Cordelia Fire Protection District

FirefighterDaily Checkout

Type 1, 2, 3 Apparatus

VerificationKey:X=Okay;A=Adjustmentsmade;N=Needs Repair;M=MissingPart/Item All“N”or“M”verificationrequireImmediateattentionorServiceRequestFormcompletedforresolution
Date: Unit#: U / Radio ID: / Mileage:
Items / Verified / Comments
Power Equipment
Generator(Operate every 7, 14, 21, 28 of each month)
Exception is Engine 31, must be done by D/O
PPVFans( Operate every 8, 16, 24, 31 of each month)
Saws
Chain Saw (Operate every 8, 16, 24, 31 of each month)
Circular Saw(Operate every 8, 16, 24, 31 of each month)
Extrication
PowerUnit(Operate every 7, 14, 21, 28 of each month)
Rams(Operate every 7, 14, 21, 28 of each month)
Spreaders
Cutters
Cribbing
WindowCutter
CenterPunch
SCBA / Verifyallcylinders25000PSI
InspectSCBAs, Harness,Masks
SCBA Capt.: D/O: / F/F1: / FF2: FF3: FF4:
Harness Capt.: D/O: / F/F1: / F/F2: F/F3: F/F4:
Mask Capt.: D/O / F/F1: / F/F2 F/F3 F/F4:
Inspect andTestPASS Capt.: D/O: / F/F1: / F/F2: F/F3: F/F4:
Spare Cylinders44(# of): / Any Calendars Replaced?
Equipment & Tools
Inspect Fire Extinguishers / Which If Any Extinguishers Need Service:
Inspectand Count Fire Shelters / Number Of Shelters:
HandTools and Handles (clean, sharp, painted)
Pike Poles and Handles
Axes (clean and free of rust)
Ladders (cleaned on odd days)
Nozzles (bails and nozzles exercised)
ToolBox
HandLights (operate & ensure charging) / Out Of Service Tag Completed With: Date, app.#
Rescue 42 and Rope Rescue Equip. / Inspect And Inventory On Even Days:
Thermal Imagining Device / Operational:
Hand Lights (operational & charging) / Out Of Service Tag Completed W/Date, App. #, Defect:
Portable Lighting (Incld. Extension Cords)

Daily Apparatus Checkout Continued

Items / Verified / Comments
. Scoop Shovel
Halligan, Sledge Hammer, LZ Kit, Bolt Cutters
Piercing Nozzle
Stokes Basket
T-Cards, Pens, Map Books, / County: City:
Safety Vests (2 min)
CompartmentLights (with battery on) / All Operational: Compartment With Defect:
Test Headsets (if applicable) / All Operational: Headset With Defect:
RehabWater
Drip Torch (if applicable)
Exterior Clean
Compartments (Clean & Organized)
Cab Blown Out or Swept Out
Windows Cleaned
Entire Apparatus Inventory To be
Performed every 3,11,19,27 of
Each Month, in addition to after Incidents

Please Add Any Comments About Found Defects Or Any Other Issues:

By Placing My Name Below, I Verify that the following Apparatus was checked out according to the

Cordelia Fire Protection District Apparatus Maintenance Schedule and have self-certified that all equipment has been checked for any deficiencies and that any deficiencies found have been noted on thisFirefighter Daily Apparatus

Checkout Form.

Company Officer:Date:

Driver/Operator:Date:

Firefighter #1:Date:

Firefighter #2:

Revised 5/2016