VIPR Fire Equipment Incident Inspection Checklist
April 1, 2015
TACTICAL WATER TENDER-- INCIDENT INSPECTION CHECKLIST Date: _____ Time: _____
INCIDENT NAME:
___________________ INCIDENT NUMBER: ____________________ RESOURCE #: E-
COMPANY/CONTRACTOR:_________________________________________________________________
AGREEMENT NUMBER: ___________________________________________________________________
EQUIPMENT MAKE: _______________________________ MODEL: _______________________________
VIN/SERIAL #: ____________________________________________________________________________
LICENSE PLATE, State and #: ________________________________TANK CAPACITY (Gallons):_____________
OPERATOR NAME: ______________________________________________________________________________________
EQUIPMENT and PERSONNEL REQUIREMENTS – TACTICAL WATER TENDER
Type 1
(2000 +)
Type 2
(1000 – 1999)
Minimum Requirements
Not all inclusive; for additional clarification refer to agreement (SF-1449 section D)
Yes
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
4
is also a business rule that could affect payment.
(Schedule of Items) (D.6.3.1)
Incident Pre-Use Inspection (OF-296 Vehicle/Heavy Equipment Mechanical Inspection):
This Engine has successfully completed a Mechanical Inspection for this Incident
(D.17) (D.17.1)
TWT Staffing / Personnel: Minimum of 2 crew members. All crew members have valid and
current qualification cards and government pictured I.D.
5
6
7
8
9
10
11
12
13
14
15
16
FFT1 (Name):________________________________
(D.3.1) (D.3.1.2) (Exhibit N) (Exhibit O)
____________
FFT1 / FFT2 (Name):____________________________________________
Additional Personnel; see remarks
Equipment arrived at incident washed: (Debris and noxious weeds free)
(D.3.1.2)
(D.15)
Company Name, Equipment I.D. # and DOT #: Affixed to both sides of truck cab. (D.2.2.3)
Programmable Radios: Minimum One Handheld. Also has two battery clamshells
(D.2.3) (Exhibit M)
Fire Extinguisher 2A 10BC securely mounted to the vehicle
(D.2.1.2)
Wheel Chocks: 2 Each
(Exhibit M)
Audible reverse warning device (backup alarm)
(D.2.1.2)
First Aid Kit, 5 person minimum: 1 each
(D.2.1.2)
Flashlight
(D.2.1.2)
*Seat Belts
(D.2.1.2)
Line Gear (I.A. Gear / Day Pack): Minimum of one per crew member
(D.2.1.2)
PPE – Per Crew Member: Boots
Hard Hat
Gloves
Eye Protection
Hearing Protection
Headlamp with batteries
Fire Shelter: New generation
D.2.1.2)
17
18
Flame Resistant Clothing (Nomex): Two Full Sets, Per Crew Member
Tank: shall be firmly attached to chassis frame or structurally sound flat bed.
(D.2.1.2)
(D.2.1.2)
No
VIPR Fire Equipment Incident Inspection Checklist
April 1, 2015
19 Tank baffling: One longitudinal baffle and one transverse baffle every 52” or free floating baffle system
with data sheets that validates baffling is sufficient to meet manufactures recommendation
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25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
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49
50
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52
(D.2.1.2)
Minimum Inventory
(Exhibit M)
Equipment inventory permanently marked with vendor/company identification (D.2.1.2)
1 - Live Hose reel 100’ non-collapsible w/3/4” inside diameter
1 - Nozzle, combination Fog/Straight Stream, 1 ½ NH female
1 – Nozzle, Class A Foam, 1 ½” NH Female, min. 20 GPM at 100 PSI
2 - Shovels
2 - Pulaski’s
1 - Spanner Wrench, combination 1 inch to 1 ½ inch
1 - Adjustable Hydrant wrench
2 - Adapters, 1 ½ inch NH female to 1 ½ inch NPSH male
2 - Adapters, 1 ½ inch NPSH female to 1 ½ inch NH male
2 - Reducers, 2 ½ inch NH female to 1 ½ inch NH male
1 - Reducer, 1 ½ inch NH female to 1” inch NPSH male
1 – Double Male 1 ½” NH
1 – Double Female 1 ½” NH
1 – Gate Y 1 ½” NH
1 – Fire Hose Clamp 2 ½”
200’ 1 ½” cotton/synthetic hose NH thread
50” 2 ½” cotton/synthetic hose NH thread
10 – Fusee’s (Fire starter)
All Pumps shall have a discharge pressure gauge.
(D.2.1.2)
Pump: Pump Type
Auxiliary
or Power Take Off (PTO)
Fuel to operate for at least 12 Hours (If Auxiliary pump)
20’ Suction Hose, with strainer or screened foot valve
Foam Proportioner System: Tactical Water Tenders shall be equipped with a foam proportioner.
Foam: Minimum 5 gallons
Monitor: Manual
Remote
None
1 – 2 ½” Discharge outlet NH thread
2 – 1 ½” Discharge outlet NH thread
4” Gravity Dump valve on rear of tank
2 ½” Valve at bottom of tank with NH threads
All-Wheel Drive
(D.2.1.2.2)
(D.2.1.2.2)
All season or mud and snow tires on front and rear.
Full size spare tire, spare is securely mounted to vehicle. Has adequate tire changing equipment and fits any
position front or rear.
*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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