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Fire Hydrant 6 Monthly Routine Maintenance
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Person completing the testing
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Last Name
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Site
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Date
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Date
Year
Month
Day
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Testing to be completed on this visit
Monthly
6 Monthly
Yearly
5 Yearly
Fire Alarm
Yes
No
N/A
Yes
No
N/A
Row 0, Column 0
Yes
No
N/A
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Row 0, Column 1
Yes
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N/A
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Row 0, Column 2
Yes
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N/A
Yes
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Row 0, Column 3
Fire Extinguishers
Yes
No
N/A
Yes
No
N/A
Row 1, Column 0
Yes
No
N/A
Yes
No
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Row 1, Column 1
Yes
No
N/A
Yes
No
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Row 1, Column 2
Yes
No
N/A
Yes
No
N/A
Row 1, Column 3
Fire Sprinklers
Yes
No
N/A
Yes
No
N/A
Row 2, Column 0
Yes
No
N/A
Yes
No
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Row 2, Column 1
Yes
No
N/A
Yes
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Row 2, Column 2
Yes
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Yes
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Row 2, Column 3
Hydrants
Yes
No
N/A
Yes
No
N/A
Row 3, Column 0
Yes
No
N/A
Yes
No
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Row 3, Column 1
Yes
No
N/A
Yes
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Row 3, Column 2
Yes
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Yes
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Row 3, Column 3
Pumps
Yes
No
N/A
Yes
No
N/A
Row 4, Column 0
Yes
No
N/A
Yes
No
N/A
Row 4, Column 1
Yes
No
N/A
Yes
No
N/A
Row 4, Column 2
Yes
No
N/A
Yes
No
N/A
Row 4, Column 3
Fire Hose Reels
Yes
No
N/A
Yes
No
N/A
Row 5, Column 0
Yes
No
N/A
Yes
No
N/A
Row 5, Column 1
Yes
No
N/A
Yes
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Row 5, Column 2
Yes
No
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Row 5, Column 3
Gas System
Yes
No
N/A
Yes
No
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Row 6, Column 0
Yes
No
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Yes
No
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Row 6, Column 1
Yes
No
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Yes
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Row 6, Column 2
Yes
No
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Yes
No
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Row 6, Column 3
Fire Alarm
Fire Extinguishers
Fire Sprinklers
Hydrants
Pumps
Fire Hose Reels
Gas System
Monthly
Yes
No
N/A
Yes
No
N/A
Row 0, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 0, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 0, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 0, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 1, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 1, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 1, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 1, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 2, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 2, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 2, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 2, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 3, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 3, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 3, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 3, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 5, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 5, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 5, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 5, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 6, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 6, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 6, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 6, Column 3
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2.1 Monthly Service
Where pumpsets are fitted complete all pumpset monthly service activities, as listed in Table 3.4.1.
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2.2 Water Supply Valves & Isolating Valves
2 If a valve list does not exist, it should be developed during this activity. See Appendix C.
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2.3 Hydrant Valves Above Ground
CHECK all hydrant valves: (a) Are accessible. (b) Hand-wheels are securely fitted. (c) Blanking caps, where fitted, are in good condition.
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2.4 hydrant Valves Below Ground
CHECK all hydrant valves: (a) Are accessible. (b) Blanking caps, where fitted, are in good condition. (c) Check cover plate for ease of opening. (d) Not leaking.
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2.5 Booster Assembly
(f) For legibility of hydrant system block plan where fitted..
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2.6 Remote pump Starting
DEPRESSURIZE the hydrant system(s) at the most hydraulically disadvantaged hydrant and CHECK that the pump starts.
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2.7 Hydrant & Booster Connections
CHECK that all hydrant and booster connection points are compatible with local brigade requirements.
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2.8 Hydrant Hose Where Fitted
CHECK all branch pipes, nozzles and hose couplings are in good condition, compatible with the hydrant valves and properly stowed.
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2.9 Foam Concentrate & Loose Equipment
CHECK: (a) Equipment provided in the cabinet is in accordance with the cabinet contents list. (b) Equipment items are compatible and in good condition. (c) Foam concentrate containers are in good condition, seals are intact and the labels are legible. NOTE: Storage of foam concentrate in aggressive environments may require testing or replacement of the concentrate. (d) Signage for legibility.
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2.10 Cabinets
CHECK that all hydrant and booster cabinets or enclosures are accessible, clear of extraneous materials, clearly and correctly marked and in good condition.
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2.11 Pressure Reducing/Limiting Valves
CHECK pressure readings on the low side of pressure-reducing and pressure-limiting valves for deviations from designed operating pressure. NOTE: Gauges or facilities for gauges should be installed immediately upstream and downstream of the valve(s).
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2.12 Block Plan
CHECK for legibility and appropriate location.
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Test Results of devices
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Testing comments/Suggestions/Defects
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Testing comments/Suggestions/Defects Photos
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