Attachment DD-1 Damage Report.pdf

PDF 114 KB Posted

Attached to
Rehabilitation of Fire Investigation Burn Cells
Solicitation number
65DPS-S3744
Issued by
Churchill County, Nevada

About this file

This is a Building Damage Report Form utilized by the Nevada State Fire Marshal Training Bureau located in Carson City, Nevada. The form serves as a pre-work and post-work inspection document designed to document the condition of trailers and equipment used in training or operational activities. The form captures inspection details including date, time, location, inspector name, and signature for both pre-work and post-work phases. The document includes checkboxes to indicate whether damage is present or absent and provides a standardized damage notation system using specific symbols: C for cuts, H for holes, D for dents, BR for broken components, M for missing parts, S for scratches, and P for patched areas.

The form requires detailed documentation of any damage or deficiencies discovered during inspections in a designated section. Completed forms must be signed by State Fire Marshal (SFMD) personnel with printed name, signature, and date, then submitted to the State Fire Marshal Training Bureau in Carson City, Nevada. This document is an administrative tool used to track equipment condition and establish accountability for damage occurring during the term of use or service.

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Text version

Pre-Work Inspection Date: Time:

Location:

Print Name:

Signature:

Post-Work Inspection Date: Time:

Location:

Print Name:

Signature:

TRAILER

CHECK BOX IF THERE IS NO DAMAGE

TRAILER

CHECK BOX IF THERE IS NO DAMAGE

PLEASE NOTE BELOW ANY DAMAGE OR DEFICIENCIES FOUND BY USING THE FOLLOWING SYMBOL(S):

C = CUT H = HOLE D = DENT BR = BROKEN M = MISSING S = SCRATCH P = PATCHED

Damage Description:

SFMD Personnel Print: Date:

SFMD Personal Signature:

SUBMIT FORM TO THE STATE FIRE MARSHAL TRAINING BUREAU LOCATED IN CARSON CITY, NV

Nevada State Fire Marshal Building Damage Report Form

File details come from the government source that posted it. Updated .