Information
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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
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Site name
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Location
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Site photo
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Conducted on
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Document No.
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Site contact person
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Site contact email address
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Site contact phone
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Survey conducted by
Photographs
Authority for taking photographs
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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.
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Authority to take photos has been provided.
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Signed by Customer Representative
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Photographs will only be taken and used for the purpose of completing this survey.
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Signed by Supplier Representative
Survey
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ADD LOCATIONS -
LOCATION
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Location name/description
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Photograph of location
Asset Number
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Add Hoses for this location -
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Photograph of Hose
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Additional Location Information
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Info-Chip RFID Number
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1 - Hose End "A"
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2 - Attachment method "A"
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Hose End "A"
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3 - Hose End "B"
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4 - Attachment method "B"
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Hose End "B"
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5 - Hose ID - MM
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6 - Hose OAL - MM
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7 - Media
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8 - Hose Type
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9 - Max Operating Pressure
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10 - Max Operating Temp
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11 - Additional information
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Additional Photos
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If you have finished Audit press "Complete "
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Go back up and add the next requirements or start a new location by pressing "+ Add"
