Title Page

  • Site conducted

  • Conducted on

  • Shift

  • Shift Officer(s)

  • Employee (s)

  • Shift Log
  • Note to department personnel

Primary Medic Unit

Primary Medic Unit

  • Apparatus

  • This Check off is eligible for training credit. Please note the time you start and finish this inspection at the end.

  • Being Completed By

  • Mileage

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Cab

  • Map Book

  • Ipad and Charger

  • Knox Box with keys

  • Gloves (S,M,L,XL)

  • Mobile Radio Working

  • Portable Radio with Mic and clip (2)

  • Traffic Vests (3)

Outside Compartments

  • Reeves

  • Main O2

  • Stair Chair

  • KED

  • Sager

  • Vacuum Splints (S,M,L)

  • Vacuum Mattress

  • Hare

  • Flares (5)

  • Hand Lights (2)

  • Bolt Cutters

  • Cable Cutters

  • Fire Extinguisher

  • Traffic Cones (5)

  • Extra Back Board Straps (3)

  • Extra C-Collars (Pediatric, Adult)

  • Back Boards (3)

  • Traffic Wands (2)

  • C-Spine Bags (2) (Sealed) (2 Adult Collars, 2 Pediatric Collars, Set of Straps, Head Blocks, Foam Blocks)

  • Extra Head Blocks

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

Oxygen Therapy Bag

  • Bag O2

  • Non-rebreather (1)

  • Nasal Canula (2)

  • Nebulizer (1)

  • Pediatric Non-rebreather

  • Pediatric Nasal Canula (1)

  • CPAP Circuit

  • NPAs (1 Set)

  • OPAs (1 Set)

  • Pocket Mask

  • Stethascope

  • Trauma Shears

First In/ Jump Bag

  • BP Cuff (Adult, Small Adult)

  • Stethosope

  • Glucometer

  • Pulse OX

  • Trauma Shears

  • Pen Light (1)

  • Emesis Bag (1)

  • Tape (2 Rolls)

  • Ice Packs

  • Hot Packs

  • Sterile Water

  • Trauma Dressing

  • Assorted Bandages

  • Sam Splint

  • Sting Swabs

  • Burn Sheets

  • Cravats

  • IV Supplies

  • 500 ML or 1000 ML Normal Saline

  • AMBU Bag (Adult)

  • Basic Drug Box (Sealed)

  • Seal Number

  • IV Fluids (3)

  • 10 gtts Tubing (3)

  • Portable Suction

  • IV Tray (Stocked)

  • Medic Box (Secured)

  • Medic Seal Number

  • Pediatric Kit (Braselow)

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Gloves (S,M,L,XL)

  • King Vision (2 Blades, Extra Batteries)

  • Clipboard (Pens, Reports)

  • Protocol Book (Red Folder)

  • Cell Phone (Charged)

  • Mobile Hot Spot (Plugged in or Unplugged) Rotate Action

  • Thermometer

  • Extra Linens (3 sets)

  • Pen Lights (3)

  • NRB Mask (5)

  • Nasal Cannula (5)

  • Nebulizer (3)

  • Ped NRB Mask (3)

  • Ped Cannula (3)

  • On Board Suction System

  • Suction Catheters

  • AMBU (Adult, Pediatric)

  • OB Kit (2)

  • Vomit Bags (5)

  • Infection Control Kit (2)

  • Capnography Nasal (2)

  • Capnography ET Tube (2)

  • IO Kit

Intubation Bag

  • Laryngoscope

  • ET Tubes

  • OPAs (1 Set)

  • NPAs (1 Set)

  • King Airway (3,4,5)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Board Splints

  • Trauma Dressing (2)

  • Band Aids

  • Cravats

  • Burn Sheets (2)

  • Trauma Shears

  • Ice Packs (3)

  • Hot Packs (3)

  • Sterile Water (2)

  • Cleaning wipes

  • Start time

  • End Time

  • Unit #

  • This Check off is eligible for training credit. Please note the time you start and finish this inspection at the end.

  • Being Completed By

  • Mileage

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Cab

  • Map Book

  • Ipad and Charger

  • Knox Box with keys

  • Gloves (S,M,L,XL)

  • Mobile Radio Working

  • Portable Radio with Mic and clip (2)

  • Traffic Vests (3)

Outside Compartments

  • Reeves

  • Main O2

  • Stair Chair

  • KED

  • Sager

  • Vacuum Splints (S,M,L)

  • Vacuum Mattress

  • Hare

  • Flares (5)

  • Hand Lights (2)

  • Bolt Cutters

  • Cable Cutters

  • Fire Extinguisher

  • Traffic Cones (5)

  • Extra Back Board Straps (3)

  • Extra C-Collars (Pediatric, Adult)

  • Back Boards (3)

  • Traffic Wands (2)

  • C-Spine Bags (2) (Sealed) (2 Adult Collars, 2 Pediatric Collars, Set of Straps, Head Blocks, Foam Blocks)

  • Extra Head Blocks

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

Oxygen Therapy Bag

  • Bag O2

  • Non-rebreather (1)

