• Used to request major equipment replacement or additional major equipment items for SES Groups
  • One equipment item request per form

Step 1Request Details

Request Date:
Region: / Area:
SES Unit: / SES Group:

Step 2Equipment Description

Flood Boat
Brand/Model: Savage 385 Jabiru Pro
Stacer 489 Barra Pro
Gemini 420 Rigid Hull Foam Collar
Gemini 505 Rigid Hull Foam Collar
Swift 525
Swift 595
Yamba Supply 599
Other
If the above models have been identified to be unsuitable and Other has been selected, justification and details ofthe SES Groups requirement must be provided below:
Replacement Outboard Motor
Brand/Model: Horsepower:
Flood Boat Registration No.:Maximum Horsepower Rating of Hull:
Rescue Trailer
Type: Single Axle Tandem Axle
Canvas Canopy Pantec Canopy
Use(i.e. storm, traffic control, road crash rescue):
Vertical Rescue Kit (complete)
Hydraulic Road Crash Rescue Kit (complete)
Replacement Hydraulic Road Crash Rescue Equipment
Please specify the replacement Road Crash Rescue Equipment items required below:

Step 4Request Type (please complete the appropriate section)

Request is for Replacement Equipment
 Please specify the item to be replaced (please provide registration number/s for floodboats and trailers):
 What is the reason for the item being replaced?
Equipment has exceeded serviceable life
Costs of on-going repairs is uneconomical
Unsuitable for current task
Damaged (attach report)
Lost/Stolen(attach report)
 Does the Group have other equipment matching this request? Yes No Quantity:
Is the request time critical? Yes No
How will operational response be compromised if the request is not fulfilled promptly?
Who will be responsible for the disposal of the replaced item of equipment?
Queensland Fire and Emergency Services (QFES) Local Government

OR

Request is for New Equipment

The Groupdoes not have the equipment and it is necessary for an operational response function?

/ Yes No

The Group does have equipment and it requires additional equipment to effectively undertake the operational response function?

/ Yes No
Please state the need if the request is for additional equipment:

Step 5Group Statistics

Does the Group have the operational response function(i.e.flood boat response)?

/ Yes No

How many active volunteers are in the Group?

Does the Group have the appropriate training to operate the equipment?

/ Yes No Training Now

How many volunteers hold current accreditation to perform the function?

How many operational hours in the function has the Group completed in the previous three financial years?

2011-12
2012-13
2013-14

A copy of the latest Equipment Audit should be attached to this request. Has a copy of the audit been attached?

/ Yes No

Step 6Equipment Allocation Year Preference

Please indicate your preference for the year of allocation of the equipment item:
2014-15
2015-16
2016-17
2017-18
2018-19
No Preference

Step 7Consultation

Consultation has occurred with the SES Local Controller or delegate and a Local Government representative and they concur with the request for a (insert equipment description including type, brand and model i.e.
Flood Boat Savage 385 Jabiru Pro)for SES Group.
SES Executive (or delegate):
Name: / Signature:
Position: / Date:
Local Government Representative:
Name: / Signature:
Position: / Date:

Step 8Area Controller Endorsement

Name: / Signature:
Date:
Additional Comments:

Regional Review

  • Used by the Regional Manager to review requests for replacement or additional major equipment items
  • On completion this request is to be forwarded to SES Equipment (via email )

Step 9Regional Manager Endorsement

Is the equipment requested endorsed by the Regional Manager?

/ Endorsed Not Endorsed
Complete if Not Endorsed
Specify reason why equipment has not been endorsed:

Region has notified the Area that the equipment request was not endorsed:

/ Yes No

 Copy of equipment request to be forwarded to SES Equipment for information:

/ Yes No

OR

Complete if Endorsed

Priority for replacement, new and time critical equipment:

/ HighMediumLow
 Equipment request to be forwarded to SES Equipment for processing.
Name: / Signature:
Date:
Additional Comments:
/ Page 1 of 5 / Date: 05/09/2014 / FBMR 8.0.1 v2 /