Professional Documents
Culture Documents
EXAMPLE
Facility Name:
Cost Center:
Address: Page of
Instruments Used for Testing:
Continuity Test Date Test Performed
Mode of Failure
Hanging Hardware Continuity Test
Fueling Record of Comments
Hose No. Product Initial Test Retest
Position (Please indicate manufacturer of failed equipment when known)
Reading Reading
F-SJ F-BW F-LH F-SH F-VG F-NS
(megohms) Pass Fail (megohms) Pass Fail
1 Plus 1,25 F 0,9 Pass X Replaced Husky Part No. 3360VR breakawy
1 V-Power 1,5 F 0,85 Pass X Disassembled hose to swivel joint conmnection, lubricated threads and reassembled
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Page 1 of 5
Dispenser Continuity Test Form
Facility Name:
Cost Center:
Address: Page of
Instruments Used for Testing:
Continuity Test Date Test Performed
Mode of Failure
Hanging Hardware Continuity Test
Fueling
Hose No. Product Initial Test Retest
Position
Reading Reading
(megohms) Pass Fail (megohms) Pass Fail F-SJ F-SW F-LH F-SH F-VG F-NS
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Page 2 of 5
Dispenser Continuity Test Form
Facility Name:
Cost Center:
Address: Page of
Instruments Used for Testing:
Continuity Test Date Test Performed
Mode of Failure
Hanging Hardware Continuity Test
Fueling
Hose No. Product Initial Test Retest
Position
Reading Reading
(megohms) Pass Fail (megohms) Pass Fail F-SJ F-SW F-LH F-SH F-VG F-NS
Regular
Plus
V-Power 1
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Page 3 of 5
Dispenser Continuity Test Form
Facility Name:
Cost Center:
Address: Page of
Instruments Used for Testing:
Continuity Test Date Test Performed
Mode of Failure
Hanging Hardware Continuity Test
Fueling
Hose No. Product Initial Test Retest
Position
Reading Reading
(megohms) Pass Fail (megohms) Pass Fail F-SJ F-SW F-LH F-SH F-VG F-NS
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Page 4 of 5
Dispenser Continuity Test Form
Facility Name:
Cost Center:
Address: Page of
Instruments Used for Testing:
Continuity Test Date Test Performed
Customer: Technician:
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Regular
Plus
V-Power
Diesel
Page 5 of 5