  • Nasal Canula (2)

  • Nebulizer (1)

  • Pediatric Non-rebreather

  • Pediatric Nasal Canula (1)

  • CPAP Circuit

  • NPAs (1 Set)

  • OPAs (1 Set)

  • Pocket Mask

  • Stethascope

  • Trauma Shears

First In/ Jump Bag

  • BP Cuff (Adult, Small Adult)

  • Stethosope

  • Glucometer

  • Pulse OX

  • Trauma Shears

  • Pen Light (1)

  • Emesis Bag (1)

  • Tape (2 Rolls)

  • Ice Packs

  • Hot Packs

  • Sterile Water

  • Trauma Dressing

  • Assorted Bandages

  • Sam Splint

  • Sting Swabs

  • Burn Sheets

  • Cravats

  • IV Supplies

  • 500 ML or 1000 ML Normal Saline

  • AMBU Bag (Adult)

  • Basic Drug Box (Sealed)

  • Seal Number

  • IV Fluids (3)

  • 10 gtts Tubing (3)

  • Portable Suction

  • IV Tray (Stocked)

  • Medic Box (Secured)

  • Medic Seal Number

  • Pediatric Kit (Braselow)

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Gloves (S,M,L,XL)

  • King Vision (2 Blades, Extra Batteries)

  • Clipboard (Pens, Reports)

  • Protocol Book (Red Folder)

  • Cell Phone (Charged)

  • Mobile Hot Spot (Plugged in or Unplugged) Rotate Action

  • Thermometer

  • Extra Linens (3 sets)

  • Pen Lights (3)

  • NRB Mask (5)

  • Nasal Cannula (5)

  • Nebulizer (3)

  • Ped NRB Mask (3)

  • Ped Cannula (3)

  • On Board Suction System

  • Suction Catheters

  • AMBU (Adult, Pediatric)

  • OB Kit (2)

  • Vomit Bags (5)

  • Infection Control Kit (2)

  • Capnography Nasal (2)

  • Capnography ET Tube (2)

  • IO Kit

Intubation Bag

  • Laryngoscope

  • ET Tubes

  • OPAs (1 Set)

  • NPAs (1 Set)

  • King Airway (3,4,5)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Board Splints

  • Trauma Dressing (2)

  • Band Aids

  • Cravats

  • Burn Sheets (2)

  • Trauma Shears

  • Ice Packs (3)

  • Hot Packs (3)

  • Sterile Water (2)

  • Cleaning wipes

  • Medic 8 Check Start Time

  • Medic 8 Check End Time

  • Unit #

Daily Apparatus Check

  • Day of the week

Engine 4

  • Engine 4 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (4) (PASS Check)

  • Spare Bottles (5) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Fan (Fuel Full)

  • Ladder Rack (pins secured, Free of Debris)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 7

  • Engine 7 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (5) (PASS Check)

  • Spare Bottles (10) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Rotary Saw (Fuel Full)

  • Fan (Fuel Full)

  • Power Unit (Fuel Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 15

  • Truck 15 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 6

  • Truck 6 status

  • Being Completed By

  • Fuel

  • Started

  • SCBA with Masks (4) (PASS Check)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Back up Medic

  • Apparatus

  • Apparatus status

  • Being Completed By

  • Fuel

  • Main O2

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

  • Bag O2

  • Basic Drug Box (Sealed)

  • Seal Number

  • Medic Box (Secured)

  • Medic Seal Number

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Cell Phone (Charged)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Tanker 3

  • Tanker 3 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • SCBA with Masks (2) (PASS Check)

  • Spare Bottles (4) (4500 PSI Minimum)

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 7

  • Engine 7 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (5) (PASS Check)

  • Spare Bottles (10) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Rotary Saw (Fuel Full)

  • Fan (Fuel Full)

  • Power Unit (Fuel Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 15

  • Truck 15 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 6

  • Truck 6 status

  • Being Completed By

  • Fuel

  • Started

  • SCBA with Masks (4) (PASS Check)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Back up Medic

  • Apparatus

  • Apparatus status

  • Being Completed By

  • Fuel

  • Main O2

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

  • Bag O2

  • Basic Drug Box (Sealed)

  • Seal Number

  • Medic Box (Secured)

  • Medic Seal Number

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Cell Phone (Charged)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Tanker 3

  • Tanker 3 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • SCBA with Masks (2) (PASS Check)

  • Spare Bottles (4) (4500 PSI Minimum)

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 2

  • Utility 2 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 1

  • Utility 1 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 4

  • Engine 4 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (4) (PASS Check)

  • Spare Bottles (5) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Fan (Fuel Full)

  • Ladder Rack (pins secured, Free of Debris)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 7

  • Engine 7 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (5) (PASS Check)

  • Spare Bottles (10) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Rotary Saw (Fuel Full)

  • Fan (Fuel Full)

  • Power Unit (Fuel Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Back up Medic

  • Apparatus

  • Apparatus status

  • Being Completed By

  • Fuel

  • Main O2

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

  • Bag O2

  • Basic Drug Box (Sealed)

