Appliance details
Vehicle Location
Appliance Make and Model
- Nissan Patrol 4x4; 3 seater
- Toyota Landcruiser 4x4; ute
- Ford Ranger 4x4; Dual Cab
- Mitsubishi Canter 4x4;
- Isuzu NPS 300 4x4
- Mitsubishi Fuso 4x4; Dual Cab
- Iveco Quick Corp; 4x4
Odometer Reading
Vin Number
copy of annual safety certificate
Vehicle Call Sign
Appliance Photos
photos taken of the appliance
Front
LHS of appliance (front to rear /diagonal view)
RHS of appliance (front to rear /diagonal view)
rear of appliance
Appliance Locker (general condition)
General Condition- Appliance
1. tyres
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
Brigade Map
- Operationally Ready
- Not Operationally Ready
- Not Applicable
Street Directory
- Operationally Ready
- Not Operationally Ready
- Not Applicable
GPS
- Operationally Ready
- Not Operationally Ready
- Not Applicable
Compass
- Operationally Ready
- Not Operationally Ready
- Not Applicable
T Cards
- Operationally Ready
- Not Operationally Ready
- Not Applicable
TAC pack
- TAC -A
- TAC -B
- TAC-C
- Operationally Ready
- Not Operationally Ready
- Not Applicable
Safety Vest
Emergency Equipment
Torch
VHF radio operation
UHF radio operations
portable radios
- portable VHF radio
- portable UHF radio
- not applicable
Siren & Horn; P/A system
vehicle tool kit & vehicle jack
'Burn Over' Blankets (x3)
- Operationally Ready
- Not Operationally Ready
- Not Applicable
Vehicle Electrics
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
1. type of pump
2. pump serial number
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
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)
- Operationally Ready
- Not Operationally Ready
- Not Applicable
Lockers / Equipment
Check that the condition and number of equipment meets the standard for safe operations.
1. Branches: (to be operationally ready)
- Operationally Ready
- Not Operationally Ready
- Not Applicable
2. Adaptors
- Operationally Ready
- Not Operationally Ready
- Not Applicable
3. Knapsack (soft bag)
- Operationally Ready
- Not Operationally Ready
- Not Applicable
4. Fire Blanket (spare)
- Operationally Ready
- Not Operationally Ready
- Not Applicable
5. First-Aid Kit (check content and expiry dates)
- Operationally Ready
- Not Operationally Ready
- Not Applicable
6. Respiratory protection (smoke masks; P2 / P3)
- Operationally Ready
- Not Operationally Ready
- Not Applicable
7. Tool box
- Operationally Ready
- Not Operationally Ready
- Not Applicable
8. Battery jumper leads
other equipment (note type and quantity e.g.chainsaw, leaf-blower, SCBA)
Errors and Defects
Does the appliance meet safe operational standards?
Provide information of any other required corrective actions (errors and defects on appliance):
please provide detail
Auditor (please print name)