Fire Hydrant System Service Record Bi Annual

• Report number

• Report type

  Hydrant System Biannual report

  Hydrant System re inspection
• Location
  Address

• Conducted on

  Date

• Prepared by

  Select

• HOLLAND BROS PLUMBING (NSW) PTY LTD

• 2/14 Chicago Ave, Blacktown NSW 2148

• Phone: 9764 2790 Mobile: 0414 244 635

• ABN: 51 003 968 616 LIC NO: 223351C

• Email: martin@hollandbrosplumbing.com.au

• Website: www.hollandbrosplumbing.com.au

Water supply stop valves and isolation valves

• OPERATE (two full turns) all water supply stop valves (including backflow prevention and underground key operated except where owned by the water supply authority) and verify they are fully open, secure in the open position (relaxed 1/4 turn if appropriate) and are correctly labeled

• Street isolation valve operational and in full open position

  Pass

  Fail

  N/A

• Street isolation valve Photo

  Media

• Backflow valve

  Pass

  Fail

  N/A

• Backflow valve photo

  Media

• Booster assembly valve 1

  Pass

  Fail

  N/A

• Booster assembly valve 1 photo

  Media

• Booster assembly valve 2

  Pass

  Fail

  N/A

• Booster assembly valve 2 photo

  Media

• Hydrant system ring main valve 1

  Pass

  Fail

  N/A

• Hydrant system ring main valve 1 photo

  Media

• Hydrant system ring main valve 2

  Pass

  Fail

  N/A

• Hydrant system ring main valve 2 photo

  Media

• All isolation valves strapped and locked with 003 locks

  Pass

  Fail

  N/A

Booster Assembly

• CHECK all booster assemblies: (A) Are accessible (B) Hand wheels securely fitted (C) Pressure gauges and blanking caps, where fitted, are in good condition (D) For condition of washers on booster assembly connection inlets (E) For legible labeling indicating maximum system working pressure

• Fire hydrant booster assembly

  Pass

  Fail

  N/A

• Fire hydrant booster assembly photo

  Media

Block Plan

• CHECK for legibility and appropriate location

• Block plan at booster assembly

  Pass

  Fail

  N/A

• Block plan at booster assembly photo

  Media

• Block pland at FIP

  Pass

  Fail

  N/A

• Block plan at FIP photo

  Media

Hydrant Valves

• CHECK all hydrant landing valves (A) Are accessible (B) Hand wheels are securely fitted (C) Blanking caps, where fitted, are in good condition

• (A) Open each landing valve with gauge on and upload photo of valve and gauge (B) Upload image of tag stamped with updated date.

Hydrant

• Hydrant in good working order and no visible damage or leaks

  Yes

  No

  N/A

• Hydrant open photo

  Media

• Hydrant tag photo

  Media