Rural Fire Appliance Inspection V2.2

• Audit Title

• Client / Site

• Prepared by

• Location
  Address

• Inspection Date

• Signature of Inspector

  Sign

Rural Fire Brigade Appliance & Support Vehicle Inspection

• What type of appliance is being inspected?

  Select Slip On HP Slip On Trailer Light Attack Medium Attack Tanker Support Vehicle

  • Slip On
  • HP Slip On
  • Trailer
  • Light Attack
  • Medium Attack
  • Tanker
  • Support Vehicle

High Pressure Slip On Inspection

• Brigade Name

• Slip On Call Sign

• Slip On RF Number

• Slip On storage address
  Address

• Add RF and Pump/engine serial number pictures here

  Media

• Please use the following questions to complete the Slip On Inspection.

• All HP Slip Ons should have the following Equipment stowed with the Unit. Please select which Equipment is with the Slip On.

  Select Speed Loader Slip On Sledge Petrol Motor High Pressure Pump Water Tank 12mm HP Hose Reel and Hose Manual Hose Winder 40mm Suction Hose and Strainer

  • Speed Loader
  • Slip On Sledge
  • Petrol Motor
  • High Pressure Pump
  • Water Tank
  • 12mm HP Hose Reel and Hose
  • Manual Hose Winder
  • 40mm Suction Hose and Strainer

• Are all items above fully operational?

  Yes

  No

• Please comment on what needs to be done to make the Unit operational.

• Some Slip Ons have other ancillary equipment. Please select what ancillary equipment is on this unit.

  Select After Pump Sold Foam Induction Unit Solid Brick or Doughnut Foam Blocks Extension piece for HP Branch (Flood Cleanup) Rake Hoe Beater Red and Blue Beacons

  • After Pump Sold Foam Induction Unit
  • Solid Brick or Doughnut Foam Blocks
  • Extension piece for HP Branch (Flood Cleanup)
  • Rake Hoe
  • Beater
  • Red and Blue Beacons

• Are all items above fully operational?

  Yes

  No

• Please comment on what needs to be done to make the Unit operational.

• Has a Service Kit been run through the unit?

  Yes

  No

• What date was the Service Kit installed

  Date

• Have any modifications been made to the unit?

  Yes

  No

• Unit Modifications

Modifications

• Name of modification

• When was the modification done?

  Date

• Describe the modification

• Does the modification add significant weight to the unit?

  Yes

  No

• Please choose the approximate weight of the modification.

  Select 5-10kg 10-20kg 20-30kg 30-40kg 40kg plus

  • 5-10kg
  • 10-20kg
  • 20-30kg
  • 30-40kg
  • 40kg plus

• Has the modification been approved by Area Office?

  Yes

  No

• Can the modification be approved by Area Office?

  Yes

  No

• Add modification pictures here

  Media

• Add Slip On pictures here

  Media

Slip On

• Brigade Name

• Slip On Call Sign

• Slip On RF Number

• Slip On storage address
  Address

• Add RF and Pump/engine serial number pictures here

  Media

• Please use the following questions to complete the Slip On Inspection.

• All Slip Ons should have the following Equipment stowed with the Unit. Please select which Equipment is with the Slip On.

  Select Speed Loader Slip On Sledge Petrol Motor Pressure Pump Water Tank 19mm Hose Reel and Hose Manual Hose Reel Winder 38mm Storz Delivery Point 6m x 40mm Camlock Suction Hose 3 Way Valve for Tank to Pump or Suction Access

  • Speed Loader
  • Slip On Sledge
  • Petrol Motor
  • Pressure Pump
  • Water Tank
  • 19mm Hose Reel and Hose
  • Manual Hose Reel Winder
  • 38mm Storz Delivery Point
  • 6m x 40mm Camlock Suction Hose
  • 3 Way Valve for Tank to Pump or Suction Access

• Are all items above fully operational?

  Yes

  No

• Please comment on what needs to be done to make the Unit operational.

• Some Slip Ons have other ancillary equipment. Please select what ancillary equipment is on this unit.

  Select Foam Induction Unit Foam Drum Holder Foam Drum Spare Foam Drum Aerating Foam Branch Rake Hoe Beater Red & Blue Beakons

  • Foam Induction Unit
  • Foam Drum Holder
  • Foam Drum
  • Spare Foam Drum
  • Aerating Foam Branch
  • Rake Hoe
  • Beater
  • Red & Blue Beakons

• Are all items above fully operational?

  Yes

  No

• Please comment on what needs to be done to make the Unit operational.

• Has a Service Kit been run through the unit?

  Yes

  No

• What date was the Service Kit installed

  Date

• Have any modifications been made to the unit?

  Yes

  No

• Unit Modifications

Modifications

• Name of modification

• When was the modification done?

  Date

• Describe the modification

• Does the modification add significant weight to the unit?

  Yes

  No

• Please choose the approximate weight of the modification.

  Select 5-10kg 10-20kg 20-30kg 30-40kg 40kg plus

  • 5-10kg
  • 10-20kg
  • 20-30kg
  • 30-40kg
  • 40kg plus

• Has the modification been approved by Area Office?

  Yes

  No

• Can the modification be approved by Area Office?

  Yes

  No

• Add modification pictures here

  Media

• Add Slip On pictures here

  Media

Trailer

• Brigade Name

• Trailer Call Sign

• Trailer RF Number

• Trailer storage address
  Address

• Add RF and Pump/engine serial number pictures here

  Media

• Please use the following questions to complete the Trailer Inspection.

• All Trailers should have the following Equipment stowed with the Unit. Please select which Equipment is with the Trailer.

