Title Page

  • Document No.

  • Light / Medium Appliance Audit

  • Rural Fire Brigade:

  • Location
  • Conducted on

  • Prepared by:

Appliance details

Appliance details

  • Vehicle Location

  • Appliance Make and Model

  • location reference
  • Odometer Reading

  • Vin Number

  • photo of compliance plate

  • copy of annual safety certificate

  • Add media

  • Vehicle Call Sign

Appliance Photos

Appliance photos

  • photos taken of the appliance

  • Front

  • Add media

  • LHS of appliance (front to rear /diagonal view)

  • Add media

  • RHS of appliance (front to rear /diagonal view)

  • Add media

  • rear of appliance

  • Add media

  • Appliance Locker (general condition)

  • Add media

General Condition- Appliance

general condition- appliance

  • 1. tyres

  • photo: date of production

  • photo of profile

  • 2. mirrors (note any damage)

  • 3. panels (note any damage, heat exposure, etc.)

  • 4. hoses and hose reel (check for damage and defects)

  • suction hose and siphon with non-return valve (check condition)

Cabin

Cabin

  • Brigade Map

  • Street Directory

  • GPS

  • Compass

  • T Cards

  • TAC pack

  • Safety Vest

Emergency Equipment

Emergency Equipment & Communications

  • Torch

  • VHF radio operation

  • UHF radio operations

  • portable radios

  • Siren & Horn; P/A system

  • vehicle tool kit & vehicle jack

  • 'Burn Over' Blankets (x3)

Vehicle Electrics

Electrics : Appliance check

  • 1. Parking lights

  • 2. Head lights (high and low beam)

  • 3. Indicators

  • 4. Stop, tail & number plate lights

  • 5. Reversing light and audible warning

  • 6. Rotating beacons

  • 7. Work lights

Pump and Equipment

Pump and Equipment

  • 1. type of pump

  • 2. pump serial number

  • photo of pump

  • 3. pump: fuel and oil level

  • 4. pump exhaust (note position and exposure to crew)

  • 5. Stand pipe

  • 6. Water tank (please note capacity and condition)

  • 7. 6m x 50mm suction hose / siphon / non return valve and fittings

  • 8. hoses (please note type of hoses and condition)

outside vehicle

Outside Vehicle / tray

  • visible check of following equipment:

  • 1. Drinking water container (15l)

  • 2. Knapsack - hard

  • 3. Jerry can : unleaded

  • 4. Jerry can: drip torch fuel

  • 5. Drip torch

  • 6. Rakehoe (check condition, sharp hoe edge etc.)

  • 7. Fire Extinguisher DCP 4.5kg (check service tags)

Lockers / Equipment

Lockers / Equipment

  • Check that the condition and number of equipment meets the standard for safe operations.

  • 1. Branches: (to be operationally ready)

  • 2. Adaptors

  • 3. Knapsack (soft bag)

  • 4. Fire Blanket (spare)

  • 5. First-Aid Kit (check content and expiry dates)

  • 6. Respiratory protection (smoke masks; P2 / P3)

  • 7. Tool box

  • 8. Battery jumper leads

  • other equipment (note type and quantity e.g.chainsaw, leaf-blower, SCBA)

Errors and Defects

Errors & Defects

  • Does the appliance meet safe operational standards?

  • Provide information of any other required corrective actions (errors and defects on appliance):

  • please provide detail

  • Photo of observed defect

  • Auditor (please print name)

  • Date & time:

  • Signature:

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