Information

  • Document No.

  • Client / Department

  • Conducted on

  • Prepared by

  • Personnel

Engine Compartment

  • Anti-Freeze

  • Batteries

  • Belts

  • Oil

  • Hoses

  • Power Steering Fluid

  • Window Washer Fluid

  • Heater Fan

  • Clutch Fluid

  • Comments:

Driver Controls

  • 4-Way Flashers

  • Head Lights

  • Air Brake Preassure

  • Back-Up Alarm

  • Back-Up Lights

  • Brake Lights

  • Flashlights

  • Fuel Level

  • Rear Lights

  • Siren

  • Turn Signals

  • Wipers

  • Comments:

Cab (Passenger)

  • Apparatus Radio

  • Clipboard

  • Haz-Mat Book

  • Map Book

  • Wind (Anemometer)

  • Flash Lights

  • Portable Radio

  • Comments:

Compartment #1

  • Cord Reel

  • Outlet Boxes

  • Rescue Axe

  • Caution Tape

  • Pick Head Axe

  • Bolt Cutter

  • Jaffery Valve (Manifold)

SCBA

  • Pack Number

  • Bottle Number

  • PSI

  • SCBA Mask (L)

  • Comments:

Compartment #2

SCBA

  • Pack Number

  • Bottle Number

  • PSI

  • SCBA Mask (L)

  • Tank Dump Extension

  • Comments:

Rear Compartment #1

SCBA Tank

  • Bottle Number

  • PSI

SCBA Tank

  • Bottle Number

  • PSI

SCBA Tank

  • Bottle Number

  • PSI

SCBA Tank

  • Bottle Number

  • PSI

SCBA Tank

  • Bottle Number

  • PSI

  • Comments:

SCBA Tank

  • Bottle Number

  • PSI

SCBA Tank

Rear Compartment #2

  • 4" Hydrant Hose - 50 FT

  • 1" Forestry Hose - 50 FT

  • Water Bottle Tub

  • Bucket & Chain

  • Comments:

Compartment #3

  • Generator (Run 5 Minutes)

Compartment #4

  • 2-1/2" Nozzle

  • 1-1/2" Nozzle

  • 1" Nozzle

  • Hydrant Valve

  • 6" Jet Syphon

  • 2-1/2" x 2-1/2" Gated Wye

  • 2-1/2" x 1-1/2" Gate Wye

  • 4" x 2-1/2" Storz (30 Degree Bend)

  • Dual 2-1/2" Porta-Tank Fill Appliance

  • 1-1/2" Caps (2)

  • 2-1/2" Cap

  • 2-1/2" x 1-1/2" Reducer

  • 4" x 2-1/2" Storz Reducer

  • 4" x 2-1/2" Reducer

  • Double Female

  • Double Male

  • Cord Reel

  • Red Flag Container

  • 2-1/2" Floating Strainer

  • 4" Floating Strainer

  • Comments:

Front Bumper Compartment

  • Rubber Mallet

  • 4" Storz

  • 6" x 4" Storz (30 Degree Bend)

  • 2-1/2" x 1-1/2" Reducer

  • Power Steering Fluid

  • Comments:

Exterior of Truck

  • Hydrant Hose Wrench's

  • Spanner Wrench Sets

  • Portable Lights (2)

  • ABC Extinguisher (2)

  • 4" Hard Suction w/ Strainer

  • 4" Hard Suction

  • 24 FT Ladder

  • 14 FT Roof Ladder

  • Water Tank Level

  • Pick Axes (2)

  • Hose Clamp

  • Pike Pole

  • Hydrant Bag

Hose Loads

  • Crosslay #1 - 200 FT Preconnect

  • Crosslay #2 - 200 FT Preconnect

  • 2-1/2" Preconnect Hose Load

  • 4" Hydrant Hose Load

  • Comments:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.