Forestry Unit A130.800

9/1/08 Page 1 of 2

Truck/Transport Maintenance and Inspection Form

District Monthly______________County Pre-Fire Season______________

Post-fire Season______________VIN# Operator# _ Inventory# Miles Year/Model License#

Condition: GOOD FAIR POOR

Miles since last inspection___________________________

I. APPEARANCE:

a. Cleanliness S____U____ b. Reflectors S____U____ c. Paint S____U____ d. Accident Forms S____U____e. Decals S____U____ f. Fire Extinguisher S____U____g. Proof of Insurance S____U____ g First Aid Kit S____U____

II. INSPECTION: Use these codes to describe the condition of the item:

“A” – Adjust “C” – Clean “S” – Satisfactory “W” – Worn/Replace “R” – Repair “D” – Dirty “U” – Unsatisfactory “N/A” – Not Applicable

1. Engine Remarks

Engine Oil _____ Date Changed __________ Miles at Change __________ Coolant Level _____ Protected To: _____ Radiator Hoses _____ Fan Belts _____ Battery _____ Power Steering Fluid_____ Brake Fluid _____

AFC Unit A130.800

9/1/08 Page 2 of 2

2. Controls Remarks

Brakes _____ Horn(s) _____ Mirrors _____ Windshield _____ Windshield Wiper _____ Transmission ______

3. Lights Remarks

Parking _____ Right Turn _____ Left Turn _____ Low Beam _____ High Beam _____ Stop _____ 4-way Flasher _____ Clearance _____ Reflectors _____ Trailer Lights _____

4. Tires

Pressure Front ______ Condition _______ Tread depth ________ 4/32 required Pressure Rear ______ Condition _______ Tread depth ________ 2/32 required Pressure Trailer ______ Condition _______ Tread depth ________ 2/32 required

5. Other

Front End __________ Rear End __________ Exhaust System__________

___________________________________ ________________________ Inspectors Signature Date

REMARKS:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________