Title Page
Interflow High Pressure Hose Inspection
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Region
- QLD - Northern
- VIC/SA/TAS - Southern
- WA
- NSW/ACT
- NZ
- Other
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Identify your Region
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Conducted on
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Location
Hose Inspector Details
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Inspector Name
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Responsible Foreman (For Plant being inspected)
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Have you received training and been endorsed to perform Hose Inspections?
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YOU ARE NOT ENDORSED TO PERFORM INSPECTION - SPEAK WITH YOUR REGIONAL OPERATIONS MANAGER
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Are you aware of the operator Pre-use Inspection requirements?
Asset
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Asset Type
- Jet Truck
- Recycler
- Dingo/ Easement Reel
- Trailer Jetter
- Mini Jetter
- Coatings Jetter
- Other
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Add detail of Item
Add Photo/s of Item
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Add media
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Registration (If applicable)
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Fleet ID/ Asset Number (If applicable)
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Can the HOSE BRAND be identified?
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Can the HOSE DIAMETER be identified?
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Is the HOSE WORKING PRESSURE (PSI) - Printed on the hose?
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Is the REINFORCING BRAID visible? IF YES add PHOTO/s where applicable
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STOP!!!!!IMMEDIATELY ESCALATE via Chain of command
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Are Hose Kinks visible? - IF YES add PHOTO/s where applicable
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Is Hose Crush visible? - IF YES add PHOTO/S where applicable
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Is the Hose of repairable length?
Interflow Representative/s Completing Hose Inspections
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First and Last Name