VICSES - Holmatro Rescue Tools

Title Page

Inspection Date:
Reason for Audit
Auditor:
By signing this audit sheet, I acknowledge I am required to carry out the audit to the best of my ability as well as making right any minor issues observed. Any major issues that are unable to be rectified will be immediately reported to the Deputy Controller Operations:
Signature:

The Holmatro tool inspection requires the following items for a complete and thorough inspection: - Soft cloth - Silicon - WD40 Lubricant - Allen Key (4mm) - Open-ended/Ring Spanner (12mm) - Air Blower - File (Flat - 2nd Smooth) - File (Round) PPC & E IS TO BE WORN THROUGH MAINTENANCE INCLUDES GLOVES, SAFETY GLASSES AND OVER ALLS.

Cutters

Function of dead-mans handle (returns to neutral and has full range of movement)
Dead-mans handle operates according to pictogram on handle
Dust cap is fitted and in good working order
Coupling and outer housing is clean
Oil buildup in the rear of the handle
Carry handle secure and clean
Handle mounted lights functional and free of damage
Rubber boot and protective "o-ring" in place and in good condition
Body in good condition and is free of damage
Tool mounting brackets in good working order
Tips found over lapping while being stored
Blades clean and free of damage
Function test carried out (opening and closing twice to full pressure for 10 seconds)
Comments

Function of dead-mans handle (returns to neutral and has full range of movement)
Dead-mans handle operates according to pictogram on handle
Dust cap is fitted and in good working order
Coupling and outer housing is clean
Oil buildup in the rear of the handle
Carry handle secure and clean
Handle mounted lights functional and free of damage
Rubber boot and protective "o-ring" in place and in good condition
Body in good condition and is free of damage
Tool mounting brackets in good working order
Tips clean and free of rust and damage
Arms free of damage
Tips not fully closed on storing (<5mm)
Check small arm locking rings are secure and not damaged
Function test carried out (opening and closing twice to full pressure for 10 seconds)
Comments

Function of dead-mans handle (returns to neutral and has full range of movement)
Dead-mans handle operates according to pictogram on handle
Dust cap is fitted and in good working order
Coupling and outer housing is clean
Oil buildup in the rear of the handle
Carry handle secure and clean
Handle mounted lights functional and free of damage
Rubber boot and protective "o-ring" in place and in good condition
Body in good condition and is free of damage
Tool mounting brackets in good working order
Cutting teeth clean and free of damage
Function test carried out (opening and closing twice to full pressure for 10 seconds)
Gap >5mm when closed for storage
Comments

Function of dead-mans press button (returns to neutral and has full range of movement)
Dead-mans press button operates according to pictogram on handle
Dust cap is fitted and in good working order
Coupling and outer housing is clean
Oil buildup in the rear of the handle
Carry handle secure and clean
Handle mounted lights functional and free of damage
Rubber boot and protective "o-ring" in place and in good condition
Body in good condition and is free of damage
Tool mounting brackets in good working order
Cutting blade is clean and free of damage
Function test carried out (opening and closing twice to full pressure for 10 seconds)
Comments

Function of dead-mans handle (returns to neutral and has full range of movement)
Dead-mans handle operates according to pictogram on handle
Dust cap is fitted and in good working order
Coupling and outer housing is clean
Oil buildup in the rear of the handle
Carry handle secure and clean
Handle mounted lights functional and free of damage
Rubber boot and protective "o-ring" in place and in good condition
Body in good condition and is free of damage
Tool mounting brackets in good working order
Manual extension works smoothly
Handle is able to be moved to alternate position freely and locks into position
Shaft/piston is clean and free of damage
Cross head is clean and secured (can also spin 360° freely)
Shaft/piston not fully retracted (<5mm)
Comments

Function of dead-mans handle (returns to neutral and has full range of movement)
Dead-mans handle operates according to pictogram on handle
Dust cap is fitted and in good working order
Coupling and outer housing is clean
Oil buildup in the rear of the handle
Carry handle secure and clean
Handle mounted lights functional and free of damage
Rubber boot and protective "o-ring" in place and in good condition
Body in good condition and is free of damage
Tool mounting brackets in good working order
Shaft/piston is clean and free of damage
Cross head is clean and secured (can also spin 360° freely)
Shaft/piston not fully retracted (<5mm)
Comments

Hose reel wound up neat and tidy with hose reel lock on
Hose reel lock works (locks and releases)
Hose reel retraction/wind-up handle serviceable
Hose reel carry handle secure
Hose reel rubber feet in place and secure
Hose is free of blisters, scallops, cuts, abrasions, soils and is clean and free of dirt
Handle mounted lights functional and free of damage
Rubber boot and protective "o-ring" in place and in good condition
No excessive oil in reel axle
Dust caps present, secure and serviceable
Extension hose only - velcro strap secure, clean and functional
Extension hose only - hose clean and free of dirt/damage
Comments

Sign Off

I hereby certify that all information is accurate and that an actual inspection was conducted.
By signing this audit sheet, I acknowledge I am required to carry out the audit to the best of my ability as well as making right any minor issues observed. Any major issues that are unable to be rectified will be immediately reported to the Deputy Controller Operations:
Signature: