Title Page

  • Site conducted

  • Department

  • Station #

  • Unit #

  • Conducted on

  • Prepared by

  • Location

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  • IF ITEM IS FAILED, TAKE A PHOTO AND PUT IN NOTES WHAT CAUSE FAILURE. IF FAIR, PUT NOTES

  • Apparatus Type:

  • Chassis Mfgr:

  • Yr. Mfgr:

  • VIN ID / Serial #

  • VIN TYPED

  • Engine Make/Model:

  • Engine Serial #

  • Mileage:

  • Miles Out Photo:

  • Hour Meter:

  • Pump Make/Model:

  • T-Case #

  • Pump Serial #

  • APPARATUS IMAGE

  • Check Engine Oil Level

  • Check Transmission Oil Level

  • Check Power Steering Fluid Level

  • Check Engine Coolant Level

  • Check Front Hub Oil

  • Check Rear End Oil Level

  • Check PTO and Gearbox Oil (Generator/Hydraulic Pump) IF APPLICABLE

  • Check Steering System (Pump, Hoses, Belts, ETC) IF LEAKING-FAIL

  • Visually Inspect and Operate Wiper Blades and Washers

  • Visually Inspect and Operate Windows & Mirrors

  • Visually Inspect Belts for Cracks & Wear

  • Visually Inspect Coolant Hoses & Lines for Cracks & Wears

  • Check for Leaks (Any Fluids)

  • Check Tires for Excessive Wear / Side Wall Damage / Cracks / Cuts

  • Check All Tire Tread Depth (6/32 Inches Recommend Replace)

  • Check Rim and Lug Nuts (All Lugs Must Be Torqued to 450-500 FT-LBS)

  • Check Park Brakes (If Vehicle Moves It Fails)(Must Have 120 PSI)

  • Check Brake Pads For Thickness (14/32 Recommend Replace)

  • Check Air Brake Parts (Drums, Slack Adjusters, Chambers, S-Cams)

  • Check Drive Line (Shafts, Hanger Bearing, U-Joints, and Straps)

  • Inspect Chassis Undercarriage Bolts (Loose, Missing, Broken)

  • Inspect Body Undercarriage for Broken Supports

  • Inspect Body Sub-Frame & Fasteners

PUMP / CONTROLS

  • Inspect Pump Gearbox Oil

  • Inspect & Fill Primer Tank, Hoses & Pickup Tube

  • Operate Primer, Adjust & Lube Primer (IF NEEDED)

  • Check Intake Screens

  • Inspect and Lube Ball Valves

  • Inspect and Lube Valve Control Linkages

  • Perform Vacuum Test (Add Picture of Gauge)

  • Inspect & Operate Pump Shift (Air, Manual, Electrical)

  • Check Pump in Gear Light & Interlock (IN CAB AND PANEL)

  • Circulate Pump for 20 Minutes

  • Check Pump for Leaks, Unusual Noises, Vibration, Etc

  • Operate Relief Valve or Engine Governor

  • Operate Transfer or Staging Valve & Lube

  • Flush Relief Valve Discharge & Suction

CONT. PUMP / CONTROLS

  • Check Pump Packing; Adjust if Required

  • Check Darley Weep Hole for Obstruction

  • Inspect "ALL" Pressure Gauges

  • Check Aux. Cooler & Pump Cooler Plumbing

  • Check Pump Tachometer Drive Port & Panel Tach Gauge

  • Check Water Tank Level Gauge (ADD IMAGE)

  • Check Foam Tank Level Gauge (ADD IMAGE)

  • Inspect Hose Reel Drive & Grease Swivel

  • Operate Reel Rewind

  • Inspect Booster Tank Fill Tower & Underbody

  • Check Pump & Transfer Case for Excessive Corrosion & Rotten Bolts, Nuts, Etc

  • Check Auto Lube (If Applicable)

  • RECOMMENDATIONS (ADD IN NOTES) *ANYTHING THAT NEEDS ATTENTION BUT NOT CALLED OUT ABOVE*

APPARATUS BODY

  • Inspect & Lube Door Latches (IMAGE OF FAILED ITEMS)

  • Inspect & Lube Door Hinges or Tracks

  • Inspect Door Rubber Gaskets

  • Inspect Door Shocks (Measure Length for Replacement) (ADD IMAGE)

  • Check Cab Lift Cylinders (IF APPLICABLE)

  • Inspect Steps and Handrails

  • RECOMMENDATIONS (ADD IN NOTES) *ANYTHING THAT NEEDS ATTENTION BUT NOT CALLED OUT ABOVE*

ELECTRICAL

  • Check Master Battery Switch

  • Check Alternator Output (Add Photo)

  • Check Ignition Switch

  • Check Emergency Lights & Flashers

  • Check Gauges on Instrument Cluster (Speedometer, Tach, Fuel, Alt Output, etc)

  • Check Kussmaul (Charger, Auto Eject, Auto Pump) "IF AUTO EJECT FLAP IS BROKEN, MARK POOR AND TAKE PHOTO"

  • Check Headlights

  • Check Turn Signals

  • Check Brake Lights

  • Check Clearance Lights

  • Check Ground & Side Marker Lights

  • Check Step Lights

  • Check License Plate Light

  • Check Reverse Back Up Lights

  • Check Reverse Camera IF APPLICABLE

  • Check Pump Panel Lights

  • Check Pump Compartment Lights

  • Check Compartment Lights

  • Operate & Check Scene Lights/Spot Lights

  • Operate Generator (PTO, Portable, Hydraulic)

  • Operate & Check Light Tower

  • Clean Battery Terminals & Connections

  • Load Test Batteries

  • Batteries Pass or Fail

  • List CCA and CA

Final In-Service Inspection

  • Engine Oil Full

  • Transmission Fluid Full

  • Power Steering Fluid Full

  • Coolant Full

  • Fuel Level Good

  • Windshield Washer Fluid Full

  • Head Lights, Tail Lights, Clearance Lights and Signal Lights Working Properly

  • Brakes are operable

  • Tires are operable

  • Pump is operable

  • Transfer Case Full and Operable

  • Apparatus Starts

  • Apparatus Power Off and Plugged In

  • All used and unused supplies picked up and cleaned.

  • Notify Department Person In Charge and Delta Service Manager of any out of service issues and/or questionable items *BEFORE LEAVING TRUCK*

Filter Numbers

  • Oil Filter #

  • Fuel Filter #

  • Air Filter #

  • Coolant Filter #

  • Hydraulic Filter #

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