Uploaded by Mohammed Ali

Equipment Deficiency Report

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Equipment Deficiency, Major Repair or Improvement
Wildland Fire Equipment Operators and Repair Personnel are requested to
report a deficiency, major repair, or improvement. A major repair is one that
cost $1000 or more. The information reported will be used to help track
deficiencies and make improvements to US Forest Service Wildland Fire
Equipment.
This reporting form does not replace the direction to use the deviation
process. Just because a deficiency or improvement has been identified,
end-users cannot just make the changes without following the deviation
process.
Date (03/14/2014)
Personal Information:
Reporting Individuals Name
Region
Forest & District
Phone
E-mail
Supervisor Information & Fleet Contact Information:
AFMO or FMO Name
Phone
E-mail
Fleet Manager:
Fleet Managers Name
Phone
E-mail
Equipment Deficiency:
Report Type
Category
Equipment ID Number
Cost
Equipment Type
VIN Number
Manufacturer
Chassis
Model Year
Service Date
VIN Number
Mileage / Hours (specify)
If any Engine was selected above, complete below:
Engine Model Number (model 52, 448, etc)
Pump (make / model / etc)
Foam Package (make / model / etc)
National Standard (yes or no) Year?
continue here:
Problem Statement
Other than repairs, nothing should be done to deviate from specifications and standards.
Solution
After selecting the Submit Form, it will prompt you to your e-mail provider before sending. At this
point it is recommended that you attach any pictures or supporting documentation that will assist in
analyzing this submission.
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