Low Pressure Medium Volume - Portable Fire Pump Quarterly Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• District

• Location of pump

• Reference Number

• Engine Serial Number

• Pump Serial Number

• Pump Photos

  Media

Pump

• Inlet connection: 75mm male camlock?

  Pass

  Fail

  N/A

• Inlet connection: strainer secure and clean?

  Pass

  Fail

  N/A

• Outlet connection: 70mm female instantaneous?

  Pass

  Fail

  N/A

Engine

• Base frame - secure?

  Pass

  Fail

  N/A

• Throttle linkage - operational/full travel?

  Pass

  Fail

  N/A

• Choke lever - operational/full travel?

  Pass

  Fail

  N/A

• Fuel tank - full?

  Pass

  Fail

  N/A

• Fuel tank - colour coded / labelled?

  Pass

  Fail

  N/A

• Fuel tank - clean bowl / filter?

  Yes

  No

  N/A

• Governor - oil level (if applicable)?

  Pass

  Fail

  N/A

• Spark plug and lead - clean and secure?

  Pass

  Fail

  N/A

• Air filter - clean and secure?

  Pass

  Fail

  N/A

• Muffler - operational and secure?

  Pass

  Fail

  N/A

• Rewind starter - extends 1 metre and returns?

  Pass

  Fail

  N/A

Suction hose(s)

• Hose(s) - no damage?

  Pass

  Fail

  N/A

• Couplings - no damage?

  Pass

  Fail

  N/A

• Couplings - coupling washers in place?

  Pass

  Fail

  N/A

• Strainer - complete and clean?

  Pass

  Fail

  N/A

Accessories

• Fuel can - Full and colour coded/labelled?

  Yes

  No

  N/A

• Tool kit - Complete?

  Yes

  No

  N/A

Test

• Test tag fitted?

  Yes

  No

  N/A

• Test tag marked on completion of quarterly inspection?

  Yes

  No

  N/A

• Annual inspection and test within the last 12 months?

  Yes

  No

  N/A

• Comments