Title Page
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Site conducted
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Enter Mileage
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Conducted on
General Condition
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Body, bumper & paint
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Describe issue:
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Tilt or lean
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Add photo:
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Chassis fluid leak
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Type and location:
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Water or pump leak
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Location & amount
Engine & Transmission
Engine Inspection Prior to Start
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Fan, serpentine and / or drive belts
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Engine antifreeze level
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Level
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Engine oil level
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Level
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Windshield washing fluid level
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Level
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Power steering fluid level
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Level
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Air filter
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Fuel cap
Engine Inspection After Start
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Transmission fluid level (checked at operating temp on flat level surface)
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Engine fuel level
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DEF
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Added DEF?
Air Brakes
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** warning: chocks must be applied to all four outside corner tires before starting brake checks, and truck must be on level ground **
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Compressor test: Pressure should build from 85psi to 100 psi within 45 seconds. Build air pressure to governor cut-out (around 120psi).
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Compressor test
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Time to fill:
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Static & applied static test: with all four wheels chocked, take off the parking brake. System should not lose more than 5psi in one minute. Listen for leaks.Then fully apply the service brake. System should not lose more than 3psi in one minute. Listen for leaks.
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Static test
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PSI drop:
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Drum:
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Applied static test
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PSI drop:
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Drum:
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Safety systems test: apply the service brake rapidly, fanning off the air pressure. Low air warning devices (audible alarm, light) should activate before pressure drops below 60psi. Continue fanning air pressure. At approximately 40psi the parking brake valve should pop out.
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Low air warning test
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Pop test
Cab
Steering Wheel
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Steering wheel play should be no more than 10 degrees in either direction. On a 20 inch wheel, that is around 2 inches. Play is movement of the steering wheel that does not result in movement of the front wheels.
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Steering wheel play less than 10 degrees?
Gauges & Components
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Check Engine Light
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Codes, or notes about condition:
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Oil pressure
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Battery
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Brake air pressure
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Heater/defroster
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A/C, fan
Windshield & Mirrors
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Glass free of cracks, discoloration
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Wiper power unit, blades
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Mirrors
Communication Systems
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Mobile radio
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PA system
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Siren
Vehicle Lighting
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Head lights
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Brake lights
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Tail lights
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Turn indicators
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Hazard Lights
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Instrumentation lights
Emergency Lighting
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Overhead emergency lights
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Body emergency lights
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Front scene
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Rear scene
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Left scene
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Right scene
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Ground lights
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Panel lights
Chassis
Tires
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Tires Inspect in Clockwise Order
Front Tires
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Driver front side [tire 1] condition
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Driver front side [tire 1] note:
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Driver front side [tire 1] tread depth > 4/32
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Driver front side [tire 1] pressure
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Tire pressure less than 85 PSI
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Driver front side [tire 1] rim
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Passenger front side [tire 2] condition
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Passenger front side [tire 2] note:
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Passenger front side [tire 2] tread depth > 4/32
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Passenger front side [tire 2] pressure
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Tire pressure less than 85 PSI
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Passenger front side [tire 2] rim
Rear Tires
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Passenger side rear front duals - space between tires free from obstruction
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Passenger rear front outside [tire 3] condition
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Passenger rear front outside [tire 3] note:
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Passenger rear outside [tire 3] tread depth > 2/32
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Passenger rear front outside [tire 3] pressure
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Tire pressure less than 70 PSI
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Passenger rear front outside [tire 3] rim
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Passenger rear front inside [tire 4] condition
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Passenger rear front inside [tire 4] note:
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Passenger rear inside [tire 4] tread depth > 2/32
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Passenger rear front inside [tire 4] pressure
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Tire pressure less than 70 PSI
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Passenger rear front inside [tire 4] rim
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Passenger side rear rear duals - space between tires free from obstruction
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Passenger rear rear outside [tire 5] condition
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Passenger rear rear outside [tire 5] note:
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Passenger rear rear outside [tire 5] tread depth > 2/32
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Passenger rear rear outside [tire 5] pressure
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Tire pressure less than 70 PSI
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Passenger rear rear outside [tire 5] rim
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Passenger rear rear inside [tire 6] condition
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Passenger rear rear inside [tire 6] note:
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Passenger rear rear inside [tire 6] tread depth > 2/32
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Passenger rear rear inside [tire 6] pressure
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Tire pressure less than 70 PSI
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Passenger rear rear inside [tire 6] rim
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Driver side rear rear duals - space between tires free from obstruction
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Driver rear rear outside [tire 7] condition
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Driver rear rear outside [tire 7] note:
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Driver rear rear outside [tire 7] tread depth > 2/32
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Driver rear rear outside [tire 7] pressure
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Tire pressure less than 70 PSI
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Driver rear rear outside [tire 7] rim
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Driver rear rear inside [tire 8] condition
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Driver rear rear inside [tire 8] note:
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Driver rear rear inside [tire 8] tread depth > 2/32
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Driver rear rear inside [tire 8] pressure
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Tire pressure less than 70 PSI
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Driver rear rear inside [tire 9] rim
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Driver side rear front duals - space between tires free from obstruction
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Driver rear front outside [tire 9] condition
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Driver rear front outside [tire 9] note:
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Driver rear outside [tire 9] tread depth > 2/32
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Driver rear front outside [tire 9] pressure
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Tire pressure less than 70 PSI
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Driver rear front outside [tire 9] rim
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Driver rear front inside [tire 10] condition
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Driver rear front inside [tire 10] note:
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Driver rear inside [tire 10] tread depth > 2/32
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Driver rear front inside [tire 10] pressure
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Tire pressure less than 70 PSI
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Driver rear front inside [tire 10] rim
Suspension & frame
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U-bolts and spring hangers
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Describe condition:
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Leaf spring assembly
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Describe condition:
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Frame condition
Safe loading
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Exterior cargo secured
Pump
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Ran primary pump
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Ran primer
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Operated tank to pump and recirc valves
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Operated intake valves
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Operated discharge valves
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Water tank FULL
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Explanation:
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Water tank level indicator
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Foam system
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Deck gun movement
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Deck gun remote
Tools & Equipment
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Extrication Tools
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Replaced battery?
- Recharged /replaced, in service
- Battery needs charge or replacement
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Scene lighting Tower
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Airpacks & bottles
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Describe problem:
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Fire extinguisher mounted
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Fire extinguisher charged and to date
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Water Can
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Triangle Reflectors (3)
Summary
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List any other conditions which may prevent safe operation of this vehicle
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Rate the overall condition of the vehicle
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Enter recommendations to improve overall condition rating
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Full name and signature of inspector
