Contract Fire Equipment - Incident Inspection Checklist - Type 2 Page 2
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DATE: __________TIME:___________
EQUIPMENT KIND: WEED WASH, Type
#
Minimum Requirements - continued
Pass Fail
---
-----
-----
Lights: 2 each, 1,000 watt halogen work lights on stands, and Ground Fault
15
D.2.1.2_10)
Interrupter (GFI) module
(
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Electric Motors: All alternating current electric motors shall be list and labeled with
D.2.1.2_8)
Underwriters Laboratory , (UL on plate)
(
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All segments of Weed Washer System are in Safe Working Condition, and no parts are
D.2.1.2_8)
missing
(
Weed Wash Operators are visually and manually inspecting hard to reach areas to
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D.2.1._3a_3b_3c_3d)
ensure they are thoroughly washed and clean
(
19
Remote Discharge Systems: Adequate means to pump all waste water at least 200 feet
D.2.1.2_4)
from the wash station.
(
Waste Water: Prior to waste water disposal, all waste water is filtered to 100 microns
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or smaller particle size, or through dewatering bags fabricated from Amoco 4553 or
D.2.1.2_4)
equivalent geotextile cloth with maximum size of 150 microns
(
Underbody Washer, Mechanical: (If Provided/Optional). Must have nozzles that can
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be directed to within 45 degrees of vertical, and spray must cover 100% of underbody
D.2.1.2_11a)
surfaces
(
Provided:
Yes
NO
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Disposal of Solid Waste: Who is responsible: Host Agency
Contractor
-----
-----
D.2.1.2_5)
Location of designated disposal site:_______________________________
(
Yes Contract Deficiencies Found
No Contract Deficiencies Found
Contractor is given the opportunity (Optional), to correct noted deficiencies. May be given up to 24 Hours
as of:
(D.7.1.1) (D.17)
Date: _______________ Time: ____________
See Remarks
Contactor successfully corrected noted deficiencies:
Date: ________________, Time: __________
Inspector: _________________________
REMARKS:__________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
CONTRACTOR REPRESENTATIVE: ______________________________________Title:_______________
(Print and Sign)
GOVERNMENT INSPECTOR: _____________________________________________Title:_______________
(Print and Sign)
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