EQUIPMENT REQUIREMENTS - WILDLAND FIRE ENGINE - US Forest Service

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Version 3.1 April 2, 2019 Passed inspection Failed inspection Pending inspection REGION 6 VIPR PRE-AWARD FIRE EQUIPMENT INSPECTION CHECKLIST WILDLAND FIRE ENGINE COMPANY NAME: (On VIPR Agreement) DATE: VIN#: EQUIPMENT/Unit I.D. (Complete VIN) EQUIPMENT MAKE: MODEL: YEAR: LICENSE PLATE: STATE: EQUIPMENT REQUIREMENTS – WILDLAND FIRE ENGINE Type 3 Type 4 Type 5 Type 6 (See Wildland Fire Engine Requirements for specifications) Equipment Attributes: Tank Capacity (from weight calculation form OR tank manufacturer) Pump performance Acceptable Foam proportioner manually regulated Compressed Air Foam (CAFS) Yes Good Excellent automatic regulating No CFM @ PSI All wheel drive (required on Type 6 engine, optional on Type 3, 4, 5 engines) 1 2 3 4 5 6 7 8 9 Yes Minimum Requirements VIN # on Equipment matches VIPR OF-296 Vehicle/Heavy Equipment Pre-Use Inspection completed Fire Extinguisher: Rated 2A 10BC, securely mounted to the vehicle and with current annual maintenance tag Company Name and Equipment ID: Affixed to both sides of truck cab First aid kit: 5 person minimum Reflective triangles: bidirectional, set of 3 (Exhibit M) Back-up Alarm and 2 backup lights Tires: Tire load ratings in accordance with vehicle GAWR/GVWR. Minimum tread depth: 4/32” front, 2/32” rear Spare Tire: Full size spare tire and wheel that shall fit any position or a spare tire for front and rear axle with a minimum of a 4/32" tread and securely mounted to the vehicle. 10 2 Wheel chocks 11 Water Tank: Firmly attached to frame or structurally sound flatbed Page 1 of 4 No Yes D.2.1.2 D.2.2.3 Exhibit M Exhibit M D.2.1.2 D.2.2.1 D.2.2.1.1 Exhibit A D.2.1.2 No

Region 6 VIPR pre-award inspection checklist v3.1 April 2, 2019 Minimum Requirements – continued Yes No Tank baffling: Tanks shall be equipped with at least one (1) longitudinal baffle regardless 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 of width and one (1) transverse baffle. The distance between vertical tank walls and baffles, or between parallel baffles, shall not exceed 52. All baffles must cover 75% of the plane of the tank. If a Free Floating Baffle System is used the vendor must submit data sheets which validates that the baffling is sufficient to meet the manufacturer's recommendation. 2 Programmable Radios: One must be a handheld radio with two battery clamshells and one programming cable PPE per crewmember : Hardhat (must meet NFPA 1977 standard) Fire shelter (D.2.1.2) Inventory: permanently etched or engraved with vendor/company identification Inventory list: complete list of inventory including any extra items carried 1 hose reel with 100’ non-collapsible hose, minimum ¾” inside diameter 1 ½” Hose (see wildland fire engine requirements table for min. quantity) 1” Hose (see wildland fire engine requirements table for min. quantity) ¾” Hose (see wildland fire engine requirements table for min. quantity) 2 Nozzles, combination Fog/Straight Stream, 1 ½ NH female 2 Nozzles, combination Fog/Straight Stream, 1 NPSH female 2 Nozzles, adjustable ¾ inch (garden hose) 20’ Suction hose, with strainer or screened foot valve 3 Shovels, size “0” 3 Pulaski’s Fire Hose Clamp, forestry 4 Spanner wrenches, combination, 2 each 1” & 1 ½” Double Male 1 ½” NH Double Female 1 ½” NH Double Male 1” NPSH Double Female 1” NPSH 2 Gated Wyes, 1 ½” NH 2 Gated Wyes 1” NPSH 1 Gated Wye ¾” (garden hose) 4 Reducers, 1 ½” NH Female to 1” NPSH Male 1 Reducer 1” NPSH to ¾” Garden Hose 2 Adapters 1 ½” NH Female to 1 ½” NPSH Male 2 Adapters 1 ½” NPSH Female to 1 ½” NH Male 1 Mop Up Wand ¾ inch receptor, with ¾ inch nozzle tip 5 Inline Ball Valves ¾” 2 Backpack pumps 10 Fusee’s 3 Mill bastard files Page 2 of 4 D.2.1.2 D.2.3 D.2.1.2 D.2.1.2 D.2.1.2

