Weekly Appliance Check Pumper

• Duty Crew

  Select Black Blue Brown Green Orange Red

  • Black
  • Blue
  • Brown
  • Green
  • Orange
  • Red

• Conducted on

  Date

• Conducted by:

Pre-check before starting vehicle

• No Leaks? (Look under & around vehicle)

  Yes

  No

  N/A

• Tyres (Wear, pressure, condition)

  Safe

  At Risk

  N/A

Under cab before starting vehicle

• Oil (Level, colour, viscosity)

  Safe

  At Risk

  N/A

• Batteries (Terminals tight & clean, leads, general condition)

  Safe

  At Risk

  N/A

• Brake Fluid

  Safe

  At Risk

  N/A

• Coolant levels

  Safe

  At Risk

  N/A

• Window washer reserve

  Safe

  At Risk

  N/A

• Mirrors (clean, tight, secure)

  Safe

  At Risk

  N/A

Start vehicle

• Fuel

  Full

  Above 3/4

  Below 3/4

• Cabin stowage (neat, clean, secure)

  Yes

  No

  N/A

• Road lights (head lights, rear lights, indicators etc)

  Safe

  At Risk

  N/A

• Warning Lights

  Safe

  At Risk

  N/A

• Interior lights (inc map lights)

  Safe

  At Risk

  N/A

• Drain air brakes

  Yes

  No

  N/A

• Engage PTO

  Yes

  No

  N/A

• Water level full

  Yes

  No

  N/A

• Foam tank

  Full

  Above 3/4

  Below 3/4

Locker checks

• First Aid kit (seal intact)

  Yes

  No

  N/A

• Hydration (>20 bottles drinking water, electrolyte)

  Yes

  No

  N/A

• Torches (function, condition, inc traffic wands)

  Yes

  No

  N/A

• Kitty litter tub full

  Yes

  No

  N/A

• Consumables (Jerry cans, bar oil etc)

  Yes

  No

  N/A

Breathing Apparatus & Oxygen

• Set Number:

• Level

  200 Bar

  190 Bar

  180 Bar

  170 Bar

  160 Bar

• DSU Check

  Yes

  No

  N/A

• Straps (extended, rolled, stowed correctly)

  Yes

  No

  N/A

• Mask (clean, straps extended, stowed correctly)

  Yes

  No

  N/A

• Set Number:

• Level

  200 Bar

  190 Bar

  180 Bar

  170 Bar

  160 Bar

• DSU Check

  Yes

  No

  N/A

• Straps (extended, rolled, stowed correctly)

  Yes

  No

  N/A

• Mask (clean, straps extended, stowed correctly)

  Yes

  No

  N/A

• Oxygen

  Select 15,000 kpa 14,000 kpa 13,000 kpa 12,000 kpa 11,000 kpa 10,000 kpa

  • 15,000 kpa
  • 14,000 kpa
  • 13,000 kpa
  • 12,000 kpa
  • 11,000 kpa
  • 10,000 kpa

• AED

  Safe

  At Risk

  N/A

Any anomalies

• Comments