Fire_Hydrant_Maintenance_Form.pdf
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- Solicitation number
- 26-P-00517
- Issued by
- Hillsborough County, Florida
About this file
This is a Fire Hydrant Maintenance Form used by the City of Tampa Wastewater Department to document the inspection and maintenance status of fire hydrants at municipal facilities. The form is designed to capture comprehensive data on approximately 32 fire hydrants located at the Howard F. Curren Advanced Wastewater Treatment Plant (AWTP) at 2700 Maritime Boulevard, Tampa, Florida. The maintenance form requires contractors to inspect and document the condition of multiple hydrant components including flanges, caps, gaskets, stems, nozzles, valves, and branch/auxiliary valves, along with operability assessments. Contractors must evaluate flange height above grade, paint condition, cap condition, stem thread integrity, valve operation difficulty, flushing capability, reflective markers, and hydrant identification tags. The form requires documentation of clearance around each hydrant (minimum 3 feet), leak locations, lubrication status, and time required to clear hydrants, with specific operational codes assigned based on maintenance findings.
The form serves as the primary documentation tool for the fire hydrant inspection, testing, and maintenance services procurement with a bid due date of September 14, 2026. Contractors must comply with all documentation requirements specified in the form and enter data into the Water Department's management system (MSS). The maintenance assessment must determine operability status and assign appropriate condition codes, discontinuing work on hydrants not cleared within five minutes. This sheltered-market procurement is designated exclusively for Small Local Business Enterprise (SLBE) certified vendors, with EBO (Economically Disadvantaged Business Enterprise) eligibility requirements specified in the solicitation package. The contract scope includes inspection, testing, certification, and maintenance services with compliance required to ADA requirements and OSHA safety standards as outlined in the procurement documents.
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Text version
ATTACHMENT F
Hydrant No. Location:
Loc. #
Date Installed:
Flange Condition: OK Damaged
Flange Above Grade: Less than 2" Between 2" & 6" Over 6"
Paint Condition: Poor Fair Good
Hydrant Caps: Missing Condition: Good Damaged
Hydrant Cap Gaskets: Missing Condition: Good Damaged
Hydrant Condition: (Y/N)
Hydrant Condition: Flange Bonnet Nozzle
Operating Nut: Worn Good
Stem Condition: Good Fair Poor
Stem Threads: Cross Threaded (Y/N)
Nozzle Condition: Good Damaged
Nozzle Threads:
Hydrant Valve:
Hydrant Valve: Easy Difficult Impossiible
Branch/Auxiliary Valve: Easy Difficult Impossiible
Flushing:
Flushing:
Reflective Marker:
Hydrant ID Tag:
Hydrant Clearance:
Each Hyd. Maintained Gets Codes 469, 472, 464
Leak location: If bonnet leaks(328) If nozzle leaks(327)
Is there a minimum clearance of 3 feet around hydrant? (Y/N) If no (nnn)
Water Department Use Only
Entered into MSS By: Date Entered:
Maintenance By:
Date:
Fire Hydrant Maintenance Form
City Of Tampa
Wastewater Department
Hydrant clear in 5 Min (Y/N)
Installed (Y/N)
Installed (Y/N)
Time to Clear
If installed (nnn)
Marker Present (Y/N)
ID Tag Present (Y/N)
Cross Threaded (Y/N)
Does Valve Leak? (Y/N)
Is barrel damaged?
Lubricated (Y/N)
Does hydrant leak? (Y/N) If hyd. Damaged (nnn) If flange leaks(329)
Operability
If installed (455)
If cleared in under 5 min.(nnn)
If not cleared in 5 min.(nnn)
Operability
If hydrant not cleared in 5 minutes discontinue.
General Comments:
If impossible (04)
If Impossible (337)
Installed By:
If damaged (nnn)
Water Department Information
If cross threaded (nnn)
Contractor Shall Circle or Enter The Appropriate Response
Lubricated (Y/N)
Hydrant Manuf./Model:
If missing (nnn) If damaged (nnn)
If less than 2"(360) If over 6" (359)
If poor (nnn)
If yes (nnn)
If poor (nnn)
If damaged (nnn)
If cross threaded (nnn)
If worn (nnn)
If missing (356) If damaged (nnn)
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