Fillable Incident Demobilization Vehicle Safety Inspection (ICS 212 WF) (National Wildfire Coordinating Group)

Fill Online, Printable, Fillable, Blank Incident Demobilization Vehicle Safety Inspection (ICS 212 WF) (National Wildfire Coordinating Group) Form

Use Fill to complete blank online NATIONAL WILDFIRE COORDINATING GROUP (NWCG) (ID) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Incident Demobilization Vehicle Safety Inspection (ICS 212 WF) (National Wildfire Coordinating Group)

On average this form takes 13 minutes to complete

The Incident Demobilization Vehicle Safety Inspection (ICS 212 WF) (National Wildfire Coordinating Group) form is 1 page long and contains:

  • 0 signatures
  • 36 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

U.S.A. forms for National Wildfire Coordinating Group (NWCG)

BROWSE NATIONAL WILDFIRE COORDINATING GROUP (NWCG) (ID) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Incident Demobilization Vehicle Safety Inspection (ICS 212 WF)
Vehicle Operator: Complete items above double lines prior to inspection
Incident Name
Order No.
Vehicle License No.
Agency
Reg/Unit
Type (Eng., Bus., Sedan)
Odometer Reading
Veh. ID No.
Inspection Items
Pass
Fail
Comments
1. Gauges and lights. See back*
2. Seat belts. See back*
3. Glass and mirrors. See back*
4. Wipers and horn. See back*
5. Engine compartment. See back*
6. Fuel System. See back*
7. Steering. See back*
8. Brakes. See back*
9. Drive line U-joints. Check play
10. Springs and shocks. See back*
11. Exhaust system. See back*
12. Frame. See back*
13. Tire and wheels. See back*
14. Coupling devices.
Emergency exit (buses)
15. Pump operation
16. Damage on incident
17. Other
*Safety Item – Do Not Release Until Repaired
Additional Comments:
□ HOLD FOR REPAIRS
□ RELEASE
Date
Time
Inspector name (Print)
Operator Name (Print)
Inspector Signature
Operator Signature
This form may be photocopied, but three copies must be completed.
Distribution: Original to inspector, copy to vehicle operator, copy to Incident Document Unit
ICS 212 WF (1/14) NFES 001251
INSPECTION
ITEMS
(REF:
FEDERAL
MOTOR
CARRIER
SAFETY
REGULATIONS
HOLD
FOR
REPAIRS
IF:
1.
Gauges
&
Lights
-Speedometer
inoperative.
(Federal
Motor
Carrier
Safety
Regulation
(FMCSR
393.82)
-
All
required
li
ghting
devices,
reflectors
and
electrical
equipment
must
be
properly
positioned,
colored
and
working.
(FMCSR
393.9)
2.
Seat
Belts
-
Any
driver's
or
right
outboard
seat
belt,
missing
or
inoperative
.
(FMCSR
393.93)
-
Passenger
carrying
have
missing
or
inoperative
seat
belts
in
passenger
seats,
Buses
ex
cepted.
3.
Glass
&
Mirrors
-Any
w
in
ds
hi
eld
crack
over
1/4'
wide.
-
Any
damage
3/4'
or
greater
in
diameter.
-
Any
2
damaged
areas
are
closer
than
3'
to
each
other
.
-
Any
crack
less
than
1/4
'
wide
intersects
with
any
other
crack.
(FMCSR
393.60)
-
Any
crack
or
discoloration
in
the
windshie
ld
area
lying
within
the
sweep
of
the
wiper
on
either
side
of
the
windshield
(FMCSR
Appendi
x
G,
Sub.
B)
-
Any
required
mirror
missing.
One
on
each
side
,
firmly
attached
to
the
outside
of
the
vehicle,
and
so
located
as
to
reflect
to
the
driver
a
view
of
the
highway
to
the
rear
along
both
sides
of
the
vehicle.
See
Ex
ceptions
(FMCSR
393.80)
-
Any
required
mirror
broken.
-
Wiper
bl
ade{s)
fail
to
clean
windshield
within
1'
of
windshield
sides
.
(FMCSR
393.78)
-
Horn
,
missing,
inoperative,
or
fails
to
give
an
adequate
and
reliable
warning
signal.
(FMCSR
393.81)
4.
Wi
pers &
Horn
5. Engine
Co
mpartment
-
Low
fluid
levels
-
Loose
or
leaking
battery
-
Excessive
leaks
-
Cracked
or
deteriorated
be
l
ts
or
hoses.
-
Any
