EQUIPMENT And PERSONNEL REQUIREMENTS – WILDLAND FIRE .

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VIPR Fire Equipment Incident Inspection ChecklistJune 2019ENGINE INCIDENT INSPECTION CHECKLISTINCIDENT NAME:Date: Time:INCIDENT NUMBER: RESOURCE #: E-COMPANY/CONTRACTOR:AGREEMENT NUMBER:EQUIPMENT MAKE: MODEL:VIN #: Tank Capacity (Gallons):OPERATOR NAME: CDL LICENSE: NO YES Endorsements:EQUIPMENT and PERSONNEL REQUIREMENTS – WILDLAND FIRE ENGINE(See agreement for specific Engine Typing Standards)Type 3Type 4Type 5Type 6Minimum RequirementsNot all inclusive; for additional clarification refer to agreement (SF-1449 section D)1234567Agreement (One complete copy)(D.8)Check-In Process Completed(D.6.5.3)Equipment VIN # matches Resource Order(Schedule of Items) (D.6.3.1)RT-130 Fire Line Refresher including Fire Shelter (current):Completed Dates: ENGB FFT1/2 FFT1/2(D.3.1.1)OF-296 Vehicle/Heavy Equipment Pre-use Inspection Checklist completed(D.17)Equipment arrived at incident washed: (Debris and noxious weeds free)(D.15)Engine Staffing / Personnel: Minimum of 3 crew members (unless otherwise orderedand documented on resource order). All crew members have valid and currentqualification cards and government pictured I.D.Engine Boss (Name):FFT1 / FFT2 (Name):8910111213FFT1 / FFT2 (Name):Additional Personnel; see remarksCompany Name and Unique Identification #: Affixed to both sides of truck cab(D.3.1.1)(D.2.2.3)Type 6 Engine, All-wheel drive (Type 3,4,5 engines all-wheel drive optional)(D.2.1.2)Fire Extinguisher: 2A 10BC, securely mounted to the vehicle, accessible to theoperator and with current annual inspection tag(D.2.1.2)2 Wheel chocks(Exhibit M)*Reflective Triangles, bi-directional, set of 3(Exhibit M)*Seat Belts: for all passengers(D.2.1.2)*Item may be waived if inspection successfully performed on the OF-296.Page 1 of 5Yes No

VIPR Fire Equipment Incident Inspection ChecklistJune 2019Minimum Requirements (continued)Yes NoAlarm: in accordance with SAE J994; 87 decibels, and 2 back up lights14 Back-Up(D.2.1.2)All season or mud and snow tires. 4x4’s must have mud and snow tires on all wheels, tire tread15 Tires:depth of a minimum of 2/32” for rear tires and 4/32” for steering axle tires(Exhibit M)Tire:16 SpareequipmentFull size spare tire, spare is securely mounted to vehicle. Has adequate tire changing(D.2.2.1.1)Container for drinking water(Exhibit M)17 1 Gallon18 1 – First Aid Kit (5 person)(Exhibit M)19Programmable Radios: Minimum of 2. One must be Handheld. Two fully charged 94041424344454647packs per radio, and one programming cable(D.2.3) (Exhibit M)BootsHard HatGlovesEye ProtectionHearing ProtectionHeadlamp with batteries(D.2.1.2)Flame Resistant Clothing: A minimum of two full sets of flame resistant shirt andpants certified to NFPA 1977 standard (per crewmember)(D.2.1.2)Fire Shelter: New generation(D.2.1.2)3 – Line Gear (Day Packs):Min. of one per crew member(D.2.1.2)All Inventory Permanently Engraved: Required to permanently mark their equipment inventorywith vendor/company information. Acceptable markings shall be etched or engraved. Painting or markingthe equipment with permanent markers is not acceptable. In addition, the vendor is to maintain acomplete inventory list, including any extra items they may be carrying(D.2.1.2)1 – Live reel with minimum of 100’ hose, non-collapsible ¾” inside diameter(D.2.1.2)1” Hose (see table for min. quantity)1 ½ ” Hose (see table for min. quantity)¾” Hose (see table for min. quantity)2 Nozzles, combination Fog/Straight Stream, 1” NH female2 Nozzles, combination Fog/Straight Stream, 1 ½” NPSH female2 Nozzles, adjustable ¾ inch (garden hose)20’ Suction hose with strainer or screened foot valve3 – Shovels, size “0”3 – Pulaski’s1 – Forestry, Fire Hose Clamp4 – Spanner wrenches, combination, 2 ea. 1” & 1 ½”1 – Double Male 1 ½” NH1– Double Female 1 ½” NH1 – Double Male 1” NPSH1 – Double Female 1” NPSH2 – Gated Wyes, 1 ½” NH2 – Gated Wyes 1” NPSH1 – Gated Wye ¾” (garden hose)4 – Reducers, 1 ½” NH Female to 1” NPSH Male1 – Reducer 1” NPSH to ¾” Garden Hose2 – Adapters 1 ½” NH Female to 1 ½” NPSH Male2 – Adapters 1 ½” NPSH Female to 1 ½” NH MalePage 2 of 5(Exhibit M)(D.2.1.2)

