Edithvale Fire Brigade - Hose Testing

• Edithvale Fire Brigade - Hose Testing Document Version: 1.7 - January 2015

• Conducted on

  Date

ATTENTION !

• Attention: This briefing must be read out and understood by all until you can proceed.
  
  This is a high risk activity that involves testing 65mm & 38mm hoses to 1400 KPA for 3 minutes.
  
  The 25mm hose is to be only tested to 1100 KPA for 3 minutes, this test can not be performed in conjunction at the same time with any 65mm hose or 38mm hose.
  
  All persons must wear:
  - Full Structural PPE or Wildfire PPE.
  - Structure helmet (visor down) or Wildfire Helmet.
  - Gloves.
  - Steel cap / Firefighting boots.
  - Hose testing only to be conducted by an endorsed pump operator.
  - A strict NO GO ZONE, next to the outlets on the truck, during actual test of 1400KPA.
  - Ensure one inducted firefighter stands at the top of the driveway to prevent personnel access down.
  - Ensure one inducted firefighter in rear yard to prevent personnel access up the driveway.
  
  In the event of hose failure and or injury a firefighter must say the word "STOP" upon hearing this, all persons are to immediately say stop, and cease operations, and release the stored energy from the hose lines. At which time the most senior person will assess the suituation.

• I have read out the briefing and all personnel are aware and understand.

• Name of person doing induction

• Select date

  Date

• Insert names of all personnel.

65mm - Edithvale Hose Test

• 65 mm Hose

• EDITHVALE 65-01

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-02

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-03

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-04

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-05

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-06

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-07

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-08

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-09

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-10

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-11

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-12

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-13

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-14

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-15

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-16

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-17

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-18

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-19

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-20

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-21

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-22

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-23

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-24

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-25

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-26

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-27

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-28

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-29

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-30

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-31

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-32

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-33

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-34

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-35

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-36

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-37

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-38

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-39

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 65-40

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

38mm - Edithvale Hose Test

• 38 mm Hose

• EDITHVALE 38-01

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-02

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-03

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-04

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-05

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-06

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-07

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-08

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-10

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-12

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-13

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-15

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-16

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-17

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-18

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-19

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-20

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-21

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-22

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-23

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-24

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-25

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-26

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-27

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-28

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-29

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-30

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-32

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-33

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-34

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-37

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-38

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-40

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-45

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-46

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-47

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-48

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-49

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-50

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-51

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-52

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-53

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• EDITHVALE 38-55

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

65mm - South East Group Hose Test

• South East Group Hose

• SEG 65-01

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-02

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-03

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-04

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-05

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-06

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-07

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-08

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-09

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

• SEG 65-10

• Did the hose pass the 3 minute test @ 1400 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

25mm - Edithvale Hose Test

• 25mm Hose

• The EDITHVALE 25mm hose is only to be tested to 1100 KPA for 3 minutes, ensure that the hose is not being tested in conjunction with any 65mm or 38mm hose.

• I understand the above statement.

• EDITHVALE 25-01

• Did the hose pass the 3 minute test @ 1100 KPA

  Passed

  #### Failed ####

  Not Applicable

• Coupling

• How or why did hose fail?

• #### Hose condemned ####

• Details on why hose needs to be condemned!

• Your name

• Has the officer in charge of hose been notified?

  Yes

  No

  N/A - Officer only

Misc: Information

• IF the hose passed have you removed the old test date tape and placed on the new test date colour?

  Yes

  No

• Has the ALL hose, excluding dura line been washed, using the stations hose washer?

  Yes

  No

• Has the hose been correctly stowed up the tower to dry?

  Yes

  No

• Select date

  Date