Serial Number *

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Additional Status

Parent asset

Customer Name

Customer *

Location

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Sublocation

Test Date

Re Test Date Due

Tested by

Manufacture Date

Asset Description *

Australian Standard *

Hose Diameter (mm) *

121920253238516376102127152

Coupling A *

Coupling B *

Coupling A Material *

Coupling B Material *

Overall Length (m) *

OHMS Specification

OHMS Coupling A *

OHMS Coupling B *

OHMS Overall *

Test Pressure (kPa) *

Working Pressure (kPa) *

Test Time (min) *

Certification Result

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