Information

  • Welcome to the Hose Survey Tool.

    INSTRUCTIONS:
    Step one - Enter site information
    Step two - Get approval to take photographs
    Step three - Add the first location
    Step four - Add the hose and other recommendations observed at that location
    Step five - Add the next location, etc
    Step six - When all locations are completed press finish audit and export report as a Word document
    Step seven - Edit on your computer and submit to your customer

  • Client

  • Site name

  • Location
  • Site photo

  • Conducted on

  • Document No.

  • Site contact person

  • Site contact email address

  • Site contact phone

  • Survey conducted by

Photographs

Authority for taking photographs

  • Explain to the customer that this survey requires you to take photos and that these will only be used for the purpose of providing this site inspection and making recommendations.

  • Authority to take photos has been provided.

  • Signed by Customer Representative

  • Photographs will only be taken and used for the purpose of completing this survey.

  • Signed by Supplier Representative

Survey

  • ADD LOCATIONS -

  • LOCATION
  • Location name/description

  • Photograph of location

  • Asset Number
  • Add Hoses for this location -

  • Photograph of Hose

  • Additional Location Information

  • Info-Chip RFID Number

  • 1 - Hose End "A"

  • 2 - Attachment method "A"

  • Hose End "A"

  • 3 - Hose End "B"

  • 4 - Attachment method "B"

  • Hose End "B"

  • 5 - Hose ID - MM

  • 6 - Hose OAL - MM

  • 7 - Media

  • 8 - Hose Type

  • 9 - Max Operating Pressure

  • 10 - Max Operating Temp

  • 11 - Additional information

  • Additional Photos

  • If you have finished Audit press "Complete "

  • Go back up and add the next requirements or start a new location by pressing "+ Add"

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.