Exhibit_4_Vehicle_Daily_Inspection_Checklist.pdf
PDF 1 MB Posted
- Attached to
- OPM-SANG Operations and Maintenance Services
- Solicitation number
- W90BRJ19R0005
About this file
Exhibit 4
View the file
Other files
Show 40 more
Latest 50 of 77 listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ITEMS TO BE CHECKED (MONTH/YEAR)DATEOPERATOR'S INSPECTION GUIDE AND TROUBLE REPORT (Place "X" in block adjacent to items requiring Operator's inspection for the vehicle type only) (For use with all Registered Vehicle Equipment except Refueling Vehicles and
Equipment)(During Operation)CLEANLINESS/DAMAGE/MISSING ITEMS (Interior/Exterior)/UNUSUAL NOISE OR OCCURRENCE1
VEHICLE TYPE REGISTRATION NO.
2 LEAKS/FLUID LEVELS (Visually check for any leaks/check oil/coolant/hydraulic/transimission/brake fluid)
3 SAFETY DEVICES (Wiring/lights/horn/warning devices/sirens/reflectors/mirrors/seat belts) ORGANIZATION LOCATION/BASE PHONE NO.4 BATTERIES (Fluid/damage/cleanliness/security)/INSTRUMENTS/GAUGES (Operation & readings)
DRIVE BELTS (Fraying/cracking/tension)/PULLY/MOTOR (Air/hydraulic/electrical)5 STEERING/SPRINGS/SHACKLES (Free play/excessive wear)6 VEHICLE CONTROL OFFICER NAME PHONE NO.
7 EXHAUST SYSTEM/SPARK ARRESTORS (Damage/leaks)
8 TIRES/ WHEELS (Lug nuts/cracks) TRACKS
OPERATOR'S SIGNATURE SIGNIFIES ACCOMPLISHMENT OF CHECKS9 HEATER/DEFROSTER/AIR-CONDITIONER/AUXILLIARY GENERATORS/AUXILLARY HEATERS (First Initial, Last Name)10 BRAKES (Servicing-Parking)/CLUTCHES (Operate)/ACCELERATOR PEDAL (Damage/worn)
SHIFT/SIGNATURE DAYDAY SHIFT/SIGNATURE DAY SHIFT/SIGNATUREWINDSHIELD (Wipers/washer fluid/cracks)11 HYDRAULIC HOSES (Damage/frayed)/CYLINDERS/VALVES (Damage/leaks)12 21111 COLD WEATHER AIDS (Ether/alcohol injector/battery heater/oil-engine heater/coolant heater, etc.)13
POWER TAKE-OFF (PTO)14
22122WINCH/TOW CONNECTIONS15
AIR TANKS (Drain daily or after operation)16
MAST TINES/ROLLERIZED TINES17 23133
18 ROLLERS/POWER CONVEYORS/RAILS/LADDERS/CAT WALKS/CARGO BED
BED (K-LOAD) TOP/HALF/LOWEST/ROLL/SHIFT/YAW (check position)19 2414420 LOWER LOBE CAB SHIFT (Operation)
EMERGENCY STAND-BY SYSTEM21
MARKINGS-CHECK LEGIBILITY ("WATCH STEP" stencil IAW36-1-191)22
25155
CHUTES/AUGERS/FAN BLADES/WEAR SHOES23
DRUMS/CROWNS/FAIR LEADS24
BOOMS/OUTRIGGERS/BASKET/PLATFORM/TURNTABLE (Check for cracks and damage)25 6 16 26
BROOMS/SPROCKETS/CHAINS26
BLADES/REELS/SICKLE BARS/FLAILS27
KETTLE/HOISTING MECHANISM/AGITATORS28 27177
SHEAVES/BLOCKS/CABLES29
MOULDBOARDS/BOWLS/CUTTING EDGES/SKIDS30
PUMPS/PIPING/DISCHARGE VALVES FOR LEAKS, CORROSION/SPARE BARS31 8 2818
FIREFIGHTING SYSTEM OPERATION AND FOAM/WATER LEVELS33 299 19
AUXILLIARY FIREFIGHTING SYSTEM (Nitrogen tank pressure, agent levels, etc)34
35 HOSE/REELS/HANDLINES/TURRETS (Operation/all functions)
36 OTHER (Specify) 10 20 30 OTHER (Specify)37 OTHER (Specify)38 31 OTHER (Specify)39
PAGE 1 OF 3 PAGESPAGE 3 OF 3 PAGESAF FORM 1800, 20100401 AF FORM 1800, 20100401
FIREFIGHTING SPECIALIZED EQUIPMENT/SAFETY DEVICES (Axe, spanner wrench, power saw, ladder, pike trouble light, mega phone, generator, resuscitator, rescue tools, winch/Buzzers, fire extinguishers, ropes, breathing apparatus, personal alert safety system, etc)
OPERATOR'S MONTHLY REQUIREMENT
BEGINNING OF MONTH OPERATING MILES/HOURS TIRE PRESSURE CHECK (Check manufacturer's manual or vehicle for applicable pressure)
FRONT PSI:(DD/MM/YYYY)DATE: MILES: HOURS: REAR PSI:
(DD/MM/YYYY) (DD/MM/YYYY)DATE: DATE:(print legibly) (print legibly)OPERATOR'S NAME and SIGNATURE OPERATOR'S NAME and SIGNATURE
VEHICLE / EQUIPMENT DISCREPANCY AND MAINTENANCE REPORT
OPERATOR REPORT REPORTED TO MAINTENANCE MAINTENANCE REPORT STATUS
DATE
DISC.
