VIPR Fire Equipment Incident Inspection Checklist
April 1, 2015
ENGINE INCIDENT INSPECTION CHECKLIST
INCIDENT NAME:
Date: ___________ Time: __________
___________________ INCIDENT NUMBER: ____________________ RESOURCE #: E-
COMPANY/CONTRACTOR:_________________________________________________________________
AGREEMENT NUMBER: ___________________________________________________________________
EQUIPMENT MAKE: _______________________________ MODEL: _______________________________
VIN/SERIAL #: ____________________________________________________________________________
OPERATOR NAME: ______________________________________________________________________________________
EQUIPMENT and PERSONNEL REQUIREMENTS – WILDLAND FIRE ENGINE
(See agreement for specific Engine Typing Standards)
Type 3
Type 4
Type 5
Type 6
Minimum Requirements
Not all inclusive; for additional clarification refer to agreement (SF-1449 section D)
1
2
3
4
5
6
Yes
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.
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)
Engine: arrived at incident washed (Debris and noxious free)
Engine Staffing / Personnel: Minimum of 3 crew members (unless otherwise ordered and
(D.15)
documented on resource order). All crew members have valid and current qualification cards and
government pictured I.D.
(D.3.1.1)
7
Engine Boss (Name):_____________________________________________
FFT1 / FFT2 (Name):____________________________________________
8
9
10
11
12
13
14
15
16
17
FFT1 / FFT2 (Name):____________________________________________
Additional Personnel; see remarks
Company Name and Equipment I.D.: Affixed to both sides of truck cab
(D.3.1.1)
(D.2.2.3)
Type 6 Engine, all-wheel drive (type 3,4,5 engines all-wheel drive optional)
(D.2.1.2.1)
*Reflective Triangles, bi-directional, set of 3
(Exhibit M)
*Fire Extinguisher, 1 rated at 2A 10BC or better
(D.2.1.2)
2 Wheel chocks
(Exhibit M)
*Seat Belts for all passengers
(D.2.1.2)
Back-Up Alarm: Audible reverse warning device, and 2 back up lights
(D.2.1.2)
Tires: All season or mud and snow tires. 4x4’s must have mud and snow tires on all wheels
(Exhibit M)
Spare Tire: Full size spare tire, spare is securely mounted to vehicle. Has adequate tire changing equipment
(D.2.2.1.1)
1 Gallon Container for drinking water
(Exhibit M)
No
VIPR Fire Equipment Incident Inspection Checklist
April 1, 2015
*Item may be waived if inspection successfully performed on the OF-296.
Minimum Requirements – continued
Yes
18 1 – First Aid Kit (5 person)
Radios: Minimum of 2.
19 Programmable
and one programming cable
20
One must be Handheld. Also has two battery clamshells,
PPE – Per Crew Member: Boots
Hard Hat
Hearing Protection
Headlamp with batteries
(D.2.3)
(Exhibit M)
Gloves
Eye Protection
Fire Shelter: New generation
(D.2.1.2)
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
Flame Resistant Clothing (Nomex): Two Full Sets, Per Crew Member
(D.2.1.2)
3 – Line Gear (Day Pack)
(D.2.1.2)
All inventory permanently engraved with vendor/company identification and have
complete inventory listing including extra items.
(D.2.1.2)
1 – Live hose reel of 100’ hose non-collapsible ¾” inside diameter
(D.2.1.2.1)
1 ½” Hose (see table for min. quantity)
(D.2.1.2.1)
1” Hose (see table for min. quantity)
(D.2.1.2.1)
¾” Hose (see table for min. quantity)
(D.2.1.2.1)
2 Nozzles, combination Fog/Straight Stream, 1 ½ NH female
2 Nozzles, combination Fog/Straight Stream, 1 NPSH female
1 – Nozzle, Class A Foam, 1 ½” NH Female, minimum 20 GPM at 100 psi
2 Nozzles, adjustable ¾ inch (garden hose)
20’ Suction hose with strainer or screened foot valve
3 – Shovels, size “0”
3 – Pulaski’s
1 – Forestry, Fire Hose Clamp
4 – Spanner wrenches, combination, 2 ea 1” & 1 ½”
1 – Double Male 1 ½” NH
1– Double Female 1 ½” NH
1 – Double Male 1” NPSH
1 – Double Female 1” NPSH
2 – Gated Wyes, 1 ½” NH
2 – Gated Wyes 1” NPSH
1 – Gated Wye ¾” (garden hose)
4 – Reducers, 1 ½” NH Female to 1” NPSH Male
1 – Reducer 1” NPSH to ¾” Garden Hose
2 – Adapters 1 ½” NH Female to 1 ½” NPSH Male
2 – Adapters 1 ½” NPSH Female to 1 ½” NH Male
1 - Mop Up Wand, ¾ inch receptor, with ¾ inch nozzle tip:
5 – Inline Ball Valves ¾”
2 – Backpack pumps
10 – Fusee’s (fire starter)
3 – Mill Bastard Files
Auxiliary pump (if equipped) w/spark arrester: Min. 12 Hours fuel.
