Attachment DD-1 Damage Report.pdf

PDF 114 KB Posted

Attached to
Rehabilitation of Fire Investigation Burn Cells
Solicitation number
65DPS-S3798
Issued by
Churchill County, Nevada

About this file

This is a damage report form created by the Nevada Department of Public Safety/State Fire Marshal's Office for use during the Rehabilitation of Fire Investigation Burn Cells project. The form serves as a pre-work and post-work inspection document designed to document the condition of equipment, specifically trailers used in fire investigation training activities. The form includes designated spaces for recording inspection dates, times, locations, and inspector signatures for both pre-work and post-work assessments. It provides checkboxes to indicate whether trailers have sustained damage and includes a standardized legend of damage symbols (C for cut, H for hole, D for dent, BR for broken, M for missing, S for scratch, and P for patched) to ensure consistent documentation of any deficiencies discovered during inspections.

The form requires detailed written descriptions of any damage or deficiencies identified and must be completed and signed by State Fire Marshal (SFMD) personnel before submission to the State Fire Marshal Training Bureau located in Carson City, Nevada. This documentation process is critical for tracking the condition and maintenance history of equipment throughout the rehabilitation project, supporting accountability and quality assurance in the management of fire investigation training facilities and their associated equipment.

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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 .