  Select Speed Loader Slip On Sledge Petrol Motor Pressure Pump Water Tank 19mm Hose Reel and Hose Manual Hose Reel Winder 38mm Storz Delivery Point 6m x 40mm Camlock Suction Hose 3 Way Valve for Tank to Pump or Suction Access

  • Speed Loader
  • Slip On Sledge
  • Petrol Motor
  • Pressure Pump
  • Water Tank
  • 19mm Hose Reel and Hose
  • Manual Hose Reel Winder
  • 38mm Storz Delivery Point
  • 6m x 40mm Camlock Suction Hose
  • 3 Way Valve for Tank to Pump or Suction Access

• Are all items above fully operational?

  Yes

  No

• Please comment on what needs to be done to make the Unit operational.

• Some Trailers have other ancillary equipment. Please select what ancillary equipment is on this unit.

  Select Foam Induction Unit Foam Drum Holder Foam Drum Spare Foam Drum Aerating Foam Branch Rake Hoe Beater Red & Blue Beakons

  • Foam Induction Unit
  • Foam Drum Holder
  • Foam Drum
  • Spare Foam Drum
  • Aerating Foam Branch
  • Rake Hoe
  • Beater
  • Red & Blue Beakons

• Are all items above fully operational?

  Yes

  No

• Please comment on what needs to be done to make the Unit operational.

• Is the Frame and body of the Trailer in good condition?

  Yes

  No

• Please see comment below to see which areas of the frame and body need attention

• Comments on trailer Frame & body condition.

• Are all tyres in good condition?

  Yes

  No

• Please see comment below to see which tyre/s need attention

• Comments on tyre condition.

• Has a Service Kit been run through the unit?

  Yes

  No

• What date was the Service Kit installed

  Date

• Have any modifications been made to the unit?

  Yes

  No

• Unit Modifications

Modifications

• Name of modification

• When was the modification done?

  Date

• Describe the modification

• Does the modification add significant weight to the unit?

  Yes

  No

• Please choose the approximate weight of the modification.

  Select 5-10kg 10-20kg 20-30kg 30-40kg 40kg plus

  • 5-10kg
  • 10-20kg
  • 20-30kg
  • 30-40kg
  • 40kg plus

• Has the modification been approved by Area Office?

  Yes

  No

• Can the modification be approved by Area Office?

  Yes

  No

• Add modification pictures here

  Media

• Add Trailer pictures here

  Media

Light Attack Appliance

• Brigade Name

• Appliance Call Sign

• Appliance RF Number

• VIN Number

• Odometer Reading

• Compliance Date

• Appliance storage location
  Address

• Add compliance Plate pictures here

  Media

CAB INTERIOR

• Click on the check boxes if items are currently inside the Cab of the Appliance. Most of the items should be kept in the Appliance at all times. Notes on items explain what needs to be done. If items are missing then they will need to be sought immediately.

• Brigade map

• These can be requisitioned from Area Office.

• Brigade Name

• Street directory

• This should be purchased by the brigade.

• GPS

• A GPS is not a required item, but can be purchased by the brigade should the brigade so choose

• Yes

  No

  N/A

• Compass

• If not present the brigade should purchase one.

• T Cards

• Yellow T Cards must be kept in all appliances. These can be obtained by requisitioning them from Area Office. Please order some as soon as possible

• TAC pack (note version)

• A TAC pack needs to be available on every appliance. Please order one through Area Office.

• Incident Controller vest

• Incident Controller tabards are very important in identifying the IC and must be kept in the primary response appliance. Please order one from Area Office.

• Note book & pens

• A notebook and pen should be kept in each appliance.

• Torch

• Please ensure that there is at least 1 torch in the cab of the Appliance.

• Fixed UHF radio

• Is the radio fully functional?

  Yes

  No

• If there is no fixed UHF Radio please contact Area Office to arrange to have one fitted.

• Fixed VHF radio

• Is the radio fully functional?

  Yes

  No

• If there is no fixed VHF Radio please contact Area Office to arrange to have one fitted.

• Hand held VHF radio

• If hand held radios are kept in the Fire Station then this Box should be left unchecked

• Hand held UHF radio

• If hand held radios are kept in the Fire Station then this Box should be left unchecked

• Burn over blanket

• It is mandatory for each appliance to carry burn over blankets for each crew member. 3 on a medium attack and 2 on a light attack. Please requisition blankets to complete the correct number for this appliance from Area Office.

• Tool kit and jack

• Every Appliance must carry a jack and tool kit in case of punctures. If one is not on the Appliance then one must obtained immediately at brigade expense.

• Mobile phone

• A mobile phone is not a required item for this Inspection.

• Insert internal cab pictures here

  Media

Lockers

Dry Locker

• Click on the check boxes if items are currently in the dry Locker of the Appliance. Most of the items should be kept in the Appliance at all times. Notes on items explain what needs to be done. If items are missing then they will need to be sought immediately.

• First Aid Kit

• Please requisition a new First Aid Kit from Area Office immediately.

• Are the Kit contents in date

  Yes

  No

• What is the expiration date of the Kit contents?

  Date

• Please replace the contents of the First Aid Kit that are out of date. These can be requisitioned from Area Office.

• Hearing protection. Either Ear Plugs or Ear Muffs

• Please requisition new hearing protection from Area Office. Hearing protection must be provided for people working close to the operating Pump.

• Eye protection. Goggles

• Please requisition new Goggles from Area Office. Eye protection must be provided for people working on the Fire ground.

• Respiratory protection. P2 masks.

• Please requisition new P2 Masks from Area Office. Respiratory protection must be provided for people working on the Fire ground.

• Riggers Gloves

• Although Riggers gloves are part of Firefighters personal PPE, some spare gloves on the appliance are a good idea.

• Fire Blanket. This is not the Burn Over Protection Blanket, but rather the kitchen type Fire Blanket.