  • Seal Number

  • Medic Box (Secured)

  • Medic Seal Number

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Cell Phone (Charged)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Tanker 3

  • Tanker 3 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • SCBA with Masks (2) (PASS Check)

  • Spare Bottles (4) (4500 PSI Minimum)

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 2

  • Utility 2 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 1

  • Utility 1 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 4

  • Engine 4 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (4) (PASS Check)

  • Spare Bottles (5) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Fan (Fuel Full)

  • Ladder Rack (pins secured, Free of Debris)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 15

  • Truck 15 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 6

  • Truck 6 status

  • Being Completed By

  • Fuel

  • Started

  • SCBA with Masks (4) (PASS Check)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Back up Medic

  • Apparatus

  • Apparatus status

  • Being Completed By

  • Fuel

  • Main O2

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

  • Bag O2

  • Basic Drug Box (Sealed)

  • Seal Number

  • Medic Box (Secured)

  • Medic Seal Number

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Cell Phone (Charged)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Tanker 3

  • Tanker 3 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • SCBA with Masks (2) (PASS Check)

  • Spare Bottles (4) (4500 PSI Minimum)

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 2

  • Utility 2 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 1

  • Utility 1 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 4

  • Engine 4 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (4) (PASS Check)

  • Spare Bottles (5) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Fan (Fuel Full)

  • Ladder Rack (pins secured, Free of Debris)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 7

  • Engine 7 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (5) (PASS Check)

  • Spare Bottles (10) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Rotary Saw (Fuel Full)

  • Fan (Fuel Full)

  • Power Unit (Fuel Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 15

  • Truck 15 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 6

  • Truck 6 status

  • Being Completed By

  • Fuel

  • Started

  • SCBA with Masks (4) (PASS Check)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Back up Medic

  • Apparatus

  • Apparatus status

  • Being Completed By

  • Fuel

  • Main O2

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

  • Bag O2

  • Basic Drug Box (Sealed)

  • Seal Number

  • Medic Box (Secured)

  • Medic Seal Number

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Cell Phone (Charged)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Tanker 3

  • Tanker 3 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • SCBA with Masks (2) (PASS Check)

  • Spare Bottles (4) (4500 PSI Minimum)

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 2

  • Utility 2 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 1

  • Utility 1 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 4

  • Engine 4 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (4) (PASS Check)

  • Spare Bottles (5) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Fan (Fuel Full)

  • Ladder Rack (pins secured, Free of Debris)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 7

  • Engine 7 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (5) (PASS Check)

  • Spare Bottles (10) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Rotary Saw (Fuel Full)

  • Fan (Fuel Full)

  • Power Unit (Fuel Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 15

  • Truck 15 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 6

  • Truck 6 status

  • Being Completed By

  • Fuel

  • Started

  • SCBA with Masks (4) (PASS Check)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Back up Medic

  • Apparatus

  • Apparatus status

  • Being Completed By

  • Fuel

  • Main O2

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

  • Bag O2

  • Basic Drug Box (Sealed)

  • Seal Number

  • Medic Box (Secured)

  • Medic Seal Number

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Cell Phone (Charged)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Tanker 3

  • Tanker 3 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • SCBA with Masks (2) (PASS Check)

  • Spare Bottles (4) (4500 PSI Minimum)

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 2

  • Utility 2 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 1

  • Utility 1 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 4

  • Engine 4 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (4) (PASS Check)

  • Spare Bottles (5) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Fan (Fuel Full)

  • Ladder Rack (pins secured, Free of Debris)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Engine 7

  • Engine 7 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Foam Full

  • SCBA with Masks (5) (PASS Check)

  • Spare Bottles (10) (4500 PSI Minimum)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Rotary Saw (Fuel Full)

  • Fan (Fuel Full)

  • Power Unit (Fuel Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 15

  • Truck 15 status

  • Being Completed By

  • Fuel

  • Started

  • Water Full

  • Chain Saw (Fuel Full, Bar Oil Full)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Truck 6

  • Truck 6 status

  • Being Completed By

  • Fuel

  • Started

  • SCBA with Masks (4) (PASS Check)

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Back up Medic

  • Apparatus

  • Apparatus status

  • Being Completed By

  • Fuel

  • Main O2

  • SCBA with Masks (2) (PASS Check)

Patient Compartment

  • Cot (Ready)(Extra blanket and Towel)

  • Cot O2

  • Bag O2

  • Basic Drug Box (Sealed)

  • Seal Number

  • Medic Box (Secured)

  • Medic Seal Number

Auto Pulse

  • Fully Charged Battery Installed in AutoPulse

  • Fully Charged Spare Battery

  • AutoPulse Powered on with no Red Light

  • Life Band not damaged or torn

  • AutoPulse Powered off and Back in Service

  • Batteries Rotated

  • Check Performed By

  • Cell Phone (Charged)

Zoll Monitor

  • Test

  • Zoll Electrodes (5 Pks)

  • Zoll Adult Defib Pads (2)

  • Zoll Pediatric Defib Pads (2)

