140 Truck Check

• Document No.

• Client / Department

• Conducted on

  Date

• Prepared by

• Personnel

• Oil

  Checked

  Not Checked

• Anti-Freeze

  Checked

  Not Checked

• Brake Fluid

  Checked

  Not Checked

• Clutch Fluid

  Checked

  Not Checked

• Window Washer Fluid

  Checked

  Not Checked

• Power Steering Fluid

  Checked

  Not Checked

• Belts

  Checked

  Not Checked

• Hoses

  Checked

  Not Checked

• Battery

  Checked

  Not Checked

• Comments:

• Head Lights

  Checked

  Not Checked

• Brake Lights

  Checked

  Not Checked

• Back-Up Lights

  Checked

  Not Checked

• 4-Way Flashers

  Checked

  Not Checked

• Emergency Lights

  Checked

  Not Checked

• Brake-Lights

  Checked

  Not Checked

• Fuel Level

  Full

  3/4 Full

  1/2 Full

• Wipers

  Checked

  Not Checked

• Apparatus Radio

  Checked

  Not Checked

• Portable Radio

  Checked

  Not Checked

• Wind (Anemometer)

  Checked

  Not Checked

• Siren

  Checked

  Not Checked

• Haz-Mat Book

  Checked

  Not Checked

• Comments:

• 2-1/2" Hose - 50 FT

  Checked

  Not Checked

• 1-1/2" Hose - 100 FT

  Checked

  Not Checked

• 2-1/2" Hydrant Valve

  Checked

  Not Checked

• 2-1/2" x 1-1/2" Gated Wye

  Checked

  Not Checked

• 1-1/2" Nozzle

  Checked

  Not Checked

• Pump (Run 5 Minutes)

  Checked

  Not Checked

• Pump Fuel Level (Behind Driver Cab)

  Full

  3/4 Full

  1/2 Full

• Comments:

• Foam Pro Pack

  Checked

  Not Checked

• Indian Packs (2)

  Checked

  Not Checked

• 1-1/2" Hose - 50 FT

  Checked

  Not Checked

• Water Curtains

  Checked

  Not Checked

Boxed SCBA

• Pack Number

• Bottle Number

• SCBA Mask (Medium)

  Checked

  Not Checked

Boxed SCBA

• Pack Number

• Bottle Number

• SCBA Mask (Medium)

  Checked

  Not Checked

• Comments:

• Porta-Tank

  Checked

  Not Checked

• 1-3/4" Preconnect Hose - 100 FT

  Checked

  Not Checked

• Comments: