Operational Services
Contract
/ Contract Fire Crew
Monitoring / Inspection Report – Part B
(For reference see guide FS1421)

File No:

Inspection Date:

CONTRACTOR
Company Name:Name of Representative:
Company Address:
Standing Offer No:
Crew configuration (5 person, 10 person or 20 person crew):
INSPECTING OFFICIAL
Title:Name:Office:
INCIDENT INFORMATION
Incident No:Geographic Location:
COMMENCEMENT OF WORK– Complete upon crew arrival at the job site, or when crew is put on standby. Refer to the current Standing Offer (SO) for exact requirements and specifications.
  1. Time of crew arrival: ______hrs.
/ Comments
  1. Does the crew configuration conform to specifications? (Crew Leader, Firefighter, Trainees etc)
/ Yes / No
  1. Personnel manifest provided and correct?
/ Yes / No
  1. Identification for all personnel? (all personnel on the crew(s) must be present for the inspection and their ID must match the personnel manifest)
/ Yes / No
  1. Are training records for all personnel with the crew? (must be onsite with the crew)
/ Yes / No
  1. Does each vehicle have a copy of the company’s Occupational Health & Safety program?
/ Yes / No
  1. Are crew transport vehicles four-wheel drive?
/ Yes / No
  1. Does each vehicle have valid insurance?
/ Yes / No
  1. Do vehicles older than seven (7) years old have a valid government motor vehicle inspection sticker?
/ Yes / No
  1. Is the crew equipped, as per the equipment specifications?
/ Yes / No
  1. Is the crew equipment in safe operating condition?
/ Yes / No
  1. Does each member of the crew have their required personal equipment and supplies?
/ Yes / No
  1. Does the crew have expendable supplies for the duration of the Job? (includes batteries)
/ Yes / No
  1. Is the crew equipped with sleeping gear?
/ Yes / No
  1. Does the crew have food and water for the first 24hrs?
/ Yes / No
RECORD OF DISCUSSIONS WITH COMPANY REPRESENTATIVE – Document any discussions related to the inspection process.
INSTRUCTIONS – List any requirements that may not be in compliance with the Standing Offer.
RECOMMENDATIONS / FOLLOW-UP – Check as many boxes as appropriate
Commencement of work requirements are met. File Part A in incident file and provide copy to company. Deploy crew as required.
Request missing information from company and reassess.
Issue FS 1301, Notice to Comply
Do not deploy crew until missing requirements are met.
SIGNATURES
Received by (Company representative): / Inspecting Official:
______
Signature / ______
Signature
______
Print Name / ______
Print Name
Signature only acknowledges receipt. / ______
Employee Number

FS1421B 2014Page 1 of 2

Distribution: WHITE – to PWCC GREEN – to Fire Centre YELLOW – to Contractor - PINK – Incident file