  • Zoll 12 Lead cables

  • Zoll Pulse OX

  • Zoll BP Cuff (S,M,L)

  • Zoll Extra Battery

  • Zoll Plugged in

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 2

  • Utility 2 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Utility 1

  • Utility 1 status

  • Being Completed By

  • Fuel

  • Started

  • Clean

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Weekly Apparatus Check

  • Day of the week

  • Utility 2 status

Utility 2

  • Being Completed By

  • Hours

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Cab

  • Gloves (M,L,XL)

  • Chain / Rope

  • Dump Bed Works

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Clean

Med Bed

  • Jump Seat (Moves, Belt Works)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Stokes Basket

First In/ Jump Bag

  • BP Cuff

  • Stethosope

  • Glucometer

  • Pulse OX

  • Trauma Shears

  • Pen Light

  • Emesis Bag

  • Tape

  • Ice Packs

  • Hot Packs

  • Sterile Water

  • Trauma Dressing

  • Assorted Bandages

  • Sam Splint

  • Sting Swabs

  • Burn Sheets

  • Cravats

  • IV Supplies

  • 500 ML Normal Saline (Tubing)

  • AMBU Bag

  • Basic Drug Box (Sealed)

  • Seal Number

  • Clean

Slide Out Tray

Oxygen Therapy Bag

  • Bag O2

  • Non-rebreather

  • Nasal Canula (2)

  • Nebulizer

  • Pediatric Non-rebreather

  • CPAP

  • NPAs

  • OPAs

  • Pocket Mask

  • Stethascope

  • Trauma Shears

  • Reeves

  • C-Spine Bag

  • Pro-Pack Monitor (Charged above 50%)

  • AED (Green Check Mark)

  • Clip Board (Pens, Reports)

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

  • Utility 1 status

Utility 1

  • Being Completed By

  • Hours

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Cab

  • Gloves (M,L,XL)

First In/ Jump Bag

  • BP Cuff

  • Stethosope

  • Glucometer

  • Pulse OX

  • Trauma Shears

  • Pen Light

  • Emesis Bag

  • Tape

  • Ice Packs

  • Hot Packs

  • Sterile Water

  • Trauma Dressing

  • Assorted Bandages

  • Sam Splint

  • Sting Swabs

  • Burn Sheets

  • Cravats

  • IV Supplies

  • 500 ML Normal Saline (Tubing)

  • AMBU Bag

  • Basic Drug Box (Sealed)

  • Seal Number

  • Clean

Side Compartment

Oxygen Therapy Bag

  • Bag O2

  • Non-rebreather

  • Nasal Canula (2)

  • Nebulizer

  • Pediatric Non-rebreather

  • CPAP

  • NPAs

  • OPAs

  • Pocket Mask

  • Stethascope

  • Trauma Shears

  • C-Spine Bag

  • Pro-Pack Monitor (Charged above 50%)

  • AED (Green Check Mark)

  • Clip Board (Pens, Reports)

Med / Fire Bed

  • Water Tank (Full) (Remove cap to check level)

  • Pressure Washer Nozzle

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Engine (Oil Checked)(Ran)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Hose Reel Working

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Assorted Tips (Black, Red, Yellow, Green, White)

  • Back Board

  • Reeves Sleeve

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

  • Engine 4 status

Engine 4

  • This Check off is eligible for training credit. Please note the time you start and finish this inspection at the end.

  • Being Completed By

  • Mileage

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Cab

  • Knox Box (2)

  • Map Book

  • ERG Book

  • Street Map

  • Clip Board (Pens, Reports, Regulations)

  • IPad (Plugged in)

  • Box Lights (5)

  • Pre-Plan Book

  • Accountability Board

  • Ice Scraper

  • Black Box with 4 gas monitor accessories

  • SCBA with Masks (4) (PASS Check) (Full Cycle)

  • Replace packs using ones from either Truck 6 or 2nd out medic. Notify Chief 1 and choose corrected.

  • Sight Masks (4)

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • MARKS Portables (5)

  • MARKS Mobile

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Traffic Vests (5)

Pump Driver Side

  • Pick Head Axe

  • 6" Butterfly

  • 2.5" Supply Hose

  • Crosslay 1 & 2 (250' of Attack Hose with Nozzle)

  • Speedlay 1 & 2 (150' of Attack Hose with Nozzle)

  • 6" Hard Suction Hose

  • Storz Spanner Wrench (4)

Driver Compartment 1

  • Pro-Pack Monitor (Charged above 50%)

  • AED (Green Check Mark)

  • Case of water

  • SCBA with Masks (PASS Check) (Full Cycle)

  • Replace packs using ones from either Truck 6 or 2nd out medic. Notify Chief 1 and choose corrected.

