ITEMS TO BE CHECKED (MONTH/YEAR)DATEOPERATOR'S INSPECTION GUIDE AND TROUBLE REPORT(Place "X" in block adjacent to items requiring Operator's inspection for the vehicle type only) (For use with all Registered Vehicle Equipment except Refueling Vehicles and

Equipment)(During Operation)CLEANLINESS/DAMAGE/MISSING ITEMS (Interior/Exterior)/UNUSUAL NOISE OR OCCURRENCE1VEHICLE TYPE REGISTRATION NO.

2 LEAKS/FLUID LEVELS (Visually check for any leaks/check oil/coolant/hydraulic/transimission/brake fluid)

3 SAFETY DEVICES (Wiring/lights/horn/warning devices/sirens/reflectors/mirrors/seat belts)ORGANIZATION LOCATION/BASE PHONE NO.4 BATTERIES (Fluid/damage/cleanliness/security)/INSTRUMENTS/GAUGES (Operation & readings)

DRIVE BELTS (Fraying/cracking/tension)/PULLY/MOTOR (Air/hydraulic/electrical)5STEERING/SPRINGS/SHACKLES (Free play/excessive wear)6 VEHICLE CONTROL OFFICER NAME PHONE NO.

7 EXHAUST SYSTEM/SPARK ARRESTORS (Damage/leaks)

8 TIRES/ WHEELS (Lug nuts/cracks) TRACKS

OPERATOR'S SIGNATURE SIGNIFIES ACCOMPLISHMENT OF CHECKS9 HEATER/DEFROSTER/AIR-CONDITIONER/AUXILLIARY GENERATORS/AUXILLARY HEATERS(First Initial, Last Name)10 BRAKES (Servicing-Parking)/CLUTCHES (Operate)/ACCELERATOR PEDAL (Damage/worn)

SHIFT/SIGNATURE DAYDAY SHIFT/SIGNATURE DAY SHIFT/SIGNATUREWINDSHIELD (Wipers/washer fluid/cracks)11HYDRAULIC HOSES (Damage/frayed)/CYLINDERS/VALVES (Damage/leaks)12 21111COLD WEATHER AIDS (Ether/alcohol injector/battery heater/oil-engine heater/coolant heater, etc.)13POWER TAKE-OFF (PTO)14

22122WINCH/TOW CONNECTIONS15AIR TANKS (Drain daily or after operation)16MAST TINES/ROLLERIZED TINES17 23133

18 ROLLERS/POWER CONVEYORS/RAILS/LADDERS/CAT WALKS/CARGO BED

BED (K-LOAD) TOP/HALF/LOWEST/ROLL/SHIFT/YAW (check position)192414420 LOWER LOBE CAB SHIFT (Operation)

EMERGENCY STAND-BY SYSTEM21MARKINGS-CHECK LEGIBILITY ("WATCH STEP" stencil IAW36-1-191)22

25155CHUTES/AUGERS/FAN BLADES/WEAR SHOES23DRUMS/CROWNS/FAIR LEADS24BOOMS/OUTRIGGERS/BASKET/PLATFORM/TURNTABLE (Check for cracks and damage)25 6 16 26BROOMS/SPROCKETS/CHAINS26BLADES/REELS/SICKLE BARS/FLAILS27KETTLE/HOISTING MECHANISM/AGITATORS28 27177SHEAVES/BLOCKS/CABLES29MOULDBOARDS/BOWLS/CUTTING EDGES/SKIDS30PUMPS/PIPING/DISCHARGE VALVES FOR LEAKS, CORROSION/SPARE BARS31 8 2818

32

FIREFIGHTING SYSTEM OPERATION AND FOAM/WATER LEVELS33 299 19AUXILLIARY FIREFIGHTING SYSTEM (Nitrogen tank pressure, agent levels, etc)34

35 HOSE/REELS/HANDLINES/TURRETS (Operation/all functions)

36 OTHER (Specify) 10 20 30OTHER (Specify)37OTHER (Specify)38 31OTHER (Specify)39

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FIREFIGHTING SPECIALIZED EQUIPMENT/SAFETY DEVICES (Axe, spanner wrench, power saw, ladder, pike trouble light, mega phone, generator, resuscitator, rescue tools, winch/Buzzers, fire extinguishers, ropes, breathing apparatus, personal alert safety system, etc)

OPERATOR'S MONTHLY REQUIREMENT

BEGINNING OF MONTH OPERATING MILES/HOURS TIRE PRESSURE CHECK (Check manufacturer's manual or vehicle for applicable pressure)

FRONT PSI:(DD/MM/YYYY)DATE: MILES: HOURS: REAR PSI:

(DD/MM/YYYY) (DD/MM/YYYY)DATE: DATE:(print legibly) (print legibly)OPERATOR'S NAME and SIGNATURE OPERATOR'S NAME and SIGNATURE

VEHICLE / EQUIPMENT DISCREPANCY AND MAINTENANCE REPORT

OPERATOR REPORT REPORTED TO MAINTENANCE MAINTENANCE REPORT STATUSDATE DISC.

DATE/ TIMEITEM

NO.MILES/ HOURS

NAME WORK ORDER#

DATE STATUS CODE

EMPLOYEE NUMBERDISCREPANCY

(DD/MM/YY)(print legibly)(DD/MM/YY) (DD/MM/YY)

STATUS W = Waiver for RepairC-T by Temp Fix C-P by Perm Fix

D-P for PartsC = CORRECTED D = DELAYED D-D for Disposition N = No Repairs RequiredD-M for Maint.CODE

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