• Please obtain a new Fire Blanket. These can requisitioned from Area Office.

• Drinking Water

• Please make sure that there is always fresh Drinking Water on the Appliance.

• Add Dry Locker pictures here.

  Media

Wet Locker

• Please select what type of branches are in the locker

  Select Red Devil Dial a Jet Fully adjustable "Protec" style Foam Aerating Blizzard Boss Brass HP controlable Other

  • Red Devil
  • Dial a Jet
  • Fully adjustable "Protec" style
  • Foam Aerating
  • Blizzard Boss
  • Brass HP controlable
  • Other

• Please add what other types of branch are in the Locker.

• Please select what type of adaptors are in the Locker.

  Select 25mm to 38mm Storz 38mm to 65mm Storz 38mm Storz to QRT male 38mm Storz to QRT Female 38mm Storz to 50mm Camlock female Other

  • 25mm to 38mm Storz
  • 38mm to 65mm Storz
  • 38mm Storz to QRT male
  • 38mm Storz to QRT Female
  • 38mm Storz to 50mm Camlock female
  • Other

• Please add what other types of adaptots are in the Locker.

• Please select what type of hoses are in the Locker.

  Select 25mm Lay Flat 30m length Storz 38mm Lay Flat 30m length Storz 38mm Lay Flat short Length Storz 64mm Lay Flat Short Length QRT Other

  • 25mm Lay Flat 30m length Storz
  • 38mm Lay Flat 30m length Storz
  • 38mm Lay Flat short Length Storz
  • 64mm Lay Flat Short Length QRT
  • Other

• Please add what other types of hoses are in the Locker.

• Please select below other equipment in the Wet Locker.

• Soft Knapp Sack

• There should be 2 Knapp Sacks on the Appliance, either hard or soft. If there are 2 Hard Knapp Sacks on the exterior of the Appliance then Soft ones are not required here. However, Soft Knapp Sacks are a more modern and comfortable unit and can be requested from Area Office.

• Tow rope. This can be either a suitable chain or Snatch Strap.

• All appliances should have a suitable towing system for emergency purposes. Please obtain this as soon as possible.

• Add Locker pictures here.

  Media

Tray and Rear of Appliance

• Please answer the following questions about the Tray & Rear of the appliance.

Water Tank, Pump & Hose Reel

• How much water is stored in the Water Tank?

• What is the Tank made of?

  Select Galvanised Steel Glass Fibre Plastic Synthetic composite material

  • Galvanised Steel
  • Glass Fibre
  • Plastic
  • Synthetic composite material

• Add Water Tank pictures here

  Media

• Make & Model of Motor

• Serial Number of Motor

• What is the Motor fuel type?

  Select Diesel Unleaded Petrol

  • Diesel
  • Unleaded Petrol

• Pump Make & Model

• Pump Serial Number

• Does the pump have a Manifold?

  Yes

  No

• Add pump & Motor pictures here

  Media

• What type of Hose Reel is fitted to the appliance?

  Select Manual winding Hose Reel Electric Hose Reel Electric Hose Reel With auto layering Radio control Electric Hose Reel Radio control Electric Hose Reel with auto layering

  • Manual winding Hose Reel
  • Electric Hose Reel
  • Electric Hose Reel With auto layering
  • Radio control Electric Hose Reel
  • Radio control Electric Hose Reel with auto layering

• What type of hose is fitted to the Hose Reel?

  19mm Black

  19mm Yellow

• Is the pump fitted with a Foam Induction Unit?

  Yes

  No

• Add Hose Reel pictures here

  Media

Other Equipment stowed on the Tray & Rear of the Appliance.

• Please use checkboxes to indicate what other equipment is stowed on the Tray & Rear of the appliance.

• Fire Extinguisher

• Fire Extinguisher Inspection

Fire Extinguisher

• Fire Extinguisher type

  Select Dry Chemical Water Carbon Dioxide Wet Chemical

  • Dry Chemical
  • Water
  • Carbon Dioxide
  • Wet Chemical

• Is the Extinguisher in date

  Yes

  No

• When is the next test due?

  Date

• Where is the Extinguisher located

  Select Offside front of tray Offside rear of tray Nearside front of tray Nearside rear of tray

  • Offside front of tray
  • Offside rear of tray
  • Nearside front of tray
  • Nearside rear of tray

• A 4.5kg Dry Chemical Extinguisher is a mandatory piece of Equipment. Please obtain one as soon as you can and be sure that it is in date.

• Standpipe

• Suction Hose with Stainer Basket

• Spare Foam Drum

• Drip Torch (2 of)

• Rake Hoe (2 of)

• Beater (2 of)

• Jerry Can Diesel Fuel

• Jerry Can Drip Torch Fuel

• Chainsaw & Chainsaw Safety Equipment

• Add Pictures of the Tray & Rear of the Appliance here

  Media

Appliance Functionality

• The checkboxes below should be ticked if the item listed is fully functional. Please comment at the end if anything requires repairs.

• Beacons

• Sirens

• Headlights. High Beam, Low Beam, Rear & Park

• Indicators

• Brake Lights

• Reversing Light & Alarm

• Work Lights

• Are all tyres in good condition?

  Yes

  No

• Please see comment below to see which tyre/s need attention

• Comments on tyre condition.

• Pump & Motor Combo

• Hose Reel

• Branches, adaptors & hoses

• Suction Priming Pump

• Foam Induction Unit

• Please add comments about appliance functionality below.

• Add pictures of the exterior of the appliance here.

  Media

Vehicle Modifications

• Please add information about Any modifications to the appliance below.

• Have any modifications been made to the appliance?

  Yes

  No

• Unit Modifications

Modifications

• Name of modification

• When was the modification done?