  • Sight Masks (S,M,L)

  • Spare Bottles (4500 PSI Minimum)

  • Flares (5)

  • Ground Monitor Base

  • EMS Bag

  • Gas Meter Appliances

  • Decon Kit (Garden Hose, 1.5" to GH Adapter, GH Nozzle, Dawn Soap, Brush, Decon Wipes)

  • Traffic Wands (2)

  • Pet O2 Bag

  • Caution Tape

  • 4" to 2.5" gated Y

  • Marking Paint

  • Goggles

Driver Compartment 2

  • Spanner Wrenches (2)

  • Hydrant Wrench

  • Rubber Mallet

  • Extra Gaskets

  • Siamese 2.5" - 6"

  • 2.5" Female - 6" Female

  • Storz Cap

  • Jet Syphen

  • 2.5" - 1.5" Gated Y (2)

  • 2.5" Double Female (2)

  • 1.5" Cellar Nozzle

  • 2.5" Cellar Nozzle

  • 1.5" Double Male (2)

  • 1.5" Double Female

  • 2.5" Female - 6" Male

  • 4" Female - 6" Female

  • 4" Storz - 5" Storz

  • 2.5" Male - 4" Storz

  • 2.5" Double Male

  • 2.5" Gate Valve

  • 4" Male - 5" Female

  • 4" Female - 4" Storz

  • 4" Male - 4" Storz

  • 4" Female - 4.5" Female

  • 2.5" Cap

  • Hose Strap (2)

  • Sprinkler Shutoff

  • Foam Bucket Wrench

  • 4" Cap

  • 6" Double Female

  • 4.5" Female - 2.5" Female

  • 4" Double Female

  • 4" Storz - 2.5" Female

  • 1.5" - Garden Hose

  • 2.5" Female - 1.5" Male

  • 6" Female - 2.5" Female

  • 4" Storz - 4.5" Male

  • 2.5" Female - 4" Male

  • 5" Male - 5" Storz

Driver Wheel Well

  • Spare Bottles (2) (4500 PSI Minimum)

Driver Compartment 3

  • RIT Bag (Bottle 4500 PSI Minimum)(Mask)

  • Bar Oil

  • Irons

  • Flat Bars (2)

  • Multi-Tool (2)

  • Hack Saw

  • Sledge Hammer (2)

  • Bolt Cutters

  • Shovel (2)

  • 2.5" Doughnut Role (2)

  • 1.5" Doughnut Role (3)

  • Salvage Bucket

  • Oil Dry

  • Chimney Kit

  • Hand Tools

Rear Compartment

  • Floating Dock Strainer

  • Low Level Strainer

  • Barrel Strainer

  • Rope Bag

  • Tarp

  • Regular Gas

  • Mixed Gas

  • 4.5" Hydrant Valve

  • Electric Fan

  • Chain Saw (Fueled, Bar Oil Full, Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Chain Saw Wrench

  • 6" - 6" 90 degree Elbow

  • Rubber Mallet

  • Cones (5)

  • Accountability Cone

Hydrant Bag

  • Hydrant Wrench

  • 2.5" Gate Valve

  • Spanner Wrench (2)

  • 4" Storz - 4" Female

  • 4.5" Female - 4" Male

Officer Side 3

  • Cord Reel (reel retracts, power works)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Shovel (2)

  • Emergency Signs with base (2)

  • Telescoping Ladder

  • Tripod Scene Lights (2) (Working)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Fire Broom (2)

Officer Side 2

  • CO2 Extinguisher (Pin and seal in place)

  • Dry Chemical Extinguisher (Pin and seal in place, Indicator in green)

Officer Side Wheel Well

  • Spare Bottles (2) (4500 PSI Minimum)

Officer Side 1

  • Gas Fan (Fueled, Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Water Cans (2) (Pin and seal in place, Indicator in green)

  • Dry Chemical Extinguisher (2) (Pin and seal in place, Indicator in green)

Pump Officer Side

  • Flat Head Axe

  • PIV

  • LDH Rural Hitch Load

  • Spanner (2)

Ladder Rack

  • Pins in Place

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 24' Extension Ladder

  • 16' Roof Ladder (Spurs Work)

  • Attic Ladder (Opens)

  • 6" Suction Hose

  • Pike Poles (4)

  • New York Hook (1)

Front Bumper

  • Pre Connect (100' of Attack Hose with Nozzle)

  • Chains

Top

  • Master Stream

  • Fog Nozzle

  • 1000' of 4" Supply Hose

  • 500' of 2.5" Supply Hose

  • Preconnected (200' of 2.5" Hose and Nozzle)

  • Spare Foam Bucket

General

  • Run Generator

  • Scene Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Pump panel lights working

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Pump Test

  • Pump Engages

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Tank to pump valve activates

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Tank fill valve activates

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Throttle worked

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Relief valve activates at 200 PSI (10)

  • All gauges appear in good condition

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Pump ran for 10 min at 100 PSI

  • All Discharge Caps checked with minimal residual water

  • Water Full

  • Foam Tank A Full

  • Exterior cleaned

  • Interior cleaned

  • Engine 4 Check Start Time

  • Engine 4 Check End Time

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

  • Truck 15 status

Truck 15

  • This Check off is eligible for training credit. Please not the time you start and finish this inspection at the end.