Region 6 VIPR pre-award inspection checklist v3.1 April 2, 2019 Yes No PUMP 45 46 Pump Performance Type 3 measured PSI Acceptable (250-312 PSI) Good (313-374 PSI) Pump Performance Type 4,5,6 measured PSI Acceptable (100-124 PSI) Good (125-149 PSI) Excellent (375 PSI or greater) Excellent (150 PSI or greater) Exhibit M Exhibit M 47 Draft: Pump successfully can draft water using suction hose from a water source. Minimum Requirements – continued 48 49 50 51 52 Discharge Pressure Gauge Foam Proportioner; Manually regulated D.2.1.2 Automatic regulating Amount of foam carried on engine in gallons: (min. 5 gal.) Rapid shutoff valve that permits attachment of 1 ½ hose Auxiliary pump (if equipped) w/spark arrester D.2.1.2 Exhibit M D.2.1.2 D.2.1.2 CHAINSAW and CHAINSAW KIT INSPECTION CHECKLIST MANUFACTURER: MODEL NUMBER: SERIAL NUMBER: CHAINSAW Size: minimum 3 cubic inch motor (49cc) Guide Bar: Minimum of 18 inches, not bent or damaged CHAINSAW KIT Chaps: Meets USFS Specification 6170-4F or later or certified to NFPA 1977 Wrench: Combination; bar and sparkplug wrench Chain: Extra chain to fit saw-bar combo Chain File: Appropriate size for chain on saw Felling Axe Felling Wedge Fuel container: DOT approved fuel container to hold chainsaw fuel and guide bar oil Page 3 of 4 Yes No

Region 6 VIPR pre-award inspection checklist v3.1 April 2, 2019 Equipment meets agreement specifications Inspection Company: Contractor: Print Equipment inspection pending further review Date: Inspector Signature Print Signature Date: Contactor successfully corrected pending issues Inspection Company: Print Date: Inspector Signature Equipment does not meet agreement specifications Agency Representative: Print Date: Signature REMARKS: Wildland Fire Engine Requirements Components Pump Rating Minimum flow (GPM) @ Rated pressure (PSI) Tank Capacity (gal) Minimum Maximum Hose (feet) 1 ½ inch 1 inch ¾ inch (garden hose) Live Reel Hose (¾ inch ID) Pump and Roll Foam Proportioner System Maximum GVWR (lbs.) Personnel Required Type 3 Wildland Engines Type 4 Type 5 Type 6 150 250 50 100 50 100 50 100 500 1500 750 1500 400 749 150 399 1000 500 300 100 300 300 300 100 300 300 300 100 300 300 300 100 Yes Yes Yes Yes Yes Yes Yes Yes 26,000 19,500 3 3 3 3 Pump Pressure Advantages Type 3 engines Type 4, 5, 6 engines 250 to 312 psi rating is “Acceptable” 100 to 124 psi rating is “Acceptable” 313 to 374 psi rating is “Good” 125 psi to 149 psi rating is “Good” 375 psi or more rating is “Excellent” 150 psi or more rating is “Excellent” Page 4 of 4

