DATE:
WORK ORDER #:
CUSTOMER
ADDRESS
CONTACT
*flowing hydrants should be opened one at a time and all points flowed simultaneously for multiple point flow
tests. Readings from each flow point should be taken simultaneously and recorded
EMAIL
**after the readings have been taken, hydrants should be shut down slowly, one at a time, to prevent undue
surges in the system
PHONE
HYDRANT:
Make
Model
Size
Residual Hydrant Location
Hydrant Discharge Outlet Type
smooth and rounded
(coef. 0.90)
square and sharp
(coef. 0.80)
square and projecting
into barrel (coef. 0.70)
#1 #2 #3 #4 #5 #6 #7 #8
Static PSI
Residual PSI
Pitot PSI
Test Flow GPM
Predicted Flow @ 20 PSI
NOTE - refer to NFPA 291 - Table 4.10.1(a) for theoretical discharge rates based on pitot pressure and orifice size
COMMENTS
inspector's name
LICENSE
inspector's signature
I state the information on this form is correct at
the time and place of my inspection,and that all
equipment tested at this time was left in
operational condition upon completion of this
inspection except as noted.
Owner / designated rep name
DATE
Owner / deisgnated rep signature
I state that the information on this form has
been explained at my request and a copy
provided to me regarding this inspection,and
that all equipment tested at this time was left in
operational condition upon completion of this
inspection except as noted.
Residual hydrant pressure should drop at least 25% from static during discharge for satisfactory results or flow the total demand for fire fighting purposes
