VIPR Fire Equipment Incident Inspection Checklist April 1, 2015 CANOPY/TENT-- INCIDENT INSPECTION CHECKLIST INCIDENT NAME: Date: ___________ Time: __________ _____________ ________INCIDENT NUMBER: _______________________RESOURCE #:_____ COMPANY/CONTRACTOR: __________________________________________________________________ AGREEMENT NUMBER: ________________________________________________ ________ COMPANY EQUIPMENT I.D. # (s):________________________________________________________ ___ EQUIPMENT REQUIREMENTS – CANOPY/TENT Type 1: 40ft. x 40ft. or, 40ft. x 60ft. or, 40ft. x 80ft. Type 2: 20ft. x 40ft. or, 20ft. x 60ft. Minimum Requirements Not all inclusive; for additional clarification refer to agreement (SF-1449 section D) 1 2 3 Agreement (One complete copy) Check-In Process Completed (Note: Also includes; Finance, and Plans) Equipment ID# matches Resource Order (if applicable) Note: This is also a business rule that could affect payment. 4 5 6 7 8 9 10 11 12 13 Yes No (D.8) (D.6.5.3) (Schedule of Items) (D.6.2) (D.6.3.1) Canopy/Tent Size: Meets typing requirement (D.2.1.1) Tents, and Membrane Structures; and all tent fabric shall meet the flame propagation performance criteria contained in NFPA 701. (D.2.1.1) Must have a minimum 50 MPH wind load rating, with proper staking (D.2.1.1) Door(s): Operational. Door(s) swing (open) in the direction of egress (out) (D.2.1.1) Freestanding w/self-supporting internal frame, min. 6’ side walls (D.2.1.1) Lighting: Adequate artificial lighting for office environment (D.2.1.1) Electrical connections to be able for bring power source. (D.2.1.1) Electrical Cord: Minimum 100 ft. electrical cord, with a minimum of four (4) power outlets of min. 14 gauge wiring (D.2.1.1) Set-up within 12 hours after arrival or as negotiated (D.2.1.1) Company’s name and I.D.# (min. of 4”) affixed to tent(s) (D.2.1.1) 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: VIPR Fire Equipment Incident Inspection Checklist April 1, 2015 REMARKS:__________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 2015