QUARTERLY / ANNUAL MOBILE FIRE APPARATUS INSPECTION REPORT. Manufacturer. Serial no. Legend:

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1 QUARTERLY / ANNUAL MOBILE FIRE APPARATUS INSPECTION REPORT Inspection date Fire department Apparatus no. Apparatus Manufacturer Model Serial no. Hourmeter _ Chassis Make _ Model VIN Odometer Legend: X = Acceptable visually, checked R = Requires repair or adjustment U = Unsafe condition requires repair prior to use C = Corrected NA = Not applicable Engine and Cooling Systems CHASSIS INSPECTION Oil level and condition Battery cables and clamps Oil leaks Battery fluid level Coolant level Battery terminal voltage _ volts Antifreeze protection Chassis grounds and connections Coolant additive level Starter motor cable condition Fuel system for leaks Starter motor operation Fuel system plumbing condition Fan mounting bolts and adjustment Power steering fluid level Fan shroud clearance and condition Power steering pump and plumbing Fan clutch or shutters operation Coolant hose condition and leaks Air filter element condition Alternator mounting brackets Air intake tubes and hoses Alternator connections All belts condition and adjustment Charging system output volts After-cooler or intercooler tubes and hoses Auxiliary cooler connections Motor mount condition Battery condition and hold downs Radiator cap pressure Comments on engine and cooling systems inspection _

2 Chassis and Components Fluid levels Front axle Lubricate chassis Front spring and shock condition All fluid levels Front wheel bearings and king pins Steering Rear axle Steering linkage and tie rods Rear spring condition Steering box mounting Rear spring torque tubes and shocks Steering system plumbing for leaks Axle flanges for leaks and tightness Manual steering box fluid level Frame rails and cross members Transmission Brakes Auto trans fluid level Brake condition (amount of material) Auto trans mounting and condition Brake adjustment and operation Auto trans and plumbing for leaks Air brake valves and tanks Auto trans lockup system Lubricate brake pedal pivot pin Manual trans oil level Drain air tanks and check air dryer Manual trans mounting Air brake lines and chambers Manual trans for leaks Air brake leaks and buildup Hydraulic brakes for leaks Fuel Hydraulic brake components Hydro-vac operation and mounting Fuel tank and plumbing for leaks Parking brake operation Fuel tank mounting Tires/Wheels Exhaust system Tire and wheel conditions Exhaust system and muffler Lug nuts for torque Tire tread depth Front Rear Tire air pressure Front Rear Driveline Driveline U-joints and yokes Driveline carrier bearings Differential oil level and leaks Comments on chassis and components inspection

3 Cab and Body Cab Cab mounting and tilt mechanism Auto transmission shift controls Cab frame and sheet metal Manual transmission shift controls Cab hoist motor solenoid volt-drop volts Clutch pedal linkage Door mounting and latches Clutch pedal free play Cab glass condition Windshield wipers and washers Cab seat condition and mounting Mirror condition and mounting Seat belt condition and mounting Steering wheel mounting and alignment Body Horn operation Compartment door latches Heater and defroster operation Compartment door and hinge condition Throttle controls and linkage Body compartment condition Window operation Step and auxiliary equipment condition Comments on cab and body inspection Cab and Body Electrical Headlights and high beans Compartment lights Parking and clearance lights Siren operation and mounting Tail and stop lights Siren solenoid voltage dropvolts Backup lights and alarm Voltage drops of all solenoids Turn signal and hazard operation Cab spot lights operation List solenoids and voltage drop below Auxiliary light operation _ Front warning lights Solenoid Voltage Drop Rear warning lights _ Front beacon lights _ Intersection warning lights _ Body deck lights _ Comments on cab and body electrical inspection Line Voltage Inspection Power source Electrical controls Generator drive engine or power drivetrain Output voltagevolts Cord reels and receptacles Output frequency Hz Electrically-driven equipment Comments on line voltage electrical inspection

4 Road and Operational Test Engine oil pressure Drive line vibration Engine coolant temperature Air compressor operation Tachometer operation Air compressor governor setting Auto transmission shifting Speedometer operation Clutch release and operation Shimmey or front end noises Manual transmission shifting Clutch fan or shutter operation Brake operation Comments on road and operational test PUMP AND WATER TANK INSPECTION Pump manufacturer Model S/N Pump location Pump hours Capacity _ Pump shift and indicator lights Engine speed counter Automatic transmission lockup system Pump panel electrical swithces and panel light Clutch disengagement and manual transmission Master gauges for accuracy and operation Pump transmission shift cylinders or motor Discharge gauges for accuracy and operation Pump transmission oil level and condition Water tank indicator system Pump panel techometer and engine gauges Pump Pump plumbing Drain valves High pressure pump system Tank-to-pump and tank fill valves Pressure control device operation and Auxiliary cooler response time Suction strainer Transfer valve operation Preconnect valves and plumbing Intake relief operation Deck gun valve and plumbing Primer operation Front or rear suction valves and plumbing Dry vacuum test and valves Initial reading in. vacuum Auto-lube level and fluid condition Leakage in 5 minutes in. vacuum Water tank mounting and integrity Primer motor solenoid voltage drop volts Booster reel mounting and operation Pump packing - adjust if necessary Anodes in tank and pump Mechanical seals for leaks Reel motor solenoid voltage drop volts Discharge and intake valves Pump mounting integrity Valves, linkage, remote rods, and pivot points Pump driveline U-joints, yokes and flanges Comments on pump and tank inspection

5 FOAM PROPORTIONING SYSTEM INSPECTION Foam system manufacturer Model S/N Instrumentation, gauges, and controls Hydraulic system Strainer or filter Hydraulic fluid tank mounting and integrity Foam concentrate pump Foam concentrate tank mounting and integrity Lubricant level and condition Foam eductor system, metering, and check valve Hydraulic pump Comments on foam proportioning system inspection