Hose Inspection Checklist
Complete this checklist to document the inspection and condition of hoses. Ensure all items are reviewed for safety and compliance.
Hose Identification Number or Tag
*
Location of Hose
*
Date of Inspection
*
-
Month
-
Day
Year
Date
Inspector Name
*
First Name
Last Name
Type of Hose
*
Please Select
Rubber
PVC
Metal
Composite
Other
Inspection Checklist
*
Rows
Satisfactory
Unsatisfactory
Not Applicable
No visible cracks or cuts
1
2
3
No signs of leakage
4
5
6
Fittings securely attached
7
8
9
No bulges, blisters or soft spots
10
11
12
Correct hose length and diameter
13
14
15
Proper pressure rating visible
16
17
18
No signs of abrasion or wear
19
20
21
Proper storage (not kinked or twisted)
22
23
24
Are there any defects or issues found during the inspection?
*
No issues found
Issues found
If issues were found, please describe them below:
Recommendations or corrective actions (if any):
Upload photos of the hose (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: