FORM 7-A

Standpipe and Hose Systems

General Information
Date: ________ Inspector: _______________________
System: _____________________________
Location: _______________________________________________________________________________

General
System designation ____________________________________________________________________________________
Building ______________________________________________________________________________________________
Location of control valve ________________________________________________________________________________

Class I
None

Type of system
Length of hose provided

Class II
Class III
50 ft (15 m) 75 ft (23 m) 100 ft (30 m)
Rubber lined Unlined

Type of hose
(If unlined hose is presently installed, it may remain in use. However, when it requires replacement only lined hose
should be used in accordance with NFPA 14.)

Yes
No
Are shutoff nozzles provided?
(If no, nozzles should be replaced with shutoff type in accordance with NFPA 14.)
Are pressure regulating devices provided? Yes

No

Type of regulating devices ______________________________________________________________________________

Valves

Sealed
Yes

How are valves supervised?

Are valves identified with signs?

Locked
No

Tamper switch

Water Supply
When was last water supply test made? __________________________________________________________________
Are reservoirs, tanks, or pressure tanks in good condition? Yes
No
Pumps (See Chapter 8 of this manual.)
Is fire pump
Diesel
Electric
Gasoline
None?
Is pump in good condition?
Yes
No
When was pump last tested? ____________________________________________________________________________
Fire Department Connections
Location __________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Are identification signs provided?

Yes

No

Notes

Copyright 2000 National Fire Protection Association