Attachment DD Damage Report.pdf

PDF 98 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 Nevada State Fire Marshal Trailer Damage Report Form used by the State Fire Marshal Training Bureau located in Carson City, Nevada. The form is designed to document the condition of trailers before and after use, with separate sections for pre-work and post-work inspections. Each inspection section requires the date, time, location, inspector's printed name, and signature. The form includes a checkbox to indicate if there is no damage to the trailer, allowing inspectors to quickly confirm the trailer's condition without detailed notation.

The form provides standardized damage documentation using specific symbols to categorize deficiencies: 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. Inspectors are instructed to note any damage or deficiencies found using these designated symbols in the damage description section. The completed form requires sign-off from State Fire Marshal Division (SFMD) personnel, including printed name, signature, and date, before submission to the State Fire Marshal Training Bureau in Carson City, Nevada. This form serves as an official record for equipment accountability and condition assessment purposes.

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Text version

Nevada State Fire Marshal Trailer Damage Report Form

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

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