  Date

• Describe the modification

• Does the modification add significant weight to the appliance?

  Yes

  No

• Please choose the approximate weight of the modification.

  Select 5-10kg 10-20kg 20-30kg 30-40kg 40kg plus

  • 5-10kg
  • 10-20kg
  • 20-30kg
  • 30-40kg
  • 40kg plus

• Has the modification been approved by Area Office?

  Yes

  No

• Can the modification be approved by Area Office?

  Yes

  No

• Add modification pictures here

  Media

Appliance Damage

• Is there any damage to the appliance?

  Yes

  No

• Damage to appliance

particulars of Damage

• What is the nature of the damage to the appliance

• When did the damage occur?

• How did the damage occur?

• Does the damage affect the safe operation of the appliance?

  Yes

  No

• Call Area Office immediately and organise to have repairs undertaken as an emergent repair.

• Is the damage worth more than $500.00?

  Yes

  No

• Has the damage been reported to Area Office?

  Yes

  No

• Please report the damage and submit a Self Insurance Claim Form.

• Has a Self Insurance Claim form been submitted to Area Office?

  Yes

  No

• Please submit a Self Insurance Claim Form to Area Office

• Please obtain a quote for repairs and notify Area Office to discuss whether the repairs should be undertaken by the brigade or by Area Office.

• Add damage pictures here

  Media

Medium Attack Appliance

• Brigade Name

• Appliance Call Sign

• Appliance RF Number

• VIN Number

• Odometer Reading

• Compliance Date

• Appliance storage location
  Address

• Add compliance Plate pictures here

  Media

CAB INTERIOR

• Click on the check boxes if items are currently inside the Cab of the Appliance. Most of the items should be kept in the Appliance at all times. Notes on items explain what needs to be done. If items are missing then they will need to be sought immediately.

• Brigade map

• These can be requisitioned from Area Office.

• Brigade Name

• Street directory

• This should be purchased by the brigade.

• GPS

• A GPS is not a required item, but can be purchased by the brigade should the brigade so choose

• Yes

  No

  N/A

• Compass

• If not present the brigade should purchase one.

• T Cards

• Yellow T Cards must be kept in all appliances. These can be obtained by requisitioning them from Area Office. Please order some as soon as possible

• TAC pack (note version)

• A TAC pack needs to be available on every appliance. Please order one through Area Office.

• Incident Controller vest

• Incident Controller tabards are very important in identifying the IC and must be kept in the primary response appliance. Please order one from Area Office.

• Note book & pens

• A notebook and pen should be kept in each appliance.

• Torch

• Please ensure that there is at least 1 torch in the cab of the Appliance.

• Fixed UHF radio

• Is the radio fully functional?

  Yes

  No

• If there is no fixed UHF Radio please contact Area Office to arrange to have one fitted.

• Fixed VHF radio

• Is the radio fully functional?

  Yes

  No

• If there is no fixed VHF Radio please contact Area Office to arrange to have one fitted.

• Hand held VHF radio

• If hand held radios are kept in the Fire Station then this Box should be left unchecked

• Hand held UHF radio

• If hand held radios are kept in the Fire Station then this Box should be left unchecked

• Burn over blanket

• It is mandatory for each appliance to carry burn over blankets for each crew member. 3 on a medium attack and 2 on a light attack. Please requisition blankets to complete the correct number for this appliance fro Area Office.

• Tool kit and jack

• Every Appliance must carry a jack and tool kit in case of punctures. If one is not on the Appliance then one must obtained immediately at brigade expense.

• Mobile phone

• A mobile phone is not a required item for this Inspection.

• Insert internal cab pictures here

  Media

Lockers

Dry Locker

• Click on the check boxes if items are currently in the dry Locker of the Appliance. Most of the items should be kept in the Appliance at all times. Notes on items explain what needs to be done. If items are missing then they will need to be sought immediately.

• First Aid Kit

• Please requisition a new First Aid Kit from Area Office immediately.

• Are the Kit contents in date

  Yes

  No

• What is the expiration date of the Kit contents?

  Date

• Please replace the contents of the First Aid Kit that are out of date. These can be requisitioned from Area Office.

• Hearing protection. Either Ear Plugs or Ear Muffs

• Please requisition new hearing protection from Area Office. Hearing protection must be provided for people working close to the operating Pump.

• Eye protection. Goggles

• Please requisition new Goggles from Area Office. Eye protection must be provided for people working on the Fire ground.

• Respiratory protection. P2 masks.

• Please requisition new P2 Masks from Area Office. Respiratory protection must be provided for people working on the Fire ground.

• Riggers Gloves

• Although Riggers gloves are part of Firefighters personal PPE, some spare gloves on the appliance are a good idea.

• Fire Blanket. This is not the Burn Over Protection Blanket, but rather the kitchen type Fire Blanket.

• Please obtain a new Fire Blanket. These can requisitioned from Area Office.

• Drinking Water

• Please make sure that there is always fresh Drinking Water on the Appliance.

• Eski

• Fridge

• Add Dry Locker pictures here.

  Media

Wet Locker

• Please select what type of branches are in the locker

  Select Red Devil Dial a Jet Fully adjustable "Protec" style Foam Aerating Blizzard Boss Brass HP controlable Other

  • Red Devil
  • Dial a Jet
  • Fully adjustable "Protec" style
  • Foam Aerating
  • Blizzard Boss
  • Brass HP controlable
  • Other

• Please add what other types of branch are in the Locker.

• Please select what type of adaptors are in the Locker.

  Select 25mm to 38mm Storz 38mm to 65mm Storz 38mm Storz to QRT male 38mm Storz to QRT Female 38mm Storz to 50mm Camlock female Other

  • 25mm to 38mm Storz
  • 38mm to 65mm Storz
  • 38mm Storz to QRT male
  • 38mm Storz to QRT Female
  • 38mm Storz to 50mm Camlock female
  • Other

• Please add what other types of adaptots are in the Locker.