VIPR Fire Equipment Incident Inspection Checklist484950515253June 2019Minimum Requirements (continued)1 - Mop Up Wand, ¾ inch receptor, with ¾ inch nozzle tip:5 – Inline Ball Valves ¾”2 – Backpack pumps10 – Fusee’s (fire starter)3 – Mill Bastard Files1 Chainsaw with fuel (3.0 cubic in. min w/18” bar, chaps, hearing protection gas/oil, and accessories(OSHA Approved Fuel Containers)Auxiliary pump (if equipped) w/spark arrester: Min. 12 Hours fuel.5455 Pump starts and pumps min. 250 psi (T3) 100 psi (T4,5,6)56 Pump Discharge Pressure Gauge57 Pump and Roll capableSystem:58 Foam ProportionerManually RegulatedYesNo(D.2.1.2)(Exhibit M)(Exhibit M)(D.2.1.2)(Exhibit M)All Engines shall be equipped with a foam proportioner systemAutomatically Regulating(D.2.1.2)59 Foam: Minimum of 5 gallons60 1 ea. 1 ½” discharge valve full flow, rapid shut off61 Water Tank: Firmly attached to frame or structurally sound flatbed(Exhibit M)(D.2.1.2)Tank meets baffling requirements One longitudinal baffle and one transverse baffle62 every 52” OR free floating baffle system with data sheet that validates baffling is63646566676869707172sufficient to meet manufacturer’s recommendation.(D.2.1.2)Pump Accessories (If Pump Powered by Auxiliary Engine) (Exhibit M)Wrench, Adjustable 10”Wrench, Spark Plug (Unless adjustable wrench is suitable)1 Pliers (Slip Joint)2 Quarts Crankcase Oil1 Screwdriver (Standard Blade)1 Screwdriver (Phillips)1 Spare Starter Rope (if required)1 Grease Gun (with grease)Spark Plugs (Sufficient to replace all plugs on auxiliary pump)(Optional/Attributes)Compressed Air Foam System (CAFS)Equipment meets agreement specificationsInspector:Contractor:Page 3 of 5(Print and sign)(Print and sign)Equipment does not meet agreement specificationsDate:Date:

VIPR Fire Equipment Incident Inspection ChecklistJune 2019Contractor given the opportunity to correct noted deficiencies (See Remarks)Contactor successfully corrected noted deficienciesInspector:Date:REMARKS:Wildland Fire Engine RequirementsPage 4 of 5

VIPR Fire Equipment Incident Inspection ChecklistJune 2019CHAINSAW and CHAINSAW KIT INSPECTION CHECKLIST(Wildland Engines Only)MANUFACTURER:MODEL NUMBER:SERIAL NUMBER:CHAINSAW ( Minimum Engine Power required is 3.0 cubic inches)YesAny Visible Parts BrokenAll visible nuts and bolts tightOil in chain reservoirProper Exhaust System and spark arresterStarted and checked the engine: Idles evenly, runs smoothly, satisfactory powerGuide Bar: Minimum of 18 inches, not bent, or damagedPull / Starter Rope: Functions properlyChain Brake: Functions properlyCHAINSAW KIT1 Chainsaw Kit: Bag or box to store complement1 Wrench: Combination; bar and sparkplug wrench1 Spark Plug: Spare spark plug that works (fits) in saw1 pint Engine Oil (2 stroke/cycle mix)1 pair Chaps: Wrap around leg safety chaps – OSHA approved1 Chain: Extra chain to fit saw-bar combo1 Chain File: Appropriate size for chain on saw1 Felling Axe1 Felling Wedge1 Fuel container: OSHA approved fuel container to hold chainsaw fuel and guide bar oil.Properly secured on vehicle.2 pair Ear PlugsNote: Contractor is required to have both the chainsaw and OSHA approved container(s) full of properfuel mixture and oil at time of inspection.Page 5 of 5No

Type 3 Type 4 Type 5 Type 6. Minimum Requirements Not all inclusive; for additional clarification refer to agreement (SF-1449 section D) Yes No 1 Agreement (One complete copy) (D.8) 2 Check-In Process Completed (D.6.5.3)

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