DA Form 5380 Fire Apparatus Test Record

DA Form 5380 - also known as the "Fire Apparatus Test Record" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 5380 - was last revised on January 1, 2009. Download an up-to-date fillable PDF version of the DA 5380 down below or look it up on the Army Publishing Directorate website.

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1. INSTALLATION
2. DATE
FIRE APPARATUS TEST RECORD
3. OFFICER CONDUCTING TEST
For use of this form, see AR 420-1; the proponent
agency is ACSIM.
7. MODEL
4. ARMY REG. NO.
5. CLASS
6. MANUFACTURER
8. MFR SERIAL NO.
9. ACQ. DATE
13. ENGINE MAKE
10. CHASSIS MAKE
11. CHASSIS SERIAL NO. 12. ENGINE NO.
14. PUMP MAKE
15. ARMY SERIAL NO.
16. TYPE PUMP
17. CAPACITY
18. RELIEF VALVE TYPE
19. PRIMER TYPE
(100% for 20 Min)
CAPACITY TEST 150 LBS PUMP PRESSURE
20. HOSE LAYOUT
21. LIFT
22. TIP SIZE
23. PUMP PRESSURE
24. NET PRESSURE
25. PITOT READING
28. RPM (Engine)
29. RPM (Pump )
26. NOZZLE PRESSURE 27. G.P.M.
30. OIL PRESSURE
31. ENGINE TEMP
(70% for 10 Min)
CAPACITY TEST 200 LBS PUMP PRESSURE
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
(50% for 10 Min)
PRESSURE TEST 250 LBS PUMP PRESSURE
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56. GAUGE ACCURATE
64. DRAIN VALVES
57. PRIMER OPERATION
65. EQUIPMENT MEET NFPA 1901
58. RELIEF VALVE OPERATION
66. AFFF SYSTEM OPERATIONAL
59. OIL LEAKS
67. TIRE THREAD CONDITION
60. GATE VALVE LEAKS
68. PUMP PACKING
61. THROTTLE OPERATION
69. CONDITION OF H O/AFFF TANKS
2
62. TRANSFER VALVE OPERATION
70. CONDITION OF INTAKE SCREENS
63. ENGINE OVERHEAT
71. CAVITATION DEVELOP
72. REMARKS
ACCELERATION TESTS
73. STANDING TO 35 MPH in 25 SECONDS
YES
NO
74. STEADY 15 MPH TO 35 MPH IN 30 SECONDS (High Gear)
YES
NO
75. TOP SPEED 50 MPH LEVEL TERRAIN
YES
NO
76. REMARKS/ACTIONS TAKEN TO IMPROVE APPARATUS PERFORMANCE (continue on reverse, if necessary)
APD LC v1.00
DA FORM 5380, JAN 2009
PREVIOUS EDITIONS ARE OSBOLETE.
1. INSTALLATION
2. DATE
FIRE APPARATUS TEST RECORD
3. OFFICER CONDUCTING TEST
For use of this form, see AR 420-1; the proponent
agency is ACSIM.
7. MODEL
4. ARMY REG. NO.
5. CLASS
6. MANUFACTURER
8. MFR SERIAL NO.
9. ACQ. DATE
13. ENGINE MAKE
10. CHASSIS MAKE
11. CHASSIS SERIAL NO. 12. ENGINE NO.
14. PUMP MAKE
15. ARMY SERIAL NO.
16. TYPE PUMP
17. CAPACITY
18. RELIEF VALVE TYPE
19. PRIMER TYPE
(100% for 20 Min)
CAPACITY TEST 150 LBS PUMP PRESSURE
20. HOSE LAYOUT
21. LIFT
22. TIP SIZE
23. PUMP PRESSURE
24. NET PRESSURE
25. PITOT READING
28. RPM (Engine)
29. RPM (Pump )
26. NOZZLE PRESSURE 27. G.P.M.
30. OIL PRESSURE
31. ENGINE TEMP
(70% for 10 Min)
CAPACITY TEST 200 LBS PUMP PRESSURE
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
(50% for 10 Min)
PRESSURE TEST 250 LBS PUMP PRESSURE
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56. GAUGE ACCURATE
64. DRAIN VALVES
57. PRIMER OPERATION
65. EQUIPMENT MEET NFPA 1901
58. RELIEF VALVE OPERATION
66. AFFF SYSTEM OPERATIONAL
59. OIL LEAKS
67. TIRE THREAD CONDITION
60. GATE VALVE LEAKS
68. PUMP PACKING
61. THROTTLE OPERATION
69. CONDITION OF H O/AFFF TANKS
2
62. TRANSFER VALVE OPERATION
70. CONDITION OF INTAKE SCREENS
63. ENGINE OVERHEAT
71. CAVITATION DEVELOP
72. REMARKS
ACCELERATION TESTS
73. STANDING TO 35 MPH in 25 SECONDS
YES
NO
74. STEADY 15 MPH TO 35 MPH IN 30 SECONDS (High Gear)
YES
NO
75. TOP SPEED 50 MPH LEVEL TERRAIN
YES
NO
76. REMARKS/ACTIONS TAKEN TO IMPROVE APPARATUS PERFORMANCE (continue on reverse, if necessary)
APD LC v1.00
DA FORM 5380, JAN 2009
PREVIOUS EDITIONS ARE OSBOLETE.

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