DATE/
TIMEITEM
NO.
MILES/
HOURS
NAME WORK
ORDER#
DATE STATUS
CODE
EMPLOYEE
NUMBERDISCREPANCY
(DD/MM/YY)(print legibly)(DD/MM/YY) (DD/MM/YY)
STATUS W = Waiver for RepairC-T by Temp Fix C-P by Perm Fix
D-P for Parts C = CORRECTED D = DELAYED D-D for Disposition N = No Repairs RequiredD-M for Maint.CODE
PAGE 2 OF 3 PAGESAF FORM 1800, 20100401
ITEMS TO BE CHECKED
(MONTH/YEAR)
DATE
OPERATOR'S INSPECTION GUIDE AND TROUBLE REPORT
(Place "X" in block adjacent to items requiring Operator's inspection for the vehicle type only) (For use with all Registered Vehicle Equipment except Refueling Vehicles and Equipment) (During Operation) CLEANLINESS/DAMAGE/MISSING ITEMS (Interior/Exterior)/UNUSUAL NOISE OR OCCURRENCE
VEHICLE TYPE
REGISTRATION NO.
LEAKS/FLUID LEVELS (Visually check for any leaks/check oil/coolant/hydraulic/transimission/brake fluid) SAFETY DEVICES (Wiring/lights/horn/warning devices/sirens/reflectors/mirrors/seat belts)
ORGANIZATION
LOCATION/BASE
PHONE NO.
BATTERIES (Fluid/damage/cleanliness/security)/INSTRUMENTS/GAUGES (Operation & readings) DRIVE BELTS (Fraying/cracking/tension)/PULLY/MOTOR (Air/hydraulic/electrical) STEERING/SPRINGS/SHACKLES (Free play/excessive wear)
VEHICLE CONTROL OFFICER NAME
PHONE NO.
EXHAUST SYSTEM/SPARK ARRESTORS (Damage/leaks) TIRES/ WHEELS (Lug nuts/cracks) TRACKS
OPERATOR'S SIGNATURE SIGNIFIES ACCOMPLISHMENT OF CHECKS
HEATER/DEFROSTER/AIR-CONDITIONER/AUXILLIARY GENERATORS/AUXILLARY HEATERS
(First Initial, Last Name) BRAKES (Servicing-Parking)/CLUTCHES (Operate)/ACCELERATOR PEDAL (Damage/worn)
SHIFT/SIGNATURE
DAY
DAY
SHIFT/SIGNATURE
DAY
SHIFT/SIGNATURE
WINDSHIELD (Wipers/washer fluid/cracks) HYDRAULIC HOSES (Damage/frayed)/CYLINDERS/VALVES (Damage/leaks) COLD WEATHER AIDS (Ether/alcohol injector/battery heater/oil-engine heater/coolant heater, etc.)