• Please select what type of hoses are in the Locker.

  Select 25mm Lay Flat 30m length Storz 38mm Lay Flat 30m length Storz 38mm Lay Flat short Length Storz 64mm Lay Flat Short Length QRT Other

  • 25mm Lay Flat 30m length Storz
  • 38mm Lay Flat 30m length Storz
  • 38mm Lay Flat short Length Storz
  • 64mm Lay Flat Short Length QRT
  • Other

• Please add what other types of hoses are in the Locker.

• Please select below other equipment in the WetLocker.

• Soft Knapp Sack

• There should be 2 Knapp Sacks on the Appliance, either hard or soft. If there are 2 Hard Knapp Sacks on the exterior of the Appliance then Soft ones are not required here. However, Soft Knapp Sacks are a more modern and comfortable unit and can be requested from Area Office.

• Tow rope. This can be either a suitable chain or Snatch Strap.

• All appliances should have a suitable towing system for emergency purposes. Please obtain this as soon as possible.

• Add Locker pictures here.

  Media

Tray and Rear of Appliance

• Please answer the following questions about the Tray & Rear of the appliance.

Water Tank, Pump & Hose Reel

• How much water is stored in the Water Tank?

• What is the Tank made of?

  Select Galvanised Steel Glass Fibre Plastic Synthetic composite material

  • Galvanised Steel
  • Glass Fibre
  • Plastic
  • Synthetic composite material

• Add Water Tank pictures here

  Media

• Make & Model of Motor

• Serial Number of Motor

• What is the Motor fuel type?

  Select Diesel Unleaded Petrol

  • Diesel
  • Unleaded Petrol

• Pump Make & Model

• Pump Serial Number

• High Pressure Pump make and medel, if fitted

• High Pressure Pump Serial number, if fitted

• Does the pump have a Manifold?

  Yes

  No

• Add pump & Motor pictures here

  Media

• What types of Hose Reel are fitted to the appliance?

  Select Manual winding Hose Reel Electric Hose Reel Electric Hose Reel With auto layering Radio control Electric Hose Reel Radio control Electric Hose Reel with auto layering

  • Manual winding Hose Reel
  • Electric Hose Reel
  • Electric Hose Reel With auto layering
  • Radio control Electric Hose Reel
  • Radio control Electric Hose Reel with auto layering

• What type of hose is fitted to the Hose Reel?

  19mm Black

  19mm Yellow

• Is the pump fitted with a Foam Induction Unit?

  Yes

  No

• Add Hose Reel pictures here

  Media

Other Equipment stowed on the Tray & Rear of the Appliance.

• Please use checkboxes to indicate what other equipment is stowed on the Tray & Rear of the appliance.

• Fire Extinguisher

• Fire Extinguisher Inspection

Fire Extinguisher

• Fire Extinguisher type

  Select Dry Chemical Water Carbon Dioxide Wet Chemical

  • Dry Chemical
  • Water
  • Carbon Dioxide
  • Wet Chemical

• Is the Extinguisher in date

  Yes

  No

• When is the next test due?

  Date

• Where is the Extinguisher located

  Select Offside front of tray Offside rear of tray Nearside front of tray Nearside rear of tray

  • Offside front of tray
  • Offside rear of tray
  • Nearside front of tray
  • Nearside rear of tray

• A 4.5kg Dry Chemical Extinguisher is a mandatory piece of Equipment. Please obtain one as soon as you can and be sure that it is in date.

• Standpipe

• Suction Hose with Stainer Basket

• Spare Foam Drum

• Drop Torch (2 of)

• Rake Hoe (2 of)

• Beater (2 of)

• Jerry Can Diesel Fuel

• Jerry Can Drip Torch Fuel

• Chainsaw & Chainsaw Safety Equipment

• Portable Volume Pump

• Add Pictures of the Tray & Rear of the Appliance here

  Media

Appliance Functionality

• The checkboxes below should be ticked if the item listed is fully functional. Please comment at the end if anything requires repairs.

• Beacons

• Sirens

• Headlights. High Beam, Low Beam, Rear & Park

• Indicators

• Brake Lights

• Reversing Light & Alarm

• Work Lights

• Are all tyres in good condition?

  Yes

  No

• Please see comment below to see which tyre/s need attention

• Comments on tyre condition.

• Pump & Motor Combo

• Hose Reel 1

• Hose Reel 2

• Branches, adaptors & hoses

• Suction Priming Pump

• Foam Induction Unit

• Please add comments about appliance functionality below.

• Add pictures of the exterior of the appliance here.

  Media

Vehicle Modifications

• Please add information about Any modifications to the appliance below.

• Have any modifications been made to the appliance?

  Yes

  No

• Unit Modifications

Modifications

• Name of modification

• When was the modification done?

  Date

• Describe the modification

• Does the modification add significant weight to the appliance?

  Yes

  No

• Please choose the approximate weight of the modification.

  Select 5-10kg 10-20kg 20-30kg 30-40kg 40kg plus

  • 5-10kg
  • 10-20kg
  • 20-30kg
  • 30-40kg
  • 40kg plus

• Has the modification been approved by Area Office?

  Yes

  No

• Can the modification be approved by Area Office?

  Yes

  No

• Add modification pictures here

  Media

Appliance Damage

• Is there any damage to the appliance?

  Yes

  No

• Damage to appliance

particulars of Damage

• What is the nature of the damage to the appliance

• When did the damage occur?

• How did the damage occur?

• Does the damage the safe operation of the appliance?

