Transfer Tank Hose Inspection Checklist
Complete this checklist to document the inspection of transfer tank hoses and ensure safe operation.
Inspector Name
*
First Name
Last Name
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Transfer Tank Identification Number
*
Hose Serial Number
*
Location of Inspection
Hose Inspection Criteria
*
Rows
Pass
Fail
N/A
No visible cracks, cuts, or abrasions
1
2
3
No leaks detected during operation
4
5
6
Fittings securely attached
7
8
9
Hose is properly labeled
10
11
12
No kinks or flattened areas
13
14
15
Protective covers present and intact
16
17
18
Proper hose length for application
19
20
21
Overall Condition Rating
*
1
2
3
4
5
Is the hose safe for continued use?
*
Yes
No
Requires Further Evaluation
Comments or Observations
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of
Inspector Signature
*
Submit Checklist
Submit Checklist
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