ANN INSPECTION BUMPER-TO-BUMPER (B2B) WORKSHEET.pdf
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- W911S725QA002
About this file
This document is an Annual Mobile Fire Emergency Vehicle Inspection Report template designed in accordance with NFPA 1910 standards. The comprehensive seven-page form provides a detailed checklist for inspecting various components of emergency vehicles, including engine and cooling systems, chassis, cab and body, electrical systems, pump and water tank, aerial devices, and foam proportioning systems. The inspection form uses a legend with codes like X (Acceptable), R (Requires repair), U (Unsafe condition), C (Corrected), and NA (Not Applicable) to document the condition of each vehicle component.
The form is meticulously structured to capture critical details such as vehicle manufacturer, model, serial number, hour meter, and odometer readings. It includes extensive inspection sections covering hydraulic systems, structural fasteners, lubrication points, and various indicators. The template allows inspectors to systematically evaluate the mechanical, electrical, and operational integrity of emergency vehicles, with designated spaces for comments and signatures from the inspector and the Authority Having Jurisdiction (AHJ) representative, ensuring a comprehensive and standardized approach to annual emergency vehicle maintenance and safety assessment.
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Text version
ANNUAL MOBILE FIRE EMERGENCY VEHICLE INSPECTION REPORT
IAW NFPA 1910
© 2024 National Fire Protection Association
Inspection date _____________________
Fire Department _______________________________________ Emergency Vehicle No. _____________
Emergency Vehicle Chassis Manufacturer ______________________________
Model ____________________________________
Serial No _________________________________
Hour meter ________________________________
Make _________________________________
Model _________________________________
VIN ___________________________________
Odometer ______________________________
Legend
X = Acceptable visually checked R = Requires repair or adjustment U = unsafe condition requires repair prior to use C = Corrected NA = Not Applicable
CHASSIS INSPECTION
Engine and Cooling Systems ____ Oil level and condition
____ Oil leaks
____ Coolant level
____Antifreeze protection
____ Coolant additive level
____ Fuel system for leaks
____ Fuel system plumbing condition
____ Power steering fluid level
____ Power steering pump and plumbing
____ Coolant hose condition and leaks
____ Alternator mounting brackets
____ Alternator connections
____ Charging system output _____ volts
____ Auxiliary cooler connections
____ Battery condition and hold downs
____ Battery cables and clamps
____ Battery fluid level
____ Battery terminal voltage ____ volts
____ Chassis grounds and connections
____ Starter motor cable condition
____ Starter motor operation
____ Fan mounting bolts and adjustments
____ Fan shroud clearance and condition
____ Fan clutch or shutters operation
____ Air filter element condition
____ Air intake tubes and hoses
____ All belts condition and adjustments
____ After-cooler or intercooler tubes and hoses
____ Motor mount condition
____ Radiator cap pressure
Comments on engine and colling system inspection
© 2024 National Fire Protection Association
Chassis and Components Fluid levels
____ Lubricate chassis
____ All fluid levels
Steering
____ Steering linkage and tie rods
____ Steering box mounting
____ Steering system plumbing for leaks
____ Manual steering box fluid level
Transmission
____ Auto trans fluid level
____ Auto trans mounting and condition
____ Auto trans and plumbing for leaks
____ Auto trans lockup system
____ Manual trans oil level
____ Manual trans mounting
____ Manual trans for leaks
Fuel
____ Fuel tank and plumbing for leaks
____ Fuel tank mounting
Tires / Wheels
____ Tire and wheel conditions system and muffler
____ Lug nuts for torque ____ Tire tread depth Front ____ Rear ____ ____ Tire air pressure Front ____ Rear ____
Driveline
____ Driveline U-joints and yokes ____ Driveline carrier bearings ____ Differential oil level leaks
Front axle
____ Front spring and shock condition
____ Front wheel bearings and king pins
Rear Axle
____ Rear spring condition
____ Rear spring torque tubes and shocks
____ Axle flanges for leaks and tightness
____ Frame rails and cross members
Brakes
____ Brake condition (amount of material)
____ Brake adjustment and operation
____ Air brake valves and tanks
____ Lubricate brake pedal pivot pin
____Drain air tanks and check air dryer
____ Air brake lines and chambers
____ Air brakes leaks and buildup
____ Hydraulic brakes for leaks
____ Hydraulic brake components
____ Hydro-vac operation and mounting
____ Parking brake operation
Exhaust system
____ Exhaust____ Driveline carrier bearings
Comments on chassis and components inspection
© 2024 National Fire Protection Association
Cab and Body Cab
____ Cab mounting and tilt mechanism
____ Cab frame and sheet metal
____ Cab hoist motor solenoid volt drop ____ volts
____ Door mounting and latches
____ Cab glass condition
____ Cab seat condition and mounting
____ Seat belt condition and mounting
____ Steering wheel mounting and alignment
____ Horn operations
____ Heater and defroster operation
____ Throttle controls and linkage
____ Window operation
____ Auto transmission shift control
____ Manual transmission shift controls
____ Clutch pedal linkage
____ Clutch pedal free play
____Windshield wipers and washers
____ Mirror condition and mounting
Body
____ Compartment door latches
____ Compartment door and hinge condition
____Body compartment conditions
____ Step and auxiliary equipment condition
Comments on cab and body inspection