  • Being Completed By

  • Mileage

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Cab

  • Motor Oil

  • Clip Board (Pens, Regulations)

  • Traffic Vests (2)

  • ERG Book

  • MARKS Mobile

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • IPad with Charger

  • Pro-Pack Monitor (Charged above 50%)

  • AED (Green Check Mark)

Bed

  • Flares (5)

  • Safety Goggles

  • Dry Chemical Extinguisher (Pins and seal in place, Indicator in green)

  • Water Can (Pins and seal in place, Indicator in green)

  • Tow Strap

  • Caution Tape

  • Jumper Cables

  • Brooms (4)

  • Spade Shovel (2)

  • Scoop Shovel (2)

  • Hydrant Wrench

  • Spanner Wrench (2)

  • Nozzle Parts

  • Tow Chain

  • 1.5" Doughnut Role

  • Mixed Gas Can

  • Chain Saw (fueled, Bar Oil Full, Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Bar Oil

  • Chain Saw Wrench

  • 2.5" Doughnut Role

  • Hose Reels with nozzle (2)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

General

  • Pump has power

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Pump engages

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Throttle engages

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Valves all operate

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • No visible leaks

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Water Full

  • Cleaned Exterior

  • Cleaned Interior

  • Truck 15 Check Start Time

  • Truck 15 Check End Time

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

  • Truck 6 status

Truck 6

  • Being Completed By

  • Mileage

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Passenger area

  • MARKS Mobile

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Clip Board (Pens, Regulations, Reports)

  • Map Book

  • ERG Book

  • Gloves (S,M,L)

  • Jumper Cables

  • Traffic Wands (2)

  • Road Flares (5)

Rear Stowing

  • Traffic Cones (5)

  • SCBA with Masks (4) (PASS Check) (Full Cycle)

  • Water Case

  • Fire Extinguisher (Pins and seals in place, Indicator in green)

  • Pro-Pack Monitor (Charged above 50%)

  • AED (Green Check Mark)

  • Pediatric Bag

  • Kevlar Vests (2)

Oxygen Therapy Bag

  • Bag O2

  • Non-rebreather

  • Nasal Canula (2)

  • Nebulizer

  • Pediatric Non-rebreather

  • CPAP

  • NPAs

  • OPAs

  • Pocket Mask

  • Stethascope

  • Trauma Shears

First In/ Jump Bag

  • BP Cuff

  • Stethosope

  • Glucometer

  • Pulse OX

  • Trauma Shears

  • Pen Light

  • Emesis Bag

  • Tape

  • Ice Packs

  • Hot Packs

  • Sterile Water

  • Trauma Dressing

  • Assorted Bandages

  • Sam Splint

  • Sting Swabs

  • Burn Sheets

  • Cravats

  • IV Supplies

  • 500 ML Normal Saline (Tubing)

  • AMBU Bag

  • Basic Drug Box (Sealed)

  • Seal Number

  • BP Cuff

  • Chest Seal

  • Tourniquet

General

  • Cleaned Exterior

  • Cleaned Interior

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

  • Engine 7 status

Engine 7

  • This Check off is eligible for training credit. Please not the time you start and finish this inspection at the end.

  • Being Completed By

  • Mileage

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Cab

  • MARKS Mobile Radio

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • MARKS Portable Radios (6)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4 Gas Meter (Charged above 50%, Self Check Passed)

  • Map Book

  • Clip Board (Pens, Reports, Regulations)

  • Traffic Vests (6)

  • Marking Paint

  • Knox Box (2)

  • Road Triangles

  • Accountability Board

  • K-Tool Kit

  • Fire Line Tape

  • Sprinkler Shut Off

  • Irons

  • TIC (Charged, Spare Battery, Operational)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Box Lights (4)

  • Pro-Pack (Charge 50% or above)

  • AED (Green Check Mark)

  • BLS Jump Bag

  • Gloves (M,L)

  • Water Case

  • SCBA with Masks (5) (PASS Check) (Full Cycle)

  • Replace packs using ones from either Truck 6 or 2nd out medic. Notify Chief 1 and choose corrected.

  • Sight Masks (7)

Driver Side Compartment 1

  • Cord Reel (reel retracts, Power works)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Extension Cord

  • Flares (5)

  • Utility Rope Bag

  • Traffic Wands (2)

  • Portable Scene Lights (2)

  • Traffic signs and bases (2)

  • Barrel Strainer

  • Hose Jacket

  • Hose Clamp

  • Hose Strap

  • 2.5" Doughnut Role (2)

  • 1.5" Doughnut Role (4)

  • Decon Kit (Garden Hose, 1.5" to GH Threading, GH Nozzle, Dawn Soap, Brush, Decon Wipes)

Driver Side Compartment 2

  • Piercing Nozzle

  • Ground Monitor Base

  • Master Stream Fog Nozzle

  • ABC Fire Extinguisher (2)

  • CO2 Fire Extinguisher

  • Life Vest

  • Throw Bag

  • Sledge Hammer

  • Closet Hook

  • Short Pike Pole

  • Pry Bar

  • Bolt Cutters

  • Pick Head Axe

  • Halligan Tool

  • Flat Shovel

  • Water Can (Pin and seal in place, Indicator in the green)