condition
of
impending
or
probable
failure
.
6.
Fu
el
System
-
Visible
leak
at
any
point.
-
Fuel
tank
cap
missing.
-
Fuel
tank
not
securely
attached
to
vehicle
by
reason
of
loose,
broken
or
missing
mounting
bolts
or
bra
c
kets.
(FMCSR
Appendix
G,
Sub
.
B)
7. S
teering
-
Steering
wheel
does
not
turn
freely,
has
any
spokes
cracked,
loose
spokes
or
missing
parts.
-Steering
lash
not
within
parameters
,
see
chart,
in
FMCSR
393.209.
-
Steering
column
is
not
secure
-
Steering
system;
any
U-
joints
worn,
faulty
or
repaired
by
welding.
-
Steering
gear
box
is
loose,
cracked
or
missing
mounting
bolts
.
-
Pitman
arm
loose.
-Po
wer
Steering
;
any
components
inoperative
.
Any
loose,
broken
or
mi
ssing
parts.
Belts
frayed,
cracked
or
slipping.
-
Any
fluid
leaks,
fluid
reservoir
not
full.
(FMCSR
3
93
.
209)
8.
Brakes
-
Brake
system
has
any
missing,
loose,
broken
,
out
of
adjustment
or
worn
out
components.
-
Brake
system
has
any
air
or
fluid
l
eaks
.
(FMCSR
Appendix
G,
Sub.
B)
-
Brake
system
has
any
other
deficiencies
as
described
in
FMCSR
Appendix
G,
Sub.
B.
10
.
Springs
&
Shocks
-Any
U-bolt
,
spring
,
spring
hanger
or
any
other
axle
positioning
part
is
cracked
,
broken,
loose
or
missing
resulting
in
any
shifting
of
an
axle
from
it's
normal
position
. (F
MCSR
Appendix
G,
Sub.
B)
11
.
Exhaust
-Any
leaks
at
any
point
forward
of
or
directly
be
l
ow
the
driver
and
/
or
sleeper
compartment.
-
Bus
exhaust
leaks
or
discharge
forward
of
the
rearmost
part
of
the
bus
in
excess
of
6'
for
Gasoline
powered
or
15'
for
other
then
Gasoline
powered,
or
forward
of
any
door
or
window
designed
to
be
opened
on
other
then
Gasoline
powered
bus.
(E
x
ception
:
emergency
ex
it)
-
Any
part
of
the
ex
haust
system
so
located
as
would
be
likely
to
result
in
burning
,
charring,
or
damaging
the
wiring,
fuel
supply
or
any
combustible
part
of
the
vehic
l
e.
(FMCSR
Appendix
G,
Sub.
B)
12
.
Frame
-
Any
cracked
,
br
o
ken
, lo
ose
or
sagging
frame
member.
-
Any
loose
or
missing
fasteners
including
tho
se
attaching
engine
,
transmission,
steering
gear
,
suspens
i
on,
body
or
frame
to
contact
the
tire
or
wheel
assemblies.
-
Adjustable
axle
assemblies
with
locking
pins
mi
ssing
or
not
engaged.
(FMCSR
At=~pendix
G,
Sub
.
B)
13.
Tires
&
Wheels
-Tread
depth
l
ess
than
4/32'
on
steering
axle
.
-Less
than
2/32'
on
any
other
axle.
-
Any
body
ply
or
belt
material
exposed
through
tread
or
sidewall.
-
Any
tread
or
sidewall
separation.
-Any
cut
exposing
ply
or
belt
material.
-Any
tire
marked
'
Not
for
highway
use'.
-A
tube-type
radial
tire
without
radial
tube
stem
markings.
-Any
mixing
of
bias
and
radial
tires
on
the
same
ax
le.
-Any
tire
not
properly
inflated
or
overloaded.
-Any
bus
with
recapped
tires.
(FMCSR
Appendix
G,
Sub.
B)
-Lock
or
slide
r
ings;
any
bent,
broken,
cracked,
improperly
seated
,
sprung
or
mismatched
ring(s).
-
Whee
ls
and
rims;
any
cracked
or
broken
or
has
elongated
bolt
holes
.
-Fasteners
{both
spoke
and
disc
wheels)
.
Any
loose,
missing,
broken,
cracked,
stripped
or
otherwise
ineffective
fasteners
.
-
Any
cracks
in
welds
attaching
disc
wheel
disc
to
rim.
-
Any
crac
k
in
welds
attaching
tubeless
demountable
rim
to
adapter.
-
Any
welded
repair
on
aluminum
wheel{s)
on
a
steering
ax
le
or
any
we
l
ded
repair
othe
r
then
disc
to
rim
attachment
on
steel
disc
wheel(s)
on
steering
ax
le.
(FMCSR
Appendi
x G,
Sub.
B)
.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Incident Demobilization Vehicle Safety Inspection (ICS 212 WF) (National Wildfire Coordinating Group)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 10 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document