Information
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Document No.
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Client / Department
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Conducted on
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Prepared by
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Personnel
Engine Compartment
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Anti-Freeze
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Batteries
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Oil
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Hoses
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Belts
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Power Steering Fluid
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Window Washer Fluid
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Comments:
Driver Controls
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Arrow Stick
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4-Way Flashers
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Air Brake Pressure
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Back-Up Alarm
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Back-Up Lights
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Brake Lights
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Emergency Lights
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Head Lights
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Siren
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Turn Signals
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Wipers
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Fuel Level
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Comments:
Cab I.C. (Incident Command Side)
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Clipboard
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Accountability Board
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Flood Light
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Map Book
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Haz-Mat Book
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Apparatus Radio
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Wind (Anemometer)
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Portable Radios (6)
I.C. SCBA
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Pack Number
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Bottle Number
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PSI
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SCBA Mask (M)
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Comments:
Cab Rear
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T.I.C. (Thermal Imaging Camera)
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T.I.C. Batteries (Switch Out)
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Gas Monitors (5)
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Jump Kit
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O2 Bag
SCBA (Driver Side Rear Facing)
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Pack Number
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Bottle Number
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PSI
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SCBA Mask (Medium)
SCBA (Driver Side Rear Facing)
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Pack Number
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Bottle Number
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PSI
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SCBA Mask (Medium)
SCBA (Driver Side Rear Facing)
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Pack Number
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Bottle Number
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PSI
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SCBA Mask (Medium)
SCBA (Driver Side Rear Facing)
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Pack Number
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Bottle Number
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PSI
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SCBA Mask (Medium)
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Comments:
Compartment #1
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1-1/2" Nozzles (2)
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2-1/2? Siamese
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2-1/2" x 1-1/2" Gated Wye
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2-1/2" x 2-1/2" Gated Wye
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1-1/4" Straight Tip (2)
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3/4" Straight Tip (2)
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4" Storz Cap
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4" x 2-1/2" Storz
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4" x 2-1/2" Reducer
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Pipe Wrench
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Hydrant Wrench
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2-1/2" Nozzle
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4" x 2-1/2" Storz (30 Degree Bend)
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6" Low Profile Strainer
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6" Jet Syphon
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Stacked Straight Tips
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Foam Tip & Diffuser
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50 FT Roll of 1-3/4" Hose
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6" x 4" Storz (30 Degree Bend)
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Rubber Mallets
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Wheel Kit
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Comments:
Compartment #2
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CO2 Extinguisher
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Water Extinguisher
SCBA
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Bottle Number
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PSI
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SCBA Mask (Medium)
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Comments:
Compartment #3
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ABC Extinguisher
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Halligan Bar
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Hose Clamp
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Large Bolt Cutters
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Married Pair / Irons
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Sledge Hammer
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Small Bolt Cutters
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Rescue Axes (2)
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Comments:
Rear Compartments
Rear Compartment #1
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6" Hard Suction & Strainer
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Long Pike Pole
Rear Compartment #2
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Cribbing
Rear Compartment #3
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Cord Reel
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Gas Can
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Funnel
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Positive Pressure Fan
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Class "A" Foam
Rear Compartment #4
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2-1/2" Hard Discharge Hose
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6" Hard Suction
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Long Pike Pole
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6 FT Pike Pole
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Piercing Nozzle
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Comments:
Pass. Side Compartments
Compartment #4
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Fog Tip
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Portable Deluge Gun
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Stacked Tips
Compartment #5
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50 FT Roll of 1-1/2" Hose
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Water Bottle Tub
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Blanket
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Red Tarps (2)
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Comments:
Pump Compartments
Driver Side Pump Compartment
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Apparatus Radio
Pass. Side Pump Compartment
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Bungee's
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Rope
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Straps
SCBA Bottle Compartments
SCBA Driver Side Bottles
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Bottle Number
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PSI
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Bottle Number
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PSI
SCBA Pass. Side Bottles
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Bottle Number
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PSI
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Bottle Number
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PSI
Exterior (Tools, Hose, etc.)
Front Bumper
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100 FT - 1-1/2" Hose
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1-1/2" Nozzle
Hose Loads
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Crosslay #1 - 200 FT - 1-3/4" Hose
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Crosslay #2 - 200 FT - 1-3/4" Hose
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Rear - 1000 FT - 4" Hydrant Hose
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Rear - 800 FT - 2-1/2" Hose
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Rear - 250 FT - 2-1/2" PreConnect
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Driver Hose Well - 20 FT - 4" Hydrant Hose
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Pass. Hose Well - 30 FT - 4" Hydrant Hose
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2-1/2" Hard Suction
Exterior of Truck
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14 FT Ladder
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35 FT Ladder
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Attic Ladder
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Hydrant Hose Spanners
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Pick Axes (2)
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Spanner / Hydrant Wrench Kits
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Water Tank Level
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Exercise Pump Levers
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Exercise Pump Drains
