DEPARTMENT OF TRANSPORT FIRE FIGHTING APPLIANCES SERVICING STATION STANDARDS (DOTFAS) INSPECTION LIST IN TERMS OF THE DOTFAS CODE 1. Name of Servicing Station:_________________ Date of Inspection:__________________ 2. Address:_______________________________ Tel.:_____________________________ ______________________________________ Fax:____________________________ ______________________________________ E-mail:__________________________ 3. Alternative Address Yes No _________________________________________ Mobile Station Yes No _________________________________________ Registration and Certification 3.1 Company registration number_______________________________ Yes No 3.2 Business Licence number__________________________________ Yes No 3.3 Station approved by______________________________________ Yes No 3.4 Insurance Company & Policy number _________________________ Yes No Yes No Public Liability _________________________ 3.5 Pressure Testing Approval (SABS or Dept. of Labour) Date______________________ If yes, what is your ID mark?_________________________________ 3.6 Radiation Control Authority (Dept. Health) No.___________________ 3.7 Are these certificates displayed?_____________________________ -24. 5. 6. Manuals, Publications & Records required by DOTFAS Code 4.1 DOTFAS Code Book Yes No 4.2 SABS 810 - Portable rechargeable fire extinguishers - dry powder type extinguishers. Yes No 4.3 SABS 889 - Portable rechargeable fire extinguishers - water type extinguishers Yes No 4.4 SABS 1475 - The production of reconditioned fire - fighting equipment Part 1 Portable and rechargeable fire extinguishers and Part 2 Fire hoses Yes No 4.5 SABS 1567 - Portable rechargeable fire extinguishers -Co2 type extinguishers. Yes No 4.6 SABS 1571 - Transportable rechargeable fire extinguishers Yes No 4.7 SABS 1573 - Portable rechargeable fire extinguishers - foam type extinguishers Yes No 4.8 SABS 1739 - Low pressure welded steel cylinders for fire extinguishers and SABS 0105 - The classification , use and control of fire fighting equipment. Yes No 4.9 Occupational Health & Safety Act 1993 & Regulations and Record of Pressure Test Yes No Premises: 5.1 Total area ________________m² Is this indicated? Yes No 5.2 Pressure Test area _________m² separated & Safety notice Yes No 5.3 Dry Powder or CO2 area(s) ____________/_____________m². Separate? Yes No 5.4 Dry Powder Storage receptacles? Yes No 5.5 Area clean? Yes No Designated Persons: 6.1 Name ____________________________________ ID No.____________________ 6.2 Position in the Company ______________________________________________ 6.3 Qualifications (To be registered with the South African Qualification Committee) ________________________________(SAQCC)_______ 6.4 Relevant Experience ________________________________(Min 4 yrs, 2 marine) 6.5 Relevant Training ___________________________________________________ -3- COMPETENT PERSONS Name Positions SAQCC Reg. NO. Training and experience Years Are these identifications displayed Yes Places or companies No Equipment 8.1 General - cylinder cleaning equipment Yes No - cylinder handling equipment Yes No - sufficient spare cartridges, rubber hoses, nozzles, etc. Yes No - proper tools Yes No - equipment to view internal surfaces of cylinders Yes No - nitrogen supply, with regulator, for stored pressure cylinders Yes No -48.2 Pressure Testing What pumps available?___________________________________________________ Maximum pressure available?____________________________kPa_______________ Gauge reads maximum _______________kPa (May not be more than 2xTest Pressure) Pressure gauge tester or duplex master pressure gauge Drying racks Yes No Hot air generator Yes No Yes No What cylinders can be tested? - low pressure 3 000 kPa (water, dry powder) Yes No - high pressure 24 000 kPa (CO2 & cartridges) Yes No - breathing apparatus. Yes No 8.3 Scales _________________________________________________________________ ___________________________________________________________ 9. date of Trade & Industry Inspection (annual) _______________________________________ Demonstrations 9.1 - low pressure cylinder test 9.2 - mechanical means Satisfactory Not N/A hand pump Satisfactory Not N/A Satisfactory Not N/A high pressure cylinder test mechanical means Name of demonstrator_________________________________ 9.3 9.4 - - servicing portable foam date and ID stamping on cylinders tested. Satisfactory Satisfactory Not Not -5- 10. Subcontracts Do you subcontract any work? Yes No If so what? _______________________________________________________________ To whom? _______________________________________________________________ 11. Fire hoses Do you test fire hoses Yes No If so, how? _______________________________________________________________ 12. Breathing Apparatus Equipment for a vacuum and break test of masks. Yes No 13. Type of work - for which station will be registered. 12.1 Pressure testing of low pressure cylinders only 12.2 Pressure testing of all cylinders and cartridges 12.3 Servicing of portable extinguishers (water, powder, CO2) 12.4 Pressure testing and maintenance of fire hoses 12.5 Installation and maintenance of fixed fire detecting & extinguishing systems (Show that competent person (s) for this type of work is a registered Professional Engineer ) 12.6 and alarm systems 12.7 servicing of Breathing Apparatus sets 12.8 filling of B.A. Sets. Competent 14. Declaration: We hereby declare that the above particulars are true and correct. _________________ Designated Person _________________ Date _____________________ SAMSA Surveyor