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MONTGOMERY COUNTY FIRE AND RESCUE SERVICES Apparatus Checkout

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					                                     MONTGOMERY COUNTY FIRE AND RESCUE SERVICES
                                     Apparatus Checkout Sheet Fire Station:
                                     Unit                                                                  Month of:
                                     Number:

                                     County
                                     Stock
                                     Number:
                                                                                                                              200___
                 Daily Items                                 Weekly Items (+ Daily)                   Monthly Items (+ Daily & Weekly)
♦ Check vehicle for damage.
♦ Check engine & transmission fluid levels.           ♦ Visually inspect battery terminals.          ♦ All compartments are to be cleaned, dried
♦ Visually inspect tires for defects & proper         ♦ Check for correct tire pressure.                        & reassembled as needed.
inflation.                                            ♦ Operate all pump valves (from stop to        ♦ Check for:
♦ Inspect engine compartment hoses for:               stop), drains & caps. Lubricate as required.              • Frayed wiring
  • Cracks, bulges and leaks                          ♦ Exercise discharge relief valve.                        • Compartment lighting
♦ Inspect fan and accessory belts for:                ♦ Verify unit inventory.                                  • Condition of door seals
  • Cracks and appropriate tension                    ♦ Tighten loose equipment fasteners or                    • Hinges
♦ Operate inverter/motor generator.                   brackets.                                                 • Strikers
♦ Check all lights, warning devices, &                ♦ Clean portable equipment as required.                   • Latches
           signaling equipment.                         Paint, lubricate and label as needed.        ♦ Replace damaged maps as necessary.
♦ Change portable radio battery.                      ♦ Operate all electrically powered equipment   ♦ Perform a monthly SCBA inventory and log
♦ Portable radio count.                                 & accessories.                                 in the station SCBA maintenance book.
♦ Check radio volume & appropriate                    ♦ Operate all gas-powered equipment &          ♦ Remove any ladders, clean completely &
talkgroup.                                              accessories for 5 minutes.                       lubricate slides & hardware with a
♦ Inventory & check all SCBA                          ♦ Clean cab and bucket areas.                      manufacturers’ recommended lubricant.
(FILL IF BELOW 4500psi).                              ♦ Operate all hydraulic rescue tools.          ♦ Aerial Devices: Clean and lubricate
***(Note completion of SCBA inspection                ♦ Clean/Disinfect all E.M.S. equipment.        according to the manufacturers’ instructions,
on the SCBA inspection sheet)***                      ♦ Clean/Disinfect stretcher & patient          or at a minimum, quarterly.
♦ Test:                                               compartment.                                   ♦ Back flush pumps according to the
         • A.E.D. (If Applicable)   • CO Monitor
         • Gas Track                • Heat Detector   ♦ Rotate AED & suction unit batteries.         manufacturers’ instructions.
♦ Check portable fire extinguishers.                                                                 ♦ With supply from hydrant (soft sleeve)
♦ Check fluids on all gas-powered equipment.                                                             check operation of:
♦ Inspect cab area for:                                                                                     • Front intake •Transfer valve
 • Map books • Fuel card                                                                                    • Tank fill valve • Visually inspect for
     • Hand lights • Knox Box Key                                                                           excessive leaks.
     • Command Action Guides.                                                                         ♦ Perform operational check of on-spot
♦ Visual inventory of all equipment.                                                                     chains.
♦ Secure hose loads.                                                                                  ♦ Perform dry prime test.
♦ Visually inspect water & foam tanks.                                                                ♦ Inspect suction screens.
♦ Engage pump & pump accessories.                                                                     ♦ Operate swing check valves on all
♦ Actuate pump primer.                                                                                two-stage pumps.
                                                              ** NOTE**
♦ Set up aerial device, inspect outriggers &                                                          ♦ Monitor pump packing for excessive leaks.
aerial & ladder’s for damage & operability                                                           ♦ Lubricate suction threads with a light coat
                                                  Refer to NFPA 1915, Standard for
♦ Elevate, rotate & extend aerial.                                                                   of grease.
                                                     Fire Apparatus Preventive
♦ Check all fluids and operate diesel           Maintenance Program as a guideline
generator for at least 10 minutes.                 when placing apparatus “Out of
♦ Check all E.M.S. equipment.                                  Service”.
              2 l
♦ Check all O evels.
♦ Check cot for proper operation. Is it yours?
Apparatus drivers must sign by putting their ID #. Each shift officer must sign by writing their ID # at the end of each month
 to assure their shifts’ compliance. Signing indicates that the apparatus was checked according to the above guidelines.
D = Daily W = Weekly M = Monthly (Circle Applicable Letter Under “Type” Column)[Mark O.O.S. if unit is Out of Service]
   ID #         Type        ID #       Type      ID #       Type       ID #    Type      ID #       Type
1                         8                    15                    22               29                      SHIFT OFFICER’s
               DWM                     DWM                 DWM                DWM                  DWM
                                                                                                                    ID #
2                            9                        16                     23                      30
              DWM                            DWM                  DWM                     DWM                           DWM           A
3                            10                       17                     24                      31
              DWM                            DWM                  DWM                     DWM                           DWM           B
4                            11                       18                     25                      **REMINDER**
              DWM                            DWM                  DWM                     DWM         Send apparatus mileage to
                                                                                                     the Safety Office on the first
                                                                                                                                      C
                                                                                                           day of the month
5                            12                       19                     26
              DWM                            DWM                  DWM                     DWM        Mileage:
                                                                                                     (Beginning of Month)

6                            13                       20                     27
              DWM                            DWM                  DWM                     DWM        Mileage:
                                                                                                     (End of Month)

7                            14                       21                     28
              DWM                            DWM                  DWM                     DWM        Mileage:
                                                                                                     (TOTAL for Month)
            MCFRS
 Apparatus Checkout Sheet
                                    Unit number:                     Page 2
       Fluid(s) Added?                                                    Shop Ticket
Date    (List Type & Amount
               Added)
                              Mileage   Problems/Body Damage Noted          Written
                                                                           (Circle One)
 1                                                                         YES     NO

 2                                                                         YES     NO

  3                                                                        YES     NO

  4                                                                        YES     NO

  5                                                                        YES     NO

  6                                                                        YES     NO

  7                                                                        YES     NO

  8                                                                        YES     NO

  9                                                                        YES     NO

 10                                                                        YES     NO

 11                                                                        YES     NO

 12                                                                        YES     NO

 13                                                                        YES     NO

 14                                                                        YES     NO

 15                                                                        YES     NO

 16                                                                        YES     NO

 17                                                                        YES      NO

 18                                                                        YES     NO

 19                                                                        YES     NO

 20                                                                        YES     NO

 21                                                                        YES     NO

 22                                                                        YES     NO

 23                                                                        YES     NO

 24                                                                        YES     NO

 25                                                                        YES     NO

 26                                                                        YES     NO

 27                                                                        YES     NO

 28                                                                        YES     NO

 29                                                                        YES      NO

 30                                                                        YES     NO

 31                                                                        YES     NO

				
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posted:10/20/2011
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