VEHICLE/HEAVY EQUIPMENT PRE-USE INSPECTION CHECKLIST GENERAL EQUIPMENT INFORMATION 1. INCIDENT NAME/NO. 10. PRE-USE INSPECTION 2. RESOURCE ORDER NO. Accepted MILES/HRS 3. CONTRACTOR NAME Rejected DATE TIME Inspector’s printed name 4. AGREEMENT NO. 5. EXPIRATION DATE 6. MAKE/MODEL Section III—LIABILITY 7. EQUIPMENT TYPE 8. VIN/SERIAL NO. Title Inspector’s signature 9. LICENSE NO./STATE YES NO 1. ROPS, roll-over protection system: Manufacturer-approved system secured to mainframe of tractor. Must include approved seat belts. * 2. Gauges and lights: mounted and function properly. * Operator’s printed name Title Operator’s signature Date Acceptable Section IV—TRANSPORT OR SUPPORT VEHICLES YES 1. “DOT” or CVSA inspection in the last 12 months (if required). * 2. Gauges and lights: mounted and function properly. * 4. Engine running: check oil pressure, knocks and leaks. 3. Seat belts: operate properly for each seating position. * 5. Sweeps, deflectors, safety screens JODVV * 5. Wipers, washers, and horn operate properly. * 7. Brakes: damaged, worn or out of adjustment. * * * 4. Glass and mirrors, no cracks in vision. 8. Exhaust system: equipped with a USFS-qualified spark arrester unless turbocharged. * 7. Cooling system: full, free of leaks and damage. 9. Fuel system: free of leaks and damage. * * 3. Battery: check for corrosion, loose terminals, and hold downs. 6. Steering components: tight, free of play. 10. Cooling system: full, free of leaks and damage. 6. Clutch pedal: proper adjustment (if applicable). 8. Fluid levels (e.g. oil) and condition: full and clean. 9. Battery: check for corrosion, loose terminals and hold downs. 13. Belly plate, radiator guards: securely mounted and free from debris. * 11. Electrical system: alternator and starter work. 12. Engine running: check oil pressure, knocks, and leaks. 13. Transmission: check for leaks. 14. Final drive, transmission and differential: check for dripping. 14. Steering components: tight, free of play. * 15. Sprocket and idlers: crack in spokes, sharp sprocket teeth, no welds. 15. Brakes: damaged, worn or out of adjustment. * 16. 4-Wheel drive: check transfer case, leaks (if applicable). 16. Tracks and rollers: no broken pads, loose rollers, broken flanges. *URXVHU KHLJKW PLQ * 17. Drive line U-joints: check for looseness. 17. Dozer and assembly: trunnion bolts missing, cracks. * 18. Suspension systems: springs, shocks, other. * 18. Rear hitch (drawbar): serviceable, safe. 19. Differential(s): check for leaks. 19. Body and cab condition: describe dents and damage. 20. Exhaust system: no leaks under cab or before turbo. * 20. Equipment cleanliness: all areas free of flammable materials, noxious weeds, and invasive species. 21. Frame condition, body/bed properly attached. * 22. Tires/wheels (including spare and all changing equipment) sufficient load rating, tread depth, no major damage. * 21. All hydraulic attachments: operate smoothly and all cylinders hold at extension; hose, lines, and pumps have no excessive wear and/or leaks. 23. Body and interior condition: describe and locate damage on back of page 3, Section IV, item 23. * 22. Backup or travel alarm (minimum 87 dbl). 24. Emergency equipment required. Fire extinguisher Spare fuses 23. Oil level and condition: full and clean. Section II—attachments/pump/CHAINSAW/OR OTHER (Specify) 1. No missing/broken components, no loose hardware. Acceptable YES NO 25. Operator(s) properly licensed. † Expiration Date State License No Class Endorsement Med. Cert. Expiration Date 11. RELEASE 2. Sufficient fluid levels (oil, coolant, etc.) MILES/HRS 3. Cutting bar: straight, chain in good condition. * Reflectors No Damage/No Claim DATE TIME Operator’s printed name Title 5. Pump: builds pressure, no water or oil leaks. Operator’s signature Date 6. Engine starts, idles, and shuts off with switch. Inspector’s printed name Title 4. Cutting teeth: sharp, good repair. Section V—REMARKS (Describe all unsatisfactory items and identify by line number) * Safety Item—Do not accept until brought into compliance. † Include information for additional operators in REMARKS section. 7540-01-120-0607 PREVIOUS EDITION NOT USABLE SEE SUPPLEMENTAL INFORMATION ON BACKSIDE OF CONTRACTOR COPY Printed on recycled paper FINANCE COPY – PRE-USE OPTIONAL FORM 296 (REV. 2-2016) 50296-103 Resource Order No. * * 10. Fuel system: free of leaks and damage. 11. Fan and fan belts: check for proper tension. No fraying/cracks. 12. Engine support, equalizer bar, springs, main springs: check shackle bolts, shifted spring leaf. NO Contractor Acceptable Section I—HEAVY EQUIPMENT The purpose of this checklist is to document pre-existing vehicle/equipment condition and to determine suitability for incident use. I hereby acknowledge full responsibility and liability for the operation and mechanical condition of the vehicle/ equipment described herein.

Region 6 Fire and Aviation Contracting Team VIPR Pre-Award Inspection Form Version 3.1 April 2, 2019 Region 6 VIPR Equipment Weight Calculation Form Use this form to document vehicle weight from a certified scale. All Engines and Water Tenders shall be weighed full of water to ensure manufacturers GAWR and GVWR are not exceeded when fully loaded. This form may also be used to determine tank capacity in gallons. Weigh vehicle full (less personnel weight) and empty and divide the difference by 8.33 to determine tank capacity in gallons of water. Company Name: VIN or Equipment/Unit ID: Manufacturers GVWR Loaded Weight Manufacturers GAWR, Front Axle Manufacturers GAWR Rear Axle 1st Axle Tandem Manufacturers GAWR Rear Axle 2nd Axle Tandem Manufacturers GAWR Lift Axle (if applicable) Total Loaded Weight (vehicle full of water with all required items) Add 250 lbs. per person to loaded weight: (Water tenders require 1 person and all engines require 3 personnel) Total Unloaded Weight Loaded Weight (without personnel) minus Unloaded Weight Loaded Weight minus Unloaded Weight 8.33 Ibs. gallons capacity Page 1 of 1 Unloaded Weight

FIRE EQUIPMENT INSPECTION CHECKLIST . WILDLAND FIRE ENGINE . COMPANY NAME: _ DATE: (On VIPR Agreement) VIN#:_ EQUIPMENT/Unit I.D. . 6 tc e oe tent i ice 7. ooin te ee o e n e 8. Fi ee e oi n conition n cen 9 tte cec o cooion ooe tein n o on 10. Fe te ee o e n e * 11. Eectic te tento n tte o 2 Enine nnin cec oi ee noc n e

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