  • Brooms (3)

  • Pitch Fork (2)

Driver Side Compartment 3

  • Rotary Saw (Fueled, Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Chain Saw (Fueled, Bar oil full, Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Mixed Gas

  • Bar Oil

  • Ear Muffs (2)

  • Combo Wrench

  • Spare Bottles (6) (4500 PSI Minimum)

Wheel Well

  • Spare Bottle (4500 PSI Minimum)

Driver Side Compartment 4

  • Spanner Wrench (4)

  • Rubber Mallet (2)

  • Hydrant Wrench

  • Extra Gaskets

  • Steamer Cap

  • Jet Syphon

  • Mounted Adapters (27)

  • 1.5" Gated Y

  • 2.5" Gated Y

  • 4.5" Hydrant Valve

  • 2.5" Gate Valve

  • 2.5" Red Supply Line

  • 4" Supply Line Role

  • Friction Loss Calculator

Rear Compartment

  • Cones (5)

  • Accountability Cone

  • 24' Extension Ladder

  • 16' Roof Ladder (Spurs work)

  • Attic Ladder (opens)

  • Pike Poles (2)

  • New York Hook

  • Push Brooms

Top

  • 6" Hard Suction Hose (2)

  • 2.5" Hard Suction Hose (3)

  • Floating Dock Strainer

  • Master Stream (telescopes)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 1000' of 4" Supply Line

  • 500' of 2.5" Supply Line

  • Preconnected (250' of Attack Hose with Nozzle)

  • Preconnected (150' of 2.5" Hose and Nozzle)

Officer Side Compartment 4

  • Regular Gas Can

  • Chimney Kit

  • Salvage Cover (2)

  • Salvage Bucket

  • Oil Dry (3)

  • Class B Haz-Mat Suits (3)

  • Absorbent Pads

  • Electric Fan

  • Gas Fan (Fueled, Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Officer Side Compartment 3

  • Kodiak Jack Pack (2)

  • Plywood Base (6)

  • Air Bag (13,22,32)

  • Low pressure bottle

  • Air Bag Control Kit

  • Air Chisel Kit

Wheel Well

  • Spare Bottles (2) (4500 PSI Minimum)

Officer Compartment 2

  • Step Chock Cribbing (6)

  • Wedges (8)

  • 2x4 Cribbing (25)

  • 4x4 Cribbing (51)

  • Assorted Cribbing (29)

Officer Side Compartment 1

  • Cord Reel (Reel retracts, Power works)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Mini Halligan

  • Come-along (2)

  • Assorted Chains

  • Hand Tool Box

  • Sawzall (Blade Pack)

  • Ram Purchase Blocks (2)

  • Extension Cord

  • Extension Ram Kit

  • PPE Bag

  • Set of Locking Hooks

  • Wire Cutters (2)

  • Pipe Saw

  • Crow Bar

  • Hydraulic Generator (Fueled, Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Hydraulic Cutters (Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Hydraulic Spreaders (Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Hydraulic Ram (Run)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Hydraulic Cables (2)

  • Hydraulic extension cable

Front Bumper

  • Preconnect 1 (250' of Attack Hose with Nozzle)

  • Preconnect 2 (150' of Attack Hose with Nozzle)

General

Pump Test

  • Pump Engages

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Tank to pump valve activates

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Tank fill valve activates (Shouldn't be run past 50% to recirculate)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Flowed water in PSI Mode

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Flowed water in RPM Mode

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • All gauges appear in good condition

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Pump ran for 10 min at 100 PSI

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • All Discharge Caps checked with minimal residual water

  • Water Full

  • Foam Tank Full

  • Exterior cleaned

  • Interior cleaned

  • Engine 7 Check Start Time

  • Engine 7 Check End Time

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

  • Turnout Gear Inspection
  • Being Completed By

  • Time

  • Coat in good condition

  • Pants in good condition

  • Boots in good condition

  • Helmet in good condition

  • Coat and pants inner liner washed (Only do if not completed within 30 days)

  • Coat and pants outer shell washed (Only do if not completed within 30 days)

  • Gloves, ear flap and hoods washed (Only do if not completed within 30 days)

  • Boots and helmet cleaned from debris and dirt

  • If gear does not pass inspection take photos of deficiencies and contact Chief Rock immediately.

  • Unit #

Portable radio

  • Being Completed By

  • All portable radios are in proper location

  • All Portable radios operational (charged batteries, transmit on repeater channel to test)

  • All portable radios in apparatus on repeater channel

  • All portable radios in station on NLFD Dispatch 1

  • Unit #

  • All Call Log Book entries are up to date and in book

  • Spare Fuel and Gas Cans full

  • Please develop a chore for your crew today. This should be something that is not normally completed throughout the week but is either seasonally specific or operationally strategic to improving our or facility, equipment or response

  • Chore developed

  • Being Completed By

  • Chore completed

  • Unit #

  • Tanker 3 status

Tanker 3

  • This Check off is eligible for training credit. Please not the time you start and finish this inspection at the end.