(Exhibit M)
Pump starts and pumps min 250 psi (T3) 100 psi (T4,5,6)
(Exhibit M)
Pump: Discharge Pressure Gauge
(D.2.1.2)
Foam Proportioner System
(D.2.1.2.1)
No
VIPR Fire Equipment Incident Inspection Checklist
April 1, 2015
Minimum Requirements – continued
Yes
57 Amount of foam carried on engine in gallons: (min. 5 gal.
58 1 ea 1 ½” discharge valve full flow, rapid shut off
59 Water Tank: Firmly attached to frame, or structurally sound flatbed
60
61
62
63
64
65
66
67
68
69
70
71
72
No
(Exhibit M)
(Exhibit M)
(D.2.1.2)
Tank meets baffling requirements One longitudinal baffle and one transverse baffle every 52” or free
floating baffle system with data sheet that validates baffling is sufficient to meet manufacturers
recommendation.
(D.2.1.2)
Pump Accessories (If Pump Powered by Auxiliary Engine)(Exhibit M)
Wrench, Adjustable 10”
Wrench, Spark Plug (Unless adjustable wrench is suitable)
1 Pliers (Slip Joint)
2 Qts. Crankcase Oil
1 Screwdriver (Standard Blade)
1 Screwdriver (Phillips)
1 Spare Starter Rope (if required)
1 Grease Gun with Grease
Spark Plugs (Sufficient to replace all plugs on auxiliary pump)
1 Chainsaw with fuel (3.0 cubic in. min w/18” bar, chaps, hearing protection gas/oil, and accessories
(OSHA Approved Fuel Containers)
(D.2.1.2.1)
(Optional/Attributes)
Compressed Air Foam System (CAFS)
Actual Compressor Rating (cubic feet per minute) _______________
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:_________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
VIPR Fire Equipment Incident Inspection Checklist
April 1, 2015
CHAINSAW and CHAINSAW KIT INSPECTION CHECKLIST
(Wildland Engines Only)
MANUFACTURER: ____________________________________
MODEL NUMBER: ____________________________________
SERIAL NUMBER: ____________________________________
CHAINSAW
Yes
No
Any Visible Parts Broken
All visible nuts and bolts tight
Oil in chain reservoir
Proper Exhaust System and spark arrester
Started and checked the engine: Idles evenly, runs smoothly, satisfactory power
Guide Bar: Minimum of 18 inches, not bent, or damaged
Pull / Starter Rope: Functions properly
Chain Brake: Functions properly
CHAINSAW KIT
1 Chainsaw Kit: Bag or box to store complement
1 Wrench: Combination; bar and sparkplug wrench
1 Spark Plug: Spare spark plug that works (fits) in saw
1 pint Engine Oil (2 stroke/cycle mix)
1 pair Chaps: Wrap around leg safety chaps – OSHA approved
1 Chain: Extra chain to fit saw-bar combo
1 Chain File: Appropriate size for chain on saw
1 Felling Axe
1 Felling Wedge
1 Fuel container: OSHA approved fuel container to hold chainsaw fuel and guide bar oil.
Properly secured on vehicle.
2 pair Ear Plugs
Note: Contractor is required to have both the chainsaw and OSHA approved container(s) full of proper fuel
mixture and oil at time of inspection.
VIPR Fire Equipment Incident Inspection Checklist
Wildland Fire Engine Requirements
April 1, 2015