Cross Connection Control Forms & Lists
The forms listed below are used in the regional Cross Connection Control Program in Greater Victoria. Currently, some forms are available only in PDF format. In the future, we plan to make all forms available for electronic data entry.
Forms
- Annual Backflow Prevention Assembly Test Report (PDF
) (interactive form) - Annual Backflow Prevention Assembly REPAIR Test Report (PDF )
- Design Level Survey Form (PDF ) (interactive form)
- BFP Testers Annual Registration (PDF ) (interactive form)
Lists
- Hazard Type List (PDF )
- Facility Type Table (PDF )