POWER TAKE-OFF (PTO)
WINCH/TOW CONNECTIONS
AIR TANKS (Drain daily or after operation)
MAST TINES/ROLLERIZED TINES
ROLLERS/POWER CONVEYORS/RAILS/LADDERS/CAT WALKS/CARGO BED
BED (K-LOAD) TOP/HALF/LOWEST/ROLL/SHIFT/YAW (check position) LOWER LOBE CAB SHIFT (Operation)
EMERGENCY STAND-BY SYSTEM
MARKINGS-CHECK LEGIBILITY ("WATCH STEP" stencil IAW36-1-191)
CHUTES/AUGERS/FAN BLADES/WEAR SHOES
DRUMS/CROWNS/FAIR LEADS
BOOMS/OUTRIGGERS/BASKET/PLATFORM/TURNTABLE (Check for cracks and damage)
BROOMS/SPROCKETS/CHAINS
BLADES/REELS/SICKLE BARS/FLAILS
KETTLE/HOISTING MECHANISM/AGITATORS
SHEAVES/BLOCKS/CABLES
MOULDBOARDS/BOWLS/CUTTING EDGES/SKIDS
PUMPS/PIPING/DISCHARGE VALVES FOR LEAKS, CORROSION/SPARE BARS
FIREFIGHTING SYSTEM OPERATION AND FOAM/WATER LEVELS
AUXILLIARY FIREFIGHTING SYSTEM (Nitrogen tank pressure, agent levels, etc) HOSE/REELS/HANDLINES/TURRETS (Operation/all functions) OTHER (Specify) OTHER (Specify) OTHER (Specify) OTHER (Specify)
PAGE 1 OF 3 PAGES
PAGE 3 OF 3 PAGES
AF FORM 1800, 20100401
AF FORM 1800, 20100401
FIREFIGHTING SPECIALIZED EQUIPMENT/SAFETY DEVICES (Axe, spanner wrench, power saw, ladder, pike trouble light, mega phone, generator, resuscitator, rescue tools, winch/Buzzers, fire extinguishers, ropes, breathing apparatus, personal alert safety system, etc)
OPERATOR'S MONTHLY REQUIREMENT
BEGINNING OF MONTH OPERATING MILES/HOURS
TIRE PRESSURE CHECK
(Check manufacturer's manual or vehicle for applicable pressure)
FRONT PSI:
(DD/MM/YYYY)
DATE:
MILES:
HOURS:
REAR PSI:
(DD/MM/YYYY)
(DD/MM/YYYY)
DATE:
DATE:
(print legibly) (print legibly)
OPERATOR'S NAME
and SIGNATURE
OPERATOR'S NAME
and SIGNATURE
VEHICLE / EQUIPMENT DISCREPANCY AND MAINTENANCE REPORT
OPERATOR REPORT
REPORTED TO MAINTENANCE
MAINTENANCE REPORT STATUS
DATE
DISC.
DATE/
TIME
ITEM
NO.
MILES/ HOURS
NAME
WORK
ORDER#
DATE
STATUS
CODE
EMPLOYEE
NUMBER
DISCREPANCY
(DD/MM/YY)
(print legibly)
(DD/MM/YY)
(DD/MM/YY)
STATUS
W = Waiver for Repair C-T by Temp Fix C-P by Perm Fix D-P for Parts
C = CORRECTED
D = DELAYED
D-D for Disposition N = No Repairs Required D-M for Maint.
CODE
PAGE 2 OF 3 PAGES
AF FORM 1800, 20100401
8.2.1.3158.1.475346.466429
| Enter a date as MM/YYYY: |
| FIELD2: |
| FIELD3: |
| FIELD4: |
| FIELD5: |
| FIELD6: |
| FIELD7: |
| FIELD8: |
| FIELD9: |
| FIELD10: |
| FIELD11: |
| FIELD12: |
| CHECK1: 0 |
| CHECK2: 0 |
| CHECK3: 0 |
| CHECK4: 0 |
| CHECK5: 0 |
| CHECK6: 0 |
| CHECK7: 0 |
| CHECK8: 0 |
| CHECK9: 0 |
| CHECK10: 0 |
| CHECK11: 0 |
| CHECK12: 0 |
| CHECK13: 0 |
| CHECK14: 0 |
| CHECK15: 0 |
| CHECK16: 0 |
| CHECK17: 0 |
| CHECK18: 0 |
| CHECK19: 0 |
| CHECK20: 0 |
| CHECK21: 0 |
| CHECK22: 0 |
| CHECK23: 0 |
| CHECK24: 0 |
| CHECK25: 0 |
| CHECK26: 0 |
| CHECK27: 0 |
| CHECK28: 0 |
| CHECK29: 0 |
| CHECK30: 0 |
| CHECK31: 0 |
| CHECK32: 0 |
| CHECK33: 0 |
| CHECK34: 0 |
| CHECK35: 0 |
| CHECK36: 0 |
| CHECK37: 0 |
| CHECK38: 0 |
| CHECK39: 0 |
| FIELD1_2: |
| FIELD3_2: |
| FIELD4_2: |
| FIELD8_2: |
| FIELD10_2: |
| Enter a date as DD/MM/YYYY: |
| Enter a date as DD/MM/YYYY: |
| Enter a date as DD/MM/YYYY: |
| FIELD2_2: |
File details come from the government source that posted it.