VIPR Fire Equipment Incident Inspection Checklist April 1, 2015 CREW CARRIER INCIDENT INSPECTION CHECKLIST INCIDENT NAME: Date: ___________ Time: __________ ___________________ INCIDENT NUMBER: ____________________ RESOURCE #: E- COMPANY/CONTRACTOR:_________________________________________________________________ AGREEMENT NUMBER: ___________________________________________________________________ EQUIPMENT MAKE: _______________________________ MODEL: _______________________________ VIN/SERIAL #: ____________________________________________________________________________ OPERATOR NAME: ______________________________________________________________________________________ EQUIPMENT and OPERATOR REQUIREMENTS CREW CARRIER Minimum Requirements Not all inclusive; for additional clarification refer to agreement (SF-1449 section D) 1 2 3 Agreement (One complete copy) (D.8) Check-In Process Completed (Note: Also includes; Finance, and Plans) (D.6.5.3) Equipment VIN/Serial # matches Resource Order (may also have to verify on DPL): Note: This is also a business rule that could affect payment. 4 5 6 7 Yes RT-130 Fire Line Refresher current for all personnel Incident Pre-Use Inspection Completed (Schedule of Items) (D.6.3.1) (D.3.1) (OF-296 Vehicle/Heavy Equipment Mechanical Inspection) (D.17) (D.17.1) DOT Operating Authority: Current DOT operating authorities, permit numbers, and the name and location (state) of the issuing authority organization. (D.2.1.2) Insurance: Coverage shall be available at all times and meet 49 CFR Part 387.33. (D.2.1.2) Personal Protective Equipment: 8 Boots Hard Hat Headlamp Gloves Eye Protection Fire Shelter (new generation) Hearing Protection Fire resistant clothing (two full sets) (D.2.1.2) 9 10 Identification: Company name and vehicle identification number (Equipment ID) shall be displayed on the vehicle with lettering a minimum of two (2) inches in height. Seating: School-type bus with capacity to carry a minimum of 22 adult passengers (D.2.1.2) (D.2.1.2) Emergency Exits: 11 All of the original emergency exits that were required when the bus was manufactured shall be in working order, clearly identified and shall not be blocked by any portion of the cargo area. Appropriately labeled (designated), with at least one (1) inch lettering, including concise operating instructions within 6 inches of mechanism. (49 CFR 393.62) (D.2.1.2) Internal Cargo Storage Area: 12 Metal, cage-like, storage area (minimum of 120 cubic feet). Securely mounted to body of frame of vehicle. No sharp edges or unfinished areas. Heavy weight ballistic nylon reinforced with heavy webbing encapsulating load. (D.2.1.2) No VIPR Fire Equipment Incident Inspection Checklist April 1, 2015 13 External Storage Compartment: Chainsaws, drip torches, fuel, fusses. All flammable and combustible items to be stored in external storage compartment(s). (D.2.1.2) 14 Wheel Chocks: One set. 15 Spare Tire: Full size, mounted on wheel, spare tire properly secured. 16 *Drive shaft: Protection to prevent whipping of shaft in the event of failure. (49 CFR 393.89) (D.2.1.2) (D.2.1.2) (D.2.1.2) *Item may be waived if inspection successfully performed on the OF-296 Equipment meets agreement specifications Equipment does not meet agreement specifications Inspector: Date: (Print and sign) Contractor: Date: (Print and sign) Contractor given the opportunity to correct noted deficiencies (See Remarks) Contactor successfully corrected noted deficiencies Inspector: Date: REMARKS:_______________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________