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Water fittings contractor record: free blank PDF

Download a printable water fittings contractor record for England, Wales. The PDF contains the record sections shown below and writing space for the actual findings.

Download the blank printable PDF for free.

Free blank Water fittings contractor record form

Print the blank record and keep the completed copy with the job. The preview shows the actual blank download.

Blank Water Fittings Regulations Contractor's Certificate form

PDF

First page of the Water Fittings Regulations Contractor's Certificate PDF rendered by Tradehand

Record scope and contents

England, Wales. The actually approved contractor with the approval details and scope for the work recorded.

  • Record Details: Certificate or reference No, New supply, Internal, External
  • Work date: Date work completed
  • Work location: Work jurisdiction
  • Approved contractor: Company Name, Phone, Email, Scheme, Membership no., Membership expiry, Member name
  • Name and address of the person who commissioned the work (the customer): Customer name, Customer address, Customer postcode, Customer phone, Customer email
  • Premises: Site address, Site postcode, Plot No
  • Water undertaker: Water undertaker
  • Work completed: Work completed
  • Fittings installed
  • Regulation 5: Notice given, Water company reference, Consent, Consent conditions
  • Backflow protection: Backflow protection fitted, Highest fluid category, Device
  • Compliance: Complies?, Non-compliance detail
  • Contractor’s certificate: Work complies, Does not comply, Print, Date, Signed

Primary source for this record · checked 2 October 2026

What the Water fittings contractor record covers

Record the water-fittings work, installation, contractor's approval details and declaration for the applicable England and Wales scope. The contractor must hold the actual approval required to issue a contractor's certificate. This Tradehand record does not grant WIAPS, WaterSafe or water-undertaker approval.

Who needs one

  • The actually approved contractor with the approval details and scope for the work recorded.
  • Record scope: England, Wales.
  • Keep the completed record with the source documents, findings and job reference.

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