Attachment DD Damage Report.pdf

PDF 98 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 State Fire Marshal's office for conducting pre-work and post-work inspections of trailers. The form is utilized by the State Fire Marshal Training Bureau located in Carson City, Nevada to document the condition of trailers before and after use or service. The inspection process requires personnel to record the date, time, and location of inspections, along with inspector identification through printed names and signatures for both pre-work and post-work phases. The form includes checkboxes to indicate whether trailers have sustained no damage, streamlining the documentation process for undamaged equipment.

The form provides standardized damage notation symbols to ensure consistent reporting: 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 document identified damage or deficiencies in a designated section and include State Fire Marshal Division personnel verification through printed names, signatures, and dates. The completed form must be submitted to the State Fire Marshal Training Bureau in Carson City, Nevada. This document serves as an operational tool for equipment accountability and condition tracking rather than a procurement instrument.

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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 .