Backup Hoseline Inspection Checklist Form
Use this checklist to inspect and confirm the condition and readiness of the backup hoseline.
Visual Condition of Hoseline (check for cracks, abrasions, or damage)
*
Good
Minor Wear
Needs Repair/Replace
Hose Couplings Secure and Free of Leaks
*
Yes
No
Pressure Test Passed
*
Yes
No
Hose Properly Laid Out and Easily Deployable
*
Yes
No
Nozzle Present and Functional
*
Yes
No
Hose is Clean and Free of Debris
*
Yes
No
Hose Properly Stored and Secured
*
Yes
No
Hoseline is Clearly Labeled
*
Yes
No
Hoseline is Accessible and Not Blocked
*
Yes
No
Additional Comments or Observations
Submit Inspection
Should be Empty: