Fire Hydrant Inspection Report
Complete this form to document the inspection and condition of a fire hydrant.
Hydrant Location
*
Hydrant Identification Number
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Physical Condition of Hydrant
*
Good
Minor Damage
Major Damage
Out of Service
Accessibility
*
Clear and Accessible
Obstructed
Partially Obstructed
Caps and Outlets Condition
*
All Present and Functional
Some Damaged or Missing
All Damaged or Missing
Leaks Observed
*
No Leaks
Minor Leak
Major Leak
Visibility (Paint, Markings, Reflectors)
*
Highly Visible
Partially Visible
Not Visible
Operational Test Result
*
Operates Normally
Stiff or Difficult to Operate
Inoperable
Inspection Checklist
Barrel Drained
Chain Attached
Outlet Threads Lubricated
No Vegetation Blocking
Additional Comments or Findings
Submit Inspection
Should be Empty: