TC 4018 v4.0

• Conducted on

  Date
• Location
  Address

• Complete Bi-Weekly Spare SCBA Inspection?

  Yes

  No

• Check All Gauges for Function (Must be within

• Check Low Pressure and Quarter Service Alarms for Function

• Check/Tighten All Hose Connections

• Ensure Regulators are Clean and Operational

• Ensure All Straps are Expanded to Largest Position

• Check Function of P.A.S.S. Device - Alarms within 15 sec of sitting still

• Check SCBA Cylinders are Equal or Greater than 4000psi

• Number of Spare SCBAs Present?

• Are Any SCBAs Missing or Marked Out Of Service?

  Yes

  No

• Which SCBA is Marked Out of Service?

• Are Any SCBAs or Cylinders Damaged?

  Yes

  No

• Please list SCBA or Cylinder Number

• Please provide a Photo of the Damage

  Media

• COMMENTS:

Cab of the Truck - Front - Officer's Seat

• (3) VHF Handheld Radio - Set to RED channel

• (1) UHF 800mHz Handheld Radio

• (2) Portable Hand Light - REMOVE FROM CHARGER TO OPERATE

  Working

  NOT Working

  Missing

• (2) Portable Light Box - REMOVE FROM CHARGER TO OPERATE

  Working

  NOT Working

  Missing

Glove Box

• (1) HazMat ERG

• (1) St. Clair County Map Book

• (1) Power Module for Winch

Cab of Truck - Under Rear Seats

• (1) Axe - Flat Head

• (1) Halligan Bar

• Roadside Safety Vests - YELLOW

• (1) Bolt Cutter - 30" length

• (2) Indian Pack - Fold Flat Bag - YELLOW

• (1) Manual Rewind Handle for Booster Reel

• (4) Landing Zone Lights - OPERATE

  Select Working NOT Working Missing

  • Working
  • NOT Working
  • Missing

(1) Hydrant Bag - BLUE

• (1) Hydrant Wrench

• (2) Spanner Wrench - SMALL

• (1) Reducer - 2 1/2" to 1 1/2"

• (1) Wye - 1 1/2" to 1" - Chrome Elbow

• (1) Indian Pack Fill Hose with 1 1/2" to 3/4" Reducer

Passenger Side - Truck Bed

• (2) Forestry Flappers

• (1) Extinguisher - ABC

• (2) Hand Line - 1 3/4" x 50' - Doughnut Roll - RED

• (1) Booster Line - 1" x 150' - RED

Rear of Truck

• (2) Extinguisher - Water - Check Pressure

• (1) Reducer - 1 1/2" to 1" - Rear Discharge

Driver Side - Truck Bed

• (1) Compressed Air Bottle - 4500psi - with 12' Air Hose

• (1) Forestry Hose - 1" x 100' - Dead Lay - TFT Fog Nozzle - YELLOW

• (1) Forestry Hose - 1" x 100' - Dead Lay- YELLOW

Vehicle Engine/Pump Operating

• Engine Oil Level:

• Engine RPMs - IDLE

• Tank Water Level:

• Tank Foam Level:

• Pump Hydraulic Oil Level - Visible In Sight Glass

• Pump - OPERATE STATIONARY

  Working

  NOT Working

• Pump - Discharge Psi - Stationary:

• Pump - OPERATE IN PUMP & ROLL

  Working

  NOT Working

• Quartz Lights - Fixed - Forward / Side / Rear - OPERATE

  Select Working NOT Working

  • Working
  • NOT Working

• Warning Lights/Sirens - OPERATE

  Select Working NOT Working

  • Working
  • NOT Working

• Tire Pressure - 80 psi MAX

• Rear Air Bag Pressure - 50 psi

• Transmission Fluid Level:

• Power Steering Fluid Level:

• Check Brakes

• Drive the Vehicle

• Fuel Level at completion of Equipment Check:

• COMMENTS:

Signatures of Inspectors:

• Firefighter Signature - Print/Sign

  Sign

• Firefighter Signature - Print/Sign

  Sign

• Firefighter Signature - Print/Sign

  Sign

• Firefighter Signature - Print/Sign

  Sign

• Officer Sign-Off Signature - Print/Sign

  Sign

• Email Completed Form to: NAFD62264@gmail.com