Pressure Washer Inspection Form
If any of the inspection questions are "no" - the pressure washer must be removed from service.
Date
-
Month
-
Day
Year
Date
Inspector Name
Email
example@example.com
Wellsite/Yard
Activity
Drilling
Comopletions
Workover
Production
Other
Specify if other
Pressure Washer 1
Picture
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of
Type
Diesel
Water Only
Water/Soap
Other
Location
Rated PSI
Owner (Rig or 3rd Party Name)
Hose Length (Feet)
Hose is in good Condition
Yes
No
Wand Length (Feet)
Nozzle is fixed (screw in)
Yes
No
Trigger retracts when released
Yes
No
Fuel lines are in good condition with no cracks or leaks
Yes
No
Tank is in good condition with no cracks or leaks
Yes
No
A visual inspection of the heater shows no sign of damage or defects
Yes
No
All questions above are yes and pressure washer is in operational condition.
Yes
No
Notes/Additional Comments
Pressure Washer 2
Picture
Browse Files
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Choose a file
Cancel
of
Type
Diesel
Water Only
Water/Soap
Other
Location
Rated PSI
Owner (Rig or 3rd Party Name)
Hose Length (Feet)
Hose is in good Condition
Yes
No
Wand Length (Feet)
Nozzle is fixed (screw in)
Yes
No
Trigger retracts when released
Yes
No
Fuel lines are in good condition with no cracks or leaks
Yes
No
Tank is in good condition with no cracks or leaks
Yes
No
A visual inspection of the heater shows no sign of damage or defects
Yes
No
All questions above are yes and pressure washer is in operational condition.
Yes
No
Notes/Additional Comments
Pressure Washer 3
Picture
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Type
Diesel
Water Only
Water/Soap
Other
Location
Rated PSI
Owner (Rig or 3rd Party Name)
Hose Length (Feet)
Hose is in good Condition
Yes
No
Wand Length (Feet)
Nozzle is fixed (screw in)
Yes
No
Trigger retracts when released
Yes
No
Fuel lines are in good condition with no cracks or leaks
Yes
No
Tank is in good condition with no cracks or leaks
Yes
No
A visual inspection of the heater shows no sign of damage or defects
Yes
No
All questions above are yes and pressure washer is in operational condition.
Yes
No
Notes/Additional Comments
Pressure Washer 4
Picture
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Type
Diesel
Water Only
Water/Soap
Other
Location
Rated PSI
Owner (Rig or 3rd Party Name)
Hose Length (Feet)
Hose is in good Condition
Yes
No
Wand Length (Feet)
Nozzle is fixed (screw in)
Yes
No
Trigger retracts when released
Yes
No
Fuel lines are in good condition with no cracks or leaks
Yes
No
Tank is in good condition with no cracks or leaks
Yes
No
A visual inspection of the heater shows no sign of damage or defects
Yes
No
All questions above are yes and pressure washer is in operational condition.
Yes
No
Notes/Additional Comments
Additional Comments
Submit
Should be Empty: