authority cross-connection program documentation (redacted); commercial laundry floor plan handout; evaluation rubric; IPC and UPC code books
Check: Completed survey form: all cross-connections identified and correctly assigned an assembly type with code reference; role-play evaluated at 75% or higher on rubric covering accuracy, completeness, and clear communication

Practice check8

Answer each question, then check it. Nothing is recorded; this is your own practice.

ASSE Backflow – Cross-Connection Hazard Classification
1. A certified tester completes a cross-connection survey at a commercial laundry and finds a chemical injection line connected directly to the potable water supply with no backflow prevention. Which hazard classification most likely applies, and what assembly is typically required?
ASSE Backflow – Reporting Obligations
2. Under a typical local cross-connection control program, who is responsible for ensuring that a test report is submitted to the water authority by the program deadline?
ASSE Backflow – Failure Notification Procedures
3. A backflow prevention assembly at a high-hazard location fails its annual field test and cannot be repaired on the same visit. What is the tester's immediate obligation beyond documenting the failure on the test report?
ASSE Backflow – Survey Documentation
4. Which document does the certified tester sign to certify the accuracy of a cross-connection control survey's findings?
ASSE Backflow – Code and AHJ Requirements
5. A local water authority's cross-connection control program is stricter than the model IPC provisions. Which set of requirements must a certified tester follow when working in that jurisdiction?
ASSE Backflow – Survey Report Completion
6. On a cross-connection control survey form, the 'hazard inventory table' row for each connection must include which of the following items?
ASSE Backflow – Field Safety
7. Before entering an enclosed mechanical room to conduct a backflow assembly test, a tester should:
ASSE Backflow – Purpose of Periodic Testing
8. A building owner asks why the water authority requires an annual test of the reduced-pressure principle assembly on their boiler makeup water connection when the assembly appears to be working fine. What is the most accurate explanation?
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