Stanislaus_FireInspectionForm_MSA.pdf
PDF 608 KB Posted
- Attached to
- Mechanical Site Prep: Jawbone Creek Item 2
- Solicitation number
- RFP-2025-0154
- Issued by
- Tuolumne County, Santa Monica City, California
About this file
This is a Fire Inspection Form used by the Stanislaus National Forest, a division of the USDA Forest Service in California, to verify contractor compliance with fire safety requirements for mechanical site preparation and fuels reduction projects. The form establishes comprehensive fire precautionary measures for various operational equipment including trucks, skidders, dozers, loaders, yarders, fuel trucks, delimiters, chippers, cable yarding systems, log trucks, graders, fallers with power saws, hotsaws, harvesters, forwarders, feller-bunchers, and masticators. Each equipment type must comply with specified fire prevention requirements such as carrying fire extinguishers (typically 4:A:60:B-C rated or CAFS systems), maintaining spark arresters on internal combustion engines, daily debris cleaning for certain equipment, and maintaining minimum clearance radii. The inspection form requires contractors to confirm the presence and proper maintenance of fire tools, including chainsaws with specific accessories, axes, shovels, hoses, pumps, and a fully stocked fire tool box with specified equipment.
The form mandates that a fire tank truck containing a minimum of 300 gallons of water be positioned on or adjacent to the active landing at Project Activity Level B or above. Contractors must pass a comprehensive fire inspection addressing seven key compliance questions regarding fire extinguisher accessibility and charge status, vehicle exhaust systems, spark arrester presence and certification, power saw spark arrestor approval, availability of supplemental hose for hot saws and masticators, and identification of a Fire Patrolperson. The inspection includes verification checkboxes, signature lines for Forest Service representatives and field representatives, space for contract identification, equipment serial numbers, and remarks. A communication system capable of 15-minute response time must be in place. The form does not specify pricing, set-asides, or funding sources but serves as a mandatory compliance and verification document for contractors operating under Master Stewardship Agreements with Stanislaus National Forest.
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Text version
CONTRACT NAME_______________________________________________ CONTRACT #____________________________________________
Shovel
Size(0)
46"
Axe
(2.5 lb)
28"
Fire Extinguisher
Other:
ID Number, Spark Arrestor Type, Remarks:
Trucks/Pick-ups 1 each 1 each 1
Skidder 1 each 1 each (1) 5 BC each 1
Dozer/Tractor 1 each 1 each (1) 5 BC each 2 Headlights for each 1
Loader (1) 4:A:60:-B-C each 1
Yarder (1) 4:A:60:-B-C each 1
Fuel truck/trailer 1 each 1 each (1) 4:A:60:-B-C each
Stroke Delimber
(2) 4:A:60:-B-C/or CAFS each Clean Debris Daily 1
Chipper
(2) 4:A:60:-B-C/or CAFS each Clean Debris Daily 1
Cable Yarding
Tail/Corner
Blocks
1 each 5 gal backpack pump/or
4-A extinguisher w/in
25'
15' Clearing radius
Log Truck 1 each 1 each
Grader 1 each 1 each
A shovel per gas can
< 300' away, spark arrester with
0.023"screen
Faller with
Power saw 1 (38") 14 Oz. Fire Kill
SPECIFIED FIRE PRECAUTIONARY MEASURES
Hotsaws
Harvester
Forwarder
Feller/Buncher
Mechanical
Harvester
Masticator
1 each 1 each (2) 4:A:60:-B-C/or CAFS each
Clean Debris Daily
Please note that different operational equipment is used for different contracts and may not be present for every contract. The operational equipment to be used to conduct contract work must comply with its associated fire precautionary measures.
Equipment for operations per saw per saw
CONTRACT NAME_______________________________________________ CONTRACT #____________________________________________
*1 Chainsaw with 20"bar@ active landing *1 spark plug & wrench
*1 can bar oil and fuel for 2 hr operation *1 quart motor oil
*1 spare saw chain, sharp and serviceable *1 8" cresent wrench
*1 extra sparkplug for chainsaw and file *1 screwdriver
*1 combo tool for changing spark plug 2 hrs extra fuel
*2 falling wedges *1 slip joint pliers
2 axes *1 extra starter rope
2 scraping tools (McLeods) *1 grease gun w/grease
Shovels to equip everyone else *2 spanner wrenches
Pump to deliver 23 gal./min. @175 lb/sq. in. (y/n):
Pump equipped with 1 1/2 in. NSFH
Bypass or pressure relief valve for other than centrifugal pumps.