  Yes

  No

• Call Area Office immediately and organise to have repairs undertaken as an emergent repair.

• Is the damage worth more than $500.00?

  Yes

  No

• Has the damage been reported to Area Office?

  Yes

  No

• Please report the damage and submit a Self Insurance Claim Form.

• Has a Self Insurance Claim form been submitted to Area Office?

  Yes

  No

• Please submit a Self Insurance Claim Form to Area Office

• Please obtain a quote for repairs and notify Area Office to discuss whether the repairs should be undertaken by the brigade or by Area Office.

• Add damage pictures here

  Media

Tanker

• Brigade Name

• Appliance Call Sign

• Appliance RF Number

• VIN Number

• Odometer Reading

• Compliance Date

• Appliance storage location
  Address

• Add compliance Plate pictures here

  Media

CAB INTERIOR

• Click on the check boxes if items are currently inside the Cab of the Appliance. Most of the items should be kept in the Appliance at all times. Notes on items explain what needs to be done. If items are missing then they will need to be sought immediately.

• Brigade map

• These can be requisitioned from Area Office.

• Street directory

• This should be purchased by the brigade.

• GPS

• A GPS is not a required item in all appliances, but all Tankers should have a GPS.

• Compass

• If not present the brigade should purchase one.

• T Cards

• Yellow T Cards must be kept in all appliances. These can be obtained by requisitioning them from Area Office. Please order some as soon as possible

• Note book & pens

• A notebook and pen should be kept in each appliance.

• Torch

• Please ensure that there is at least 1 torch in the cab of the Appliance.

• Fixed UHF radio

• Is the radio fully functional?

  Yes

  No

• If there is no fixed UHF Radio please contact Area Office to arrange to have one fitted.

• Fixed VHF radio

• Is the radio fully functional?

  Yes

  No

• If there is no fixed VHF Radio please contact Area Office to arrange to have one fitted.

• Hand held VHF radio

• If hand held radios are kept in the Fire Station then this Box should be left unchecked

• Hand held UHF radio

• If hand held radios are kept in the Fire Station then this Box should be left unchecked

• Burn over blanket

• It is mandatory for each appliance to carry burn over blankets for each crew member. 3 on a medium attack and 2 on a light attack. Please requisition blankets to complete the correct number for this appliance from Area Office.

• Tool kit and jack

• Every Appliance must carry a jack and tool kit in case of punctures. If one is not on the Appliance then one must obtained immediately at brigade expense.

• Mobile phone

• A mobile phone is not a required item for this Inspection.

• Insert internal cab pictures here

  Media

Lockers

Dry Locker

• Click on the check boxes if items are currently in the dry Locker of the Appliance. Most of the items should be kept in the Appliance at all times. Notes on items explain what needs to be done. If items are missing then they will need to be sought immediately.

• First Aid Kit

• Please requisition a new First Aid Kit from Area Office immediately.

• Are the Kit contents in date

  Yes

  No

• What is the expiration date of the Kit contents?

  Date

• Please replace the contents of the First Aid Kit that are out of date. These can be requisitioned from Area Office.

• Hearing protection. Either Ear Plugs or Ear Muffs

• Please requisition new hearing protection from Area Office. Hearing protection must be provided for people working close to the operating Pump.

• Eye protection. Goggles

• Please requisition new Goggles from Area Office. Eye protection must be provided for people working on the Fire ground.

• Respiratory protection. P2 masks.

• Please requisition new P2 Masks from Area Office. Respiratory protection must be provided for people working on the Fire ground.

• Riggers Gloves

• Although Riggers gloves are part of Firefighters personal PPE, some spare gloves on the appliance are a good idea.

• Fire Blanket. This is not the Burn Over Protection Blanket, but rather the kitchen type Fire Blanket.

• Please obtain a new Fire Blanket. These can requisitioned from Area Office.

• Drinking Water

• Please make sure that there is always fresh Drinking Water on the Appliance.

• Eski

• Fridge

• Add Dry Locker pictures here.

  Media

Wet Locker

• Please select what type of branches are in the locker

  Select Red Devil Dial a Jet Fully adjustable "Protec" style Foam Aerating Blizzard Boss Brass HP controlable Other

  • Red Devil
  • Dial a Jet
  • Fully adjustable "Protec" style
  • Foam Aerating
  • Blizzard Boss
  • Brass HP controlable
  • Other

• Please add what other types of branch are in the Locker.

• Please select what type of adaptors are in the Locker.

  Select 25mm to 38mm Storz 38mm to 65mm Storz 38mm Storz to QRT male 38mm Storz to QRT Female 38mm Storz to 50mm Camlock female Other

  • 25mm to 38mm Storz
  • 38mm to 65mm Storz
  • 38mm Storz to QRT male
  • 38mm Storz to QRT Female
  • 38mm Storz to 50mm Camlock female
  • Other

• Please add what other types of adaptots are in the Locker.

• Please select what type of hoses are in the Locker.

  Select 25mm Lay Flat 30m length Storz 38mm Lay Flat 30m length Storz 38mm Lay Flat short Length Storz 64mm Lay Flat Short Length QRT Other

  • 25mm Lay Flat 30m length Storz
  • 38mm Lay Flat 30m length Storz
  • 38mm Lay Flat short Length Storz
  • 64mm Lay Flat Short Length QRT
  • Other

• Please add what other types of hoses are in the Locker.

• Please select below other equipment in the WetLocker.

• Tow rope. This can be either a suitable chain or Snatch Strap.

• All appliances should have a suitable towing system for emergency purposes. Please obtain this as soon as possible.

• Add Locker pictures here.

  Media

Tray and Rear of Appliance

• Please answer the following questions about the Tray & Rear of the appliance.

Water Tank, Pump & Hose Reel

• How much water is stored in the Water Tank?

