EQUIPMENT KIND: MECHANIC/SERVICE TRUCK, TYPE 2
DATE: ____________TIME:______
CONTRACT FIRE EQUIPMENT - INCIDENT INSPECTION CHECKLIST
FIRE NAME:
_________________________INCIDENT NUMBER: ________________________RESOURCE #:______
COMPANY/CONTRACTOR: __________________________________________________________________
CONTRACT / AGREEMENT NUMBER: ________________________________________________________
VIN#:__________________________________LICENCE PLATE, State and #:
MECHANIC NAME: __________
__
_____
________________ Exp.__ _ ___
_ DRIVERS LICENCE, State and #: _____ _____
_____Exp:_______
Class:_______Endorsements:______
EQUIPMENT and OPERATOR REQUIREMENTS – MECHANIC, Type Two
#
Minimum Requirements
(Not
all
inclusive,
for
additional
items and clarification refer to contract – Section D)
--1 Two copies of complete Contract/Agreement. One copy to finance, one copy in truck.
Pass Fail
---- ----
(D.8)
2
3
4
5
6
7
--8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Mechanic on Contract/Agreement and Resource Order matches Mechanic assigned to
this incident. Name:____________________________________
(D.3.1) (D.6.2)
Completed Check-In Process: Which includes Finance and Plans. (D.8) (D.6.5.3)
Vehicle successfully completed Mechanical, OF-296 Inspection (Vehicle/Heavy Equipment
Safety Inspection) at this incident, completed OF-296 form in vehicle (D.17) (D.17.1)
Vehicle licensing requirements. (Valid registration tags, etc.)
(D.2.3.2_1) (D.4)
Operator of Vehicle Properly licensed.
(D.6.6)
RT-130 Fire Line Refresher including Fire Shelter (current). (D.3.1_4)
DATE:__________________AGENCY/LOCATION:______________________________
Equipment Required: (D.2.1) - Type Two (2)
1. Charging/Starting System Analyzer
2. Arc Welder
3. Code Reader
4. Oxy / Acetylene Torch Set: With appropriate cutting and welding tips
5. Air Compressor: Min. of 120 psi. @ 12 cfm. With accessories
6. Impact Wrenches: ½”, ¾”, and 1 inch, and Impact Sockets to 2 inch
7. Hand Tool Set: Normal field repairs on all classes of equipment, SAE & Metric
8. Jack Stands: Two (2) each - 2 ton, and Two (2) each - 12 ton heavy duty
9. Hydraulic Jacks: Two (2) each - 2 ton, and two (2) each - 12 ton heavy duty
10. Portable Lighting: Auxiliary or Vehicle powered for field work
11. Jumper Cables: 20 foot – Heavy Duty
12. Hazardous Material Spill Kit: Minimum, 10 gallon spill containment capability
13. Misc. Drain Pans
14. Combination Vice: Min. 4 ½ inch jaw
15. Battery Tester
16. Volt / Ohm Meter
17. Drill with Bits: 3/8 inch drill, with drill bits to 1/2 inch
18. Fuel Pressure Testing Kit
----- -----
EQUIPMENT KIND: MECHANIC/SERVICE TRUCK, TYPE 2
DATE: ____________TIME:______
#
Minimum Requirements - continued
19.
Tap
and
Die
Set:
Tap and Die Set to 5/8 inch
26
20. Electric Grinder: 4 inch
27
21. Brake and Clutch: Bleeder system, self contained
28
29 Welding Chaps: At least One (1) pair
Consumable Goods (D.2.2)
--1. Commonly used SAE and Metric Nuts and Bolts, up to ½ inch x 3 inch
30
2. Assorted electrical connections for commonly used wire sizes on all equipment
31
3. Assorted sizes of electrical wire commonly found on all types of equipment
32
4. Assorted common electrical fuses and bulbs
33
5. Assorted lubricants and cleaners used by field mechanics
34
6. Assorted medal fasteners, machine screws, self tapping screws.
35
7. Air Brake Fittings: Commonly used, up to 5/8 inch.
36
8. Shop Towels
37
Mechanics Service Truck - All vehicles shall:
(D.2.3.2)
--1. See Vehicle Requirements, inspection line items # 4 and #5 above
--2. Fire Extinguisher: Multi Purpose, 1A 10 BC, Securely Mounted, and Accessible.
38
39
40
41
42
43
44
45
46
Pass Fail
----- -----
----- --------- -----
Also has current annual inspection tag
3. Back-Up Alarm: Rear facing. Switches to activate alarm are not allowed
4. Reflectors: Triangle bi-directional, 1 set of 3
5. Wheel Chocks, two, (minimum one pair)
6. Shovel
PPE:
Boots,
Hard Hat,
Gloves,
Eye Protection,
Hearing Protection,
Headlamp with batteries
(D.2.2_A_1,2,3,5,6,7)
Fire Shelter: New generation
(D.2.2_A_8)
Flame Resistant Clothing: Two Full Sets
(D.2.2_A_9)
Condition of Vehicle/Equipment: Maintained in good repair by Contractor (D.1), (D.2)
Remarks: ____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Yes Contract Deficiencies Found
No Contract Deficiencies Found
Contractor is given the opportunity (Optional), to correct noted deficiencies. May be given up to 24 Hours
as of:
Date: _______________ Time: ____________
See Remarks (D.7.1.1) (D.17)
Contactor successfully corrected noted deficiencies:
Date: ______________Time:____________
Inspector: ___________________
CONTRACTOR REPRESENTATIVE: _______________________________________Title: ______________
(Print and Sign)
GOVERNMENT INSPECTOR:______________________________________________Title:______________
(Print and Sign)