  • Being Completed By

  • Mileage

  • Fuel

  • Fluids

  • Running Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Emergency Lights

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Cab

  • MARCS Mobile

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Map Book

  • ERG Book

  • Traffic Vests

Driver Side Pump Panel

  • PIV

  • Preconnect 1 (250' of Attack Hose with Nozzle)

  • Preconnect 2 (150' of Attack Hose with Nozzle)

Driver Side Compartment 1

  • Hydrant Valve

  • 2.5" Gate Valve

  • Hydrant Wrench

  • Spanner Wrench (2)

  • 4" Female - 4" Storz

  • 4" Storz - 5" Storz

  • 4" Storz - 2.5" Male

  • 4" Storz - 4" Male

  • 4" Storz - 4" Female

  • 2.5" Female - 4" Male

  • 4" Double Female (2)

  • 4 " Double Male

  • 4.5" Female - 4" Male

  • 5" Female - 4" Male

  • 6" Female - 2.5" Female

  • 4.5" Double Female

  • 6" Female - 4" Female

  • 2.5" Female - 1.5" Male

  • 2.5" Double Female (2)

  • 2.5" Double Male (2)

  • 4.5" Male - 4" Storz

  • 6" Female - 4.5" Female

  • 4.5" Female - 2.5" Female

  • 6" Double Female

  • Dump Tank Nozzle

Wheel Well

  • Spare Bottles (2) (4500 PSI Minimum)

Driver Side Compartment 2

  • 1.5" Doughnut Role (4)

  • 2.5" Doughnut Role (5)

Rear Compartment/Coffin/ Panel

  • 6" Hard Suction Hose (2)

  • 3" Supple Hose (100')

  • Working dump shoot extension

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • 4" - 2.5" Gated Y

  • Working Steps

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Top

  • 1000' of 4" Supply Hose

  • 500' of 2.5" Supply Hose

Officer Side Compartment 2

  • Low Level Strainer

  • Barrel Strainer

  • Dump tank tarp

  • Fire Extinguisher

  • Floating dock strainer

Wheel Well

  • Spare Bottles (2) (4500 PSI Minimum)

Officer Side Compartment 1

  • SCBA with Masks (2) (PASS Check) (Full Cycle)

  • Replace packs using ones from either Truck 6 or 2nd out medic. Notify Chief 1 and choose corrected.

  • Decon Kit

  • Spanner Wrench (2)

  • Hydrant Wrench

  • Flares (5)

  • AED (Green Check Mark)

  • BLS Jump Bag

  • Water Case

  • Salvage Tarp

Officer Side High Compartment

  • 3000 Gallon Dump Tank (Good condition, Lifting system working)

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

Officer Side Pump Panel

  • PIV

  • Supply Hose Role

Front Bumper

  • 50' of 3" Supply Hose

General

Pump Test

  • Pump Engages

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Tank to pump valve activates

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Tank fill valve activates

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Flowed water in PSI Mode

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Flowed water in RPM Mode

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • All gauges appear in good condition

  • Pump ran for 10 min at 100 PSI

  • All Discharge Caps checked with minimal residual water

  • Has a Maintenance Action already been created for this issue? Check Actions tab on home screen. If so do not enter another

  • Water Full

  • Exterior cleaned

  • Interior cleaned

  • Tanker 3 Check Start Time

  • Tanker 3 Check End Time

  • Unit #

  • By selecting Being Used you are saying this apparatus is being used by someone other than duty crew for an extended period of time and that person is making a supplement check off of this apparatus.

Daily Chores

  • Being Completed By

  • Clean Doors / Common Touched Surfaces

  • Clean Staff Restroom

  • Check Public Restrooms

  • Re-Stock Staff Restroom

  • Clean Day Room Floor

  • Mop Staff Restroom

  • Mop Kitchen

  • Mop Radio Room

  • Spot Mop Bay floors beside apparatus and under cleaned apparatus

  • Vacuum all rugs

  • Wash / Fold Towels

Station Bottle Rack

  • Full SCBA Spare Bottle (4500 PSI Minimum)

  • Full Low Pressure Bottle (2216 PSI Minimum)

  • Full 60 Minute Bottle (4500 PSI Minimum

  • Unit #

  • Day of the week

  • Being Completed By

  • Clean Tables in bingo hall

  • Clean all Common Touch surfaces

  • Clean Public Restrooms

  • Re-Stock Public Restrooms

  • Empty Trash

  • Mop Public Restrooms

  • Mop Bingo Floors and Hallway

  • Unit #

  • Being Completed By

  • Mop Bay Floors

  • Sanitize work out room in back garage

  • Cleaning Supplies in Hallway will last 2 weeks

  • Restroom Supplies present will last 2 weeks

  • Check blower is running and 2 pumps are running. You can hear blower is running from outside of fence. There are red lights for both pumps and they should NOT be lit. If you can NOT hear blower running or a red light is on Call Dan Mayberry @ 330-904-0894. This is an Ohