VIPR Fire Equipment Incident Inspection Checklist
April 1, 2015
TRANSPORT INCIDENT INSPECTION CHECKLIST Date: _____ Time: ______
INCIDENT NAME:
___________________ INCIDENT NUMBER: ____________________ RESOURCE #: E-
COMPANY/CONTRACTOR:_________________________________________________________________
AGREEMENT NUMBER: ___________________________________________________________________
EQUIPMENT MAKE: _______________________________ MODEL: _______________________________
VIN/SERIAL #: ____________________________________________________________________________
OPERATOR NAME: ______________________________________________________________________________________
EQUIPMENT and OPERATOR REQUIREMENTS --TRANSPORT
Type 1: Rated at loads over 70,000 lbs
Type 2: Rated at loads 35,001-- 69,999 lbs
Type 3: Rated at loads up to 35,000lbs
Minimum Requirements
Not all inclusive; for additional clarification refer to agreement (SF-1449 section D)
1
2
3
6
7
8
9
10
11
12
13
14
15
16
No
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
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)
Equipment arrived at incident washed: (Debris and noxious weeds free)
(D.17) (D.17.1)
Insurance: Current and valid Cargo and Carrier insurance
Flashlight
Water: At least 1 gallon drinking water
First aid kit: 5 person minimum
PPE: Boots
Hard Hat
Gloves
Eye Protection
Headlamp with batteries
Fire Shelter: New generation
Flame Resistant Clothing: Two Full Sets
*Seat belts
Shovel
*Spark Arrester if applicable
Not Applicable Turbo Exhaust
(D.2.1.2) (D.2.2)
(D.15)
(D.2.1.2)
(D.2.1.2)
(D.2.1.2)
Hearing Protection
(D.2.1.2)
(D.2.1.2)
(D.2.1.2)
(D.2.1.2)
(D.2.1.2)
(D.2.1.2)
(D.2.1.2)
17 Back-Up Alarm: Audible reverse warning device.
18 fire extinguisher, multi-purpose 2A 10BC that is securely mounted to the vehicle (D.2.1.2)
*Item may be waived if inspection successfully performed on the OF-296
Equipment meets agreement specifications
Inspector:
Equipment does not meet agreement specifications
Date:
(Print and sign)
Contractor:
Date:
(Print and sign)
VIPR Fire Equipment Incident Inspection Checklist
April 1, 2015
Contractor given the opportunity to correct noted deficiencies (See Remarks)
Contactor successfully corrected noted deficiencies
Inspector:
Date:
REMARKS:__________________________________________________________________________________
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