Weekly Hydrant check fortunato

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

• Weekly Hydrant check

  Yes

  No

  N/A

• Hydrant Number

• Location

• Wheel Present

  Yes

  No

  N/A

• Gasket

  Yes

  No

  N/A

• Jetty

  Yes

  No

  N/A

• Jetty

  Yes

  No

  N/A

• Jetty

  Yes

  No

  N/A

Diesel Pump

• Diesel pump start

  Yes

  No

  N/A

• No leaks on the pump

  Yes

  No

  N/A

• Diesel pump fuel Level

  Yes

  No

  N/A

• Pump operational

  Yes

  No

  N/A

Electrical Pump

• Electrical pump start

  Yes

  No

  N/A

• Pump operational

  Yes

  No

  N/A

Jockey Pump

• Jockey pump start

  Yes

  No

  N/A

• Pump operational

  Yes

  No

  N/A

• Signature:

  Sign

• Checked by:

• Date:

  Date