300' of 3/4" i. d. rubber jacket hose (50' sections), mounted on reel shut-off combination nozzle that deliver 38' straight stream @
Additional 250' light weight hose for use with hotsaw/masticator
3/32" (.09 in)screen at intake for use in T & E species streamcourses
2 headlights if not on dozer *Hose gaskets assorted
1 filled backpack pump (5 gal.)
FIRE TOOL BOX
SPECIFIED FIRE PRECAUTIONARY MEASURES
FIRE TANK TRUCK FULL WITH 300 GALLONS OF WATER
To be located on or adjacent to active landing on PAL level B or above
Date
Date
Date
Forest Service Representative Signature
Field Rep. Signature
Field Rep. Signature
Formula To Determine Tank Volume (all dimensions in INCHES)
Round or Oval - D x D x L x 0.0034 = Gallons
Square or Rectangular Tank - H x W x L x 0.004329 = Gallons
*Examples of items to maintain "necessary service accessories"
STANISLAUS NATIONAL FOREST DAILY PROJECT ACTIVITY LEVELS (PAL) Call: 209-532-5601 after 5 p.m.
Clearing of Fuels: Welding-10 ft; Tail or corner haulback blocks-15 ft; Smoking- 3 ft
Is communication system in place (15 Min)? Y/N _________________
1. Are all fire extinguishers mounted, readily accessible, properly maintained and fully charged (y/n):
2. Are all vehicles subject to registration equipped with adequate exhaust systems meeting CA vehicle code (y/n):
3. Is each operating tractor and any other ICE equipped with a spark arrester (except for vehicles equipped with a main with a maintained muffler as defined in
C.P.R.C. Section 4442 or tractors with exhaust-operated turbochargers) (y/n):
4. Are spark arresters model tested, approved under Forest Service Standard 5100-1a as shown in the National Wildlife Coordinating Group Spark Arrester Guide, Volumes 1 and 2, and in good operating condition (y/n):
5. Is each power saw equipped with a spark arrestor approved according to
6. When Contractor is using Hot Saws or Masticators is an additional 250 feet of light weight hose, approved by the Forest Service, immediately available for use and capable of connecting to the 300 feet of hose (y/n):
7. Is there a Fire Patrolperson identified (y/n):
10GPM
Notes:
Seal #____________________________________________
PAL at time of inspection:
Did the contractor pass this fire inspection? (Y/N):
Is a reinspection needed? (y/n):
| CONTRACT NAME: |
| CONTRACT: |
| ID Number Spark Arrestor Type Remarks: |
| Fire Extinguisher1: |
| Other1: |
| 1: |
| TrucksPickups: |
| 2: |
| 3: |
| 4: |
| Skidder: |
| 1 5 BC: |
| 1_2: |
| 1_3: |
| 2_2: |
| 3_2: |
| 4_2: |
| 1_4: |
| DozerTractor: |
| 2_3: |
| 3_3: |
| Loader: |
| 1 4A60BC: |
| 1_5: |
| Loader_2: |
| 2_4: |
| 3_4: |
| Yarder: |
| 1 4A60BC_2: |
| 1_6: |
| Yarder_2: |
| 2_5: |
| 3_5: |
| 1 4A60BC_3: |
| 1_7: |
| 2_6: |
| 1_8: |
| 2_7: |
| 3_6: |
| 4_3: |
| 5: |
| 1Stroke Delimber: |
| 1_9: |
| 2_8: |
| Chipper: |
| 1_10: |
| 2_9: |
| 1 38: |
| 1_11: |
| 2_10: |
| 3_7: |
| 4_4: |
| 1_12: |
| TailCorner: |
| 5_2: |
| 5 gal backpack pumpor 4A extinguisher win 251: |
| 15 Clearing radius1: |
| 51: |
| Grader: |
| 5 gal backpack pumpor 4A extinguisher win 251_2: |
| 15 Clearing radius1_2: |
| 51_2: |
| CONTRACT NAME_2: |
| CONTRACT_2: |
| 1 combo tool for changing spark plug: |
| 2 falling wedges: |
| 2 axes: |
| 2 scraping tools McLeods: |
| Shovels to equip everyone else: |
| 2 headlights if not on dozer: |
| Is communication system in place 15 Min YN: |
| Seal: |
| undefined: |
| Date: |
| Date_2: |
| Notes: |
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| 2 hrs extra fuel: |
| 1 screwdriver: |
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