• What is the Tank made of?

  Select Galvanised Steel Glass Fibre Plastic Synthetic composite material

  • Galvanised Steel
  • Glass Fibre
  • Plastic
  • Synthetic composite material

• Add Water Tank pictures here

  Media

• Make & Model of Motor

• Serial Number of Motor

• What is the Motor fuel type?

  Select Diesel Unleaded Petrol

  • Diesel
  • Unleaded Petrol

• Pump Make & Model

• Pump Serial Number

• Does the pump have a Manifold?

  Yes

  No

• Add pump & Motor pictures here

  Media

• What type of Hose Reel is fitted to the appliance?

  Select Manual winding Hose Reel Electric Hose Reel Electric Hose Reel With auto layering Radio control Electric Hose Reel Radio control Electric Hose Reel with auto layering

  • Manual winding Hose Reel
  • Electric Hose Reel
  • Electric Hose Reel With auto layering
  • Radio control Electric Hose Reel
  • Radio control Electric Hose Reel with auto layering

• What type of hose is fitted to the Hose Reel?

  19mm Black

  19mm Yellow

• Is the pump fitted with a Foam Induction Unit?

  Yes

  No

• Add Hose Reel pictures here

  Media

Other Equipment stowed on the Tray & Rear of the Appliance.

• Please use checkboxes to indicate what other equipment is stowed on the Tray & Rear of the appliance.

• Fire Extinguisher

• Fire Extinguisher Inspection

Fire Extinguisher

• Fire Extinguisher type

  Select Dry Chemical Water Carbon Dioxide Wet Chemical

  • Dry Chemical
  • Water
  • Carbon Dioxide
  • Wet Chemical

• Is the Extinguisher in date

  Yes

  No

• When is the next test due?

  Date

• Where is the Extinguisher located

  Select Offside front of tray Offside rear of tray Nearside front of tray Nearside rear of tray

  • Offside front of tray
  • Offside rear of tray
  • Nearside front of tray
  • Nearside rear of tray

• A 4.5kg Dry Chemical Extinguisher is a mandatory piece of Equipment. Please obtain one as soon as you can and be sure that it is in date.

• Standpipe

• Suction Hose with Stainer Basket

• Spare Foam Drum

• Drip Torch (2 of)

• Rake Hoe (2 of)

• Beater (2 of)

• Jerry Can Diesel Fuel

• Jerry Can Drip Torch Fuel

• Chainsaw & Chainsaw Safety Equipment

• Portable Volume Pump

• Add Pictures of the Tray & Rear of the Appliance here

  Media

Appliance Functionality

• The checkboxes below should be ticked if the item listed is fully functional. Please comment at the end if anything requires repairs.

• Beacons

• Sirens

• Headlights. High Beam, Low Beam, Rear & Park

• Indicators

• Brake Lights

• Reversing Light & Alarm

• Work Lights

• Are all tyres in good condition?

  Yes

  No

• Please see comment below to see which tyre/s need attention

• Comments on tyre condition.

• Pump & Motor Combo

• Hose Reel 1

• Hose Reel 2

• Branches, adaptors & hoses

• Suction Priming Pump

• Foam Induction Unit

• Please add comments about appliance functionality below.

• Add pictures of the exterior of the appliance here.

  Media

Vehicle Modifications

• Please add information about Any modifications to the appliance below.

• Have any modifications been made to the appliance?

  Yes

  No

• Unit Modifications

Modifications

• Name of modification

• When was the modification done?

  Date

• Describe the modification

• Does the modification add significant weight to the appliance?

  Yes

  No

• Please choose the approximate weight of the modification.

  Select 5-10kg 10-20kg 20-30kg 30-40kg 40kg plus

  • 5-10kg
  • 10-20kg
  • 20-30kg
  • 30-40kg
  • 40kg plus

• Has the modification been approved by Area Office?

  Yes

  No

• Can the modification be approved by Area Office?

  Yes

  No

• Add modification pictures here

  Media

Appliance Damage

• Is there any damage to the appliance?

  Yes

  No

• Damage to appliance

particulars of Damage

• What is the nature of the damage to the appliance

• When did the damage occur?

• How did the damage occur?

• Does the damage the safe operation of the appliance?

  Yes

  No

• Call Area Office immediately and organise to have repairs undertaken as an emergent repair.

• Is the damage worth more than $500.00?

  Yes

  No

• Has the damage been reported to Area Office?

  Yes

  No

• Please report the damage and submit a Self Insurance Claim Form.

• Has a Self Insurance Claim form been submitted to Area Office?

  Yes

  No

• Please submit a Self Insurance Claim Form to Area Office

• Please obtain a quote for repairs and notify Area Office to discuss whether the repairs should be undertaken by the brigade or by Area Office.

• Add damage pictures here

  Media

Support Vehicle

• Brigade Name

• Appliance Call Sign

• Appliance RF Number

• VIN Number

• Odometer Reading

• Compliance Date

• Appliance storage location
  Address

• Add compliance Plate pictures here

  Media

CAB INTERIOR

• Click on the check boxes if items are currently inside the Cab of the Appliance. Most of the items should be kept in the Appliance at all times. Notes on items explain what needs to be done. If items are missing then they will need to be sought immediately.

• Brigade maps

• These can be requisitioned from Area Office.

• Street directory

• This should be purchased by the brigade.

• GPS

• A GPS is not a required item in all appliances, but all Support Vehicles should have a GPS.

• Compass

• If not present the brigade should purchase one.

• TAC pack (A4 version)

• A TAC pack needs to be available on every support vehicle. Please order one through Area Office.

• T Cards

• All types of T Cards must be kept in support vehicles. These can be obtained by requisitioning them from Area Office. Please order some as soon as possible

• Incident Controller vest

• Incident Controller tabards are very important in identifying the IC and must be kept in the primary response appliance. Please order one from Area Office.

• Note book & pens

• A notebook and pen should be kept in each appliance.

• Torch

• Please ensure that there is at least 1 torch in the cab of the Appliance.

• Fixed UHF radio

• Is the radio fully functional?

  Yes

  No

• If there is no fixed UHF Radio please contact Area Office to arrange to have one fitted.

• Fixed VHF radio

• Is the radio fully functional?

  Yes

  No

• If there is no fixed VHF Radio please contact Area Office to arrange to have one fitted.

• Hand held VHF radio

• If hand held radios are kept in the Fire Station then this Box should be left unchecked

• Hand held UHF radio

• If hand held radios are kept in the Fire Station then this Box should be left unchecked

• Burn over blanket

• It is mandatory for each vehicle to carry burn over blankets for each crew member. 3 on a medium attack and 2 on a light attack. Please requisition blankets to complete the correct number for this appliance from Area Office.

• Tool kit and jack

• Every Appliance must carry a jack and tool kit in case of punctures. If one is not on the Appliance then one must obtained immediately at brigade expense.

• Mobile phone

• A mobile phone is not a required item for this Inspection.

• Insert internal cab pictures here

  Media

Vehicle Equipment

• Click on the check boxes if items are currently in the dry Locker of the Appliance. Most of the items should be kept in the Appliance at all times. Notes on items explain what needs to be done. If items are missing then they will need to be sought immediately.

• First Aid Kit

• Please requisition a new First Aid Kit from Area Office immediately.

• Are the Kit contents in date

  Yes

  No

• What is the expiration date of the Kit contents?

  Date

• Please replace the contents of the First Aid Kit that are out of date. These can be requisitioned from Area Office.

• Fire Extinguisher

• Fire Extinguisher Inspection

Fire Extinguisher

• Fire Extinguisher type

  Select Dry Chemical Water Carbon Dioxide Wet Chemical

  • Dry Chemical
  • Water
  • Carbon Dioxide
  • Wet Chemical

• Is the Extinguisher in date

  Yes

  No

• When is the next test due?

  Date

• Where is the Extinguisher located

  Select Offside front of tray Offside rear of tray Nearside front of tray Nearside rear of tray

  • Offside front of tray
  • Offside rear of tray
  • Nearside front of tray
  • Nearside rear of tray

• A 4.5kg Dry Chemical Extinguisher is a mandatory piece of Equipment. Please obtain one as soon as you can and be sure that it is in date.

• Hearing protection. Either Ear Plugs or Ear Muffs

• Please requisition new hearing protection from Area Office. Hearing protection must be provided for people working close to the operating Pump.

• Eye protection. Goggles

• Please requisition new Goggles from Area Office. Eye protection must be provided for people working on the Fire ground.

• Respiratory protection. P2 masks.

• Please requisition new P2 Masks from Area Office. Respiratory protection must be provided for people working on the Fire ground.

• Riggers Gloves

• Although Riggers gloves are part of Firefighters personal PPE, some spare gloves on the appliance are a good idea.

• Burn Over Blankets

• Please immediately requisition 2 Burn Over Blankets from Area Office. Or if you have them at the station make sure that they are put in the Locker.

• Fire Blanket. This is not the Burn Over Protection Blanket, but rather the kitchen type Fire Blanket.

• Please obtain a new Fire Blanket. These can requisitioned from Area Office.

• Drinking Water

• Please make sure that there is always fresh Drinking Water on the Appliance.

• Eski

• Fridge

• Generator

• Lighting Plant

• Computer

• Printer

• Add Equipment pictures here.

  Media

Appliance Functionality

• The checkboxes below should be ticked if the item listed is fully functional. Please comment at the end if anything requires repairs.

• Beacons

• Sirens

• Headlights. High Beam, Low Beam, Rear & Park

• Indicators

• Brake Lights

• Reversing Light & Alarm

• Work Lights

• Are all tyres in good condition?

  Yes

  No

• Please see comment below to see which tyre/s need attention

• Comments on tyre condition.

• Please add comments about vehicle functionality below.

• Add pictures of the exterior of the appliance here.

  Media

Vehicle Modifications

• Please add information about Any modifications to the appliance below.

• Have any modifications been made to the appliance?

  Yes

  No

• Unit Modifications

Modifications

• Name of modification

• When was the modification done?

  Date

• Describe the modification

• Does the modification add significant weight to the appliance?

  Yes

  No

• Please choose the approximate weight of the modification.

  Select 5-10kg 10-20kg 20-30kg 30-40kg 40kg plus

  • 5-10kg
  • 10-20kg
  • 20-30kg
  • 30-40kg
  • 40kg plus

• Has the modification been approved by Area Office?

  Yes

  No

• Can the modification be approved by Area Office?

  Yes

  No

• Add modification pictures here

  Media

Appliance Damage

• Is there any damage to the appliance?

  Yes

  No

• Damage to appliance

particulars of Damage

• What is the nature of the damage to the appliance

• When did the damage occur?

• How did the damage occur?

• Does the damage the safe operation of the appliance?

  Yes

  No

• Call Area Office immediately and organise to have repairs undertaken as an emergent repair.

• Is the damage worth more than $500.00?

  Yes

  No

• Has the damage been reported to Area Office?

  Yes

  No

• Please report the damage and submit a Self Insurance Claim Form.

• Has a Self Insurance Claim form been submitted to Area Office?

  Yes

  No

• Please submit a Self Insurance Claim Form to Area Office

• Please obtain a quote for repairs and notify Area Office to discuss whether the repairs should be undertaken by the brigade or by Area Office.

• Add damage pictures here

  Media