Title Page
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Document No.
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Light / Medium Appliance Audit
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Rural Fire Brigade:
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- Arriga
- Bamaga
- Little Mulgrave
- Bullhead
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Location
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Conducted on
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Prepared by:
Appliance details
Appliance details
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Vehicle Location
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Appliance Make and Model
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- 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
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location reference
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Odometer Reading
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Vin Number
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photo of compliance plate
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copy of annual safety certificate
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Add media
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Vehicle Call Sign
Appliance Photos
Appliance photos
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photos taken of the appliance
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Front
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Add media
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LHS of appliance (front to rear /diagonal view)
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Add media
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RHS of appliance (front to rear /diagonal view)
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Add media
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rear of appliance
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Add media
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Appliance Locker (general condition)
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Add media
General Condition- Appliance
general condition- appliance
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1. tyres
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photo: date of production
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photo of profile
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2. mirrors (note any damage)
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3. panels (note any damage, heat exposure, etc.)
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4. hoses and hose reel (check for damage and defects)
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suction hose and siphon with non-return valve (check condition)
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Cabin
Cabin
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Brigade Map
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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Street Directory
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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GPS
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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Compass
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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T Cards
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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TAC pack
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- TAC -A
- TAC -B
- TAC-C
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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Safety Vest
Emergency Equipment
Emergency Equipment & Communications
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Torch
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VHF radio operation
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UHF radio operations
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portable radios
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- portable VHF radio
- portable UHF radio
- not applicable
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Siren & Horn; P/A system
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vehicle tool kit & vehicle jack
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'Burn Over' Blankets (x3)
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
Vehicle Electrics
Electrics : Appliance check
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1. Parking lights
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2. Head lights (high and low beam)
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3. Indicators
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4. Stop, tail & number plate lights
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5. Reversing light and audible warning
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6. Rotating beacons
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7. Work lights
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Pump and Equipment
Pump and Equipment
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1. type of pump
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2. pump serial number
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photo of pump
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3. pump: fuel and oil level
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4. pump exhaust (note position and exposure to crew)
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5. Stand pipe
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6. Water tank (please note capacity and condition)
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7. 6m x 50mm suction hose / siphon / non return valve and fittings
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8. hoses (please note type of hoses and condition)
outside vehicle
Outside Vehicle / tray
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visible check of following equipment:
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1. Drinking water container (15l)
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2. Knapsack - hard
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3. Jerry can : unleaded
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4. Jerry can: drip torch fuel
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5. Drip torch
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6. Rakehoe (check condition, sharp hoe edge etc.)
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7. Fire Extinguisher DCP 4.5kg (check service tags)
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
Lockers / Equipment
Lockers / Equipment
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Check that the condition and number of equipment meets the standard for safe operations.
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1. Branches: (to be operationally ready)
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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2. Adaptors
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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3. Knapsack (soft bag)
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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4. Fire Blanket (spare)
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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5. First-Aid Kit (check content and expiry dates)
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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6. Respiratory protection (smoke masks; P2 / P3)
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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7. Tool box
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- Operationally Ready
- Not Operationally Ready
- Not Applicable
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8. Battery jumper leads
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other equipment (note type and quantity e.g.chainsaw, leaf-blower, SCBA)
Errors and Defects
Errors & Defects
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Does the appliance meet safe operational standards?
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Provide information of any other required corrective actions (errors and defects on appliance):
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please provide detail
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Photo of observed defect
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Auditor (please print name)
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Date & time:
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Signature:
