c.CrewInspectionForm.doc
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- Attached to
- 10-Person IA Crew IDIQ
- Solicitation number
- AG-04M3-S-14-0021
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C. Crew Inspection Form
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| b.final_solicitation.rtf | RTF text file | |
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Text version
INTERAGENCY CREW AGREEMENT INSPECTION FORM
P F
| INCIDENT NAME: |
| NUMBER: |
| DATE: |
Crew Name:
Resource Order #:
Agreement Number:
Number of Employees:
Crew Manifest: Yes No Equipment Manifest: Yes No CREW PERSONNEL (Check Each Person for the Following)
Photo ID and Employee Qualification Card with information required in Exhibit E.
PPE: 8" High Leather Lug Sole Boots, Hard Hat w/ Chin Strap, Leather Gloves, Goggles, Headlamp w/ Batteries
1 qt. Container, Fire Shelter, Flame Resistant Pants and Shirt.
SECTION I POWER SAWS
A - Make
Model
Serial #
SECTION III VEHICLE INFORMATION
A - Make
Lic #
Operator Lic. #
B - Make
B - Make
C - Make
C - Make
| A |
| B |
| C |
| A |
| B |
| C |
1. Visible Parts Broken*
1. Gauges and Lights*
2. Visible Nuts and Bolts Tight
2. Seat Belts*
3. Oil in Gear Case and Chain Oiler
3. Glass and Mirrors*
4. Cutting bar: Straight, Chain in good condition*
4. Wiper and Horn*
5. Exhaust System and Spark Arrester*
5. Clutch Pedal: Proper adjustment, ¾" free travel
6. Motor: Idles evenly, runs smoothly, satisfactory power
6. Cooling System: Check radiator and hoses
7. Gas/Oil for 1st Shift
7. Oil Level and Condition: Full and Clean
8. Power Saw Chaps
8.
Battery: Check for corrosion, loose terminals, hold downs
9. Fuel System*
SECTION II EQUIPMENT
10. Electrical System: generator and starter working
Person Crews
11. Engine Running: Check for knocks and leaks
| 10 |
| 20 |
| # |
12. Transmission: Check for leaks
A. Combi/Rheinhart/Hazel Hoe/McLeod 3lb. Head 36" Handle
| 4 |
| 8 |
13. Steering*
B. Pulaski_____ Head (from 3 lb 11 oz to 4 lb 2 oz) 36" Handle
| 5 |
| 10 |
14. Brakes*
| C. Shovel Size 0 or 1 |
| 4 |
| 8 |
15. 4-Wheel Line-U-Joints: Check for looseness
| D. 10-Man Belt 1st Aid Kit |
| 1 |
| 2 |
17. Springs and Shocks*
| E. Programmable Hand Held Radio |
| 3 |
| 4 |
18. Differential: Check for leaks
Model
19. Exhaust System*
Model
20. Frame*
Model
21. Tires and Wheels*
Model
| F. Radio Programming Cable |
| 1 |
| 1 |
22.
Body and Interior Condition: Describe and locate damage in Remarks Section.
* Safety Item - Do not accept until brought into compliance.
23. Emergency Equipment Required:*
Fire Extinguisher Shovel Axel/Pulaski
Remarks:
Inspector:
Company Representative:
File details come from the government source that posted it. Updated .