Dixon Valve 25 TON RAM SEC09 Sample Forms - Manual (Page 2)

DIXON HOLEDALL TYPE
PERMANENTLY ATTACHED COUPLING TEST
ENGINEERING REPORT No. ___________
SUBJECT:
HOSE:
WORKING PRESSURE ______
TEST PRESSURE ___________
BURST PRESSURE __________
"A" END "B" END
HOSE O.D. (free)
HOSE O.D. (over stem)
STEM
FERRULE
DIE
MULCORAM
PUSHER
FORCE (In PSI)
REDUCED LENGTH
HOSE WALL (free)
HOSE O.D. REDUCED
STEM – MEAN O.D.
HOSE WALL REDUCED
REDUCTION
REMARKS:
COUPLED BY _________________________________ DATE _____________________
APPROVED BY ________________________________
COMPANY ____________________________________