SUPPORT (RESCUE, CHIEF UNIT, HIGH WATER RESCUE,)- Preventative Maintenance & Inspection - DELTA

• Site conducted

  Select

• Department

• Station #

• Unit #

• Conducted on

  Date

• Prepared by

• Location
  Address

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

  Good

  Fair

  Poor

  N/A

• Apparatus Type:

  Select Pumper Tanker Service Rescue Brush Support Arial

  • Pumper
  • Tanker
  • Service
  • Rescue
  • Brush
  • Support
  • Arial

• Chassis Mfgr:

• Yr. Mfgr:

• VIN ID / Serial #

  Media

• VIN TYPED

• Engine Make/Model:

• Engine Serial #

• Mileage:

• Miles Out Photo:

  Media

• Hour Meter:

• Pump Make/Model:

• T-Case #

• Pump Serial #

• APPARATUS IMAGE

  Media

• Check Engine Oil Level

  Good

  Fair

  Poor

  N/A

• Check Transmission Oil Level

  Good

  Fair

  Poor

  N/A

• Check Power Steering Fluid Level

  Good

  Fair

  Poor

  N/A

• Check Engine Coolant Level

  Good

  Fair

  Poor

  N/A

• Check Front Hub Oil

  Good

  Fair

  Poor

  N/A

• Check Rear End Oil Level

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

• Visually Inspect and Operate Wiper Blades and Washers

  Good

  Fair

  Poor

  N/A

• Visually Inspect and Operate Windows & Mirrors

  Good

  Fair

  Poor

  N/A

• Visually Inspect Belts for Cracks & Wear

  Good

  Fair

  Poor

  N/A

• Visually Inspect Coolant Hoses & Lines for Cracks & Wears

  Good

  Fair

  Poor

  N/A

• Check for Leaks (Any Fluids)

  Pass

  Fail

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Pass

  Fail

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

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

  Pass

  Fail

  N/A

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

  Good

  Fair

  Poor

  N/A

• Inspect Body Undercarriage for Broken Supports

  Good

  Fair

  Poor

  N/A

• Inspect Body Sub-Frame & Fasteners

  Good

  Fair

  Poor

  N/A

APPARATUS BODY

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

  Pass

  Fail

  N/A

• Inspect & Lube Door Hinges or Tracks

  Pass

  Fail

  N/A

• Inspect Door Rubber Gaskets

  Good

  Fair

  Poor

  N/A

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

  Pass

  Fail

  N/A

• Check Cab Lift Cylinders (IF APPLICABLE)

  Good

  Fair

  Poor

  N/A

• Inspect Steps and Handrails

  Good

  Fair

  Poor

  N/A

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

  Written Recommendations

ELECTRICAL

• Check Master Battery Switch

  Pass

  Fail

  N/A

• Check Alternator Output (Add Photo)

  Good

  Fair

  Poor

  N/A

• Check Ignition Switch

  Pass

  Fail

  N/A

• Check Emergency Lights & Flashers

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

• Check Headlights

  Pass

  Fail

  N/A

• Check Turn Signals

  Pass

  Fail

  N/A

• Check Brake Lights

  Pass

  Fail

  N/A

• Check Clearance Lights

  Pass

  Fail

  N/A

• Check Ground & Side Marker Lights

  Pass

  Fail

  N/A

• Check Step Lights

  Pass

  Fail

  N/A

• Check License Plate Light

  Pass

  Fail

  N/A

• Check Reverse Back Up Lights

  Pass

  Fail

  N/A

• Check Reverse Camera IF APPLICABLE

  Pass

  Fail

  N/A

• Check Pump Panel Lights

  Pass

  Fail

  N/A

• Check Pump Compartment Lights

  Pass

  Fail

  N/A

• Check Compartment Lights

  Pass

  Fail

  N/A

• Operate & Check Scene Lights/Spot Lights

  Pass

  Fail

  N/A

• Operate Generator (PTO, Portable, Hydraulic)

  Pass

  Fail

  N/A

• Operate & Check Light Tower

  Pass

  Fail

  N/A

• Clean Battery Terminals & Connections

  Pass

  Fail

  N/A

• Load Test Batteries

  Media

• Batteries Pass or Fail

  Pass

  Fail

  N/A

• List CCA and CA

Final In-Service Inspection

• Engine Oil Full

  Yes

  No

  N/A

• Transmission Fluid Full

  Yes

  No

  N/A

• Power Steering Fluid Full

  Yes

  No

  N/A

• Coolant Full

  Yes

  No

  N/A

• Fuel Level Good

  Yes

  No

  N/A

• Windshield Washer Fluid Full

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Brakes are operable

  Good

  Fair

  Poor

  N/A

• Tires are operable

  Good

  Fair

  Poor

  N/A

• Pump is operable

  Good

  Fair

  Poor

  N/A

• Transfer Case Full and Operable

  Good

  Fair

  Poor

  N/A

• Apparatus Starts

  Good

  Fair

  Poor

  N/A

• Apparatus Power Off and Plugged In

  Good

  Fair

  Poor

  N/A

• All used and unused supplies picked up and cleaned.

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

Filter Numbers

• Oil Filter #

• Fuel Filter #

• Air Filter #

• Coolant Filter #

• Hydraulic Filter #