9927 Template 2023-2025 Form

Understanding the 9927 Template

The 9927 template, also known as the Wisconsin Cross Connection Control Performance Form, is essential for documenting plumbing inspections in the state of Wisconsin. This form is used to verify compliance with state regulations regarding cross-connection control, which is crucial for protecting the public water supply. The form is designed to be straightforward, allowing inspectors to record findings and ensure that all necessary checks are completed.

Steps to Complete the 9927 Template

Completing the 9927 template involves several key steps to ensure accuracy and compliance. First, gather all relevant information about the property being inspected, including the address and any previous inspection records. Next, follow these steps:

• Fill in the property details, including the owner's name and contact information.
• Document the specific cross-connection devices present at the site.
• Record the results of the inspection, noting any issues or necessary repairs.
• Sign and date the form to confirm that the inspection was conducted.

Ensure that the form is submitted to the appropriate local authority to maintain compliance with state regulations.

Legal Use of the 9927 Template

The 9927 template is legally recognized in Wisconsin as a formal document for plumbing inspections. It serves as proof that a cross-connection inspection has been conducted in accordance with state laws. Proper completion and submission of this form can help avoid potential legal issues related to water safety and compliance. It is advisable to keep a copy of the completed form for your records.

Required Documents for the 9927 Template

When preparing to complete the 9927 template, certain documents may be required to ensure a thorough inspection. These include:

• Previous inspection reports, if available.
• Documentation of any repairs or maintenance performed on cross-connection devices.
• Manufacturer specifications for installed devices.

Having these documents on hand can facilitate a more efficient inspection process and help ensure that all necessary information is accurately recorded on the form.

Who Issues the 9927 Template

The 9927 template is issued by the Wisconsin Department of Safety and Professional Services (DSPS). This department oversees plumbing regulations in the state and provides the necessary forms and guidelines for compliance. It is important for inspectors and property owners to stay informed about any updates or changes to the form by regularly checking the DSPS website.

Examples of Using the 9927 Template

Practical applications of the 9927 template include various scenarios where plumbing inspections are required. For instance:

• When a new commercial building is constructed, the 9927 template is used to ensure that all plumbing systems meet safety standards.
• Existing buildings undergoing renovations may require a cross-connection inspection documented on the 9927 template to ensure compliance with updated regulations.
• Regular inspections of public facilities, such as schools and hospitals, utilize the 9927 template to maintain water safety standards.

These examples illustrate the importance of the 9927 template in maintaining public health and safety in Wisconsin.