Cab and Body Electrical ____ Headlights and high beams
____ Parking and clearance lights
____ Tail and stop lights
____ Backup lights and alarm
____ Turn signal and hazard operation
____ Cab spotlights operation
____ Auxiliary light operation
____ Front warning lights
____ Rear warning lights
____ Front beacon lights
____ Intersection warning lights
____ Body deck lights
____ Compartment lights
____ Siren operation and mounting
____ Siren solenoid voltage drop ____ volts
____ Voltage drops of all solenoids
List solenoids and voltage drop below
Solenoids Voltage Drop
Comments on cab and body electrical inspection
© 2024 National Fire Protection Association
Line Voltage Inspection ____ Power source
____ Generator drive engine or power train
____ Cord reels and receptacles
____ Electrically driven equipment
____ Electrical controls
____ Output voltage __________ volts
____ Output frequency ________ Hz
Comments on line voltage electrical inspection
Road and Operational Test ____ Engine oil pressure
____ Engine coolant temperature
____ Tachometer operation
____ Auto transmission shifting
____ Clutch release and operation
____ Manual transmission shifting
____ Brake operation
____ Drive line vibration
____ Air compressor operation
____ Air compressor governor setting
____ Speedometer operation
____ Shimmy or front-end noises
____ Clutch fan or shutter operation
Comments on road and operational test
PUMP AND WATER TANK INSPECTION
Pump manufacturer _________________________ Model _________________ S/N _______________
Pump location _____________________________ Pump hours ____________ Capacity ___________
____ Pump shift and indicator lights
____ Automatic transmission lockup system
____ Clutch disengagement and manual transmission
____Pump transmission shift cylinders or motor
____ Pump transmission oil level and condition
____ Pump panel tachometer and engine gauges
____ Engine speed counter
____ Pump panel electrical switches and panel light
____ Master gauges for accuracy and operation
____ Discharge gauges for accuracy and operation
____ Water tank indicator system
____ Pump
© 2024 National Fire Protection Association
____ Pump plumbing
____ High-pressure pump system
____ Pressure control device operation and response time
____Transfer valve operation
____ Intake relief operation
____ Primer operation
____ Dry vacuum test
Initial reading ____ in. vacuum
Leakage in 5 minutes ____ in. vacuum
____ Primer motor solenoid voltage drop ____ volts
____ Pump packing – adjust if necessary
____ Mechanical seals for leaks’
____ Discharge ad intake valves
____ Valves, linkage, remote rods, and pivot points
____ Drain valves
____ Tank-to- pump and tank fill valves
____ Auxiliary cooler
____ Suction strainer
____ Preconnect valves and plumbing
____ Deck gun valve and plumbing
____ Front or rear suction valves and plumbing and valves
____ Auto-lube level and fluid condition
____ Water tank mounting and operation
____ Booster reel mounting and operation
____ Anodes in tank and pump
____ Reel motot solenoid voltage drop ____ volts
____ Pump mounting integrity
____ Pump driveline U-joints, yokes and flanges
Comments on pump and tank inspection
FOAM PROPORTIONING SYSTEM INSPECTION
Foam system manufacturer _________________ Model ______________ S/N _______________
____ Instrumentation, gauges, and controls
____ Strainer or filter
____ Foam concentrate pump
____ Lubricant level and condition
____ Hydraulic pump
____ Hydraulic system
____ Hydraulic fluid tank mounting and integrity
____ Foam concentrate tank mounting and integrity
____ Foam eductor system, metering, and check valve
Comments on foam proportioning system inspection
AERIAL DEVICE INSPECTION
Aerial manufacturer ____________________________ Model ______________ S/N________________
Aerial hours __________________________________ Rated capacity ________________________________
Hydraulic Systems Turntable
____ Rotation gear reduction box
____ Rotation hydraulic swivel
____ Lines and hoses
____ Control valve
Chassis
____ Hydraulic tank
____ Hydraulic fluid levels
____ Hydraulic fluid sample
____ PTO
____ Hydraulic pump
____ Auxiliary power pump
Stabilizer
____ Cylinders
____ Control valve
____ Diverter valve
Aerial
____ Elevation cylinder
____ Extension cylinder
____ Tip controls
Platform
____ Control valve
____ Leveling cylinders
Structural Fasteners ____ Turntable mounting bolts
____ Torque box mounting to frame bolts
____ Suspension system bolts
Tractor Drawn Components ____ Mounting to frame bolts
____ Rotation gear reduction box mounting bolts
____ Boom support/ladder cradle mounting bolts
Stabilizer ____ Mounting to frame or torque box
____ Mounting bolts
Lubrication ____ Sheaves
____ Cables
____ Ladder section base rails
____ Ladder heel pin
____ Rotation gear and bearing
____ Rotation gear reduction box
____ Elevation cylinder pins
____ Extension cylinder pins
____ Stabilizer extension cylinder pins
____ Aerial waterway pipe sections
Indicators ____ Rung alignment
____ PTO engaged
____ Aerial alignment
____ Turntable alignment
____ Elevation
____ Extension
____Turntable level
Turntable Components ____ Safety signs
____ Communication system
____ Emergency hydraulic power
____ Interlock systems
____ Electrical lines
Aerial Components ____ Gore tube
____ Waterway
____ Sheaves
____ Pinable waterway
____ Rung covers
____ Breathing air
____ Wear strips
Stabilizer Components ____ Lights
____ Pads
____ Interlocks
____ Safety pins
Comments on aerial device inspection
Inspector ___________________________________________ Date ____________________________
AHJ representative ___________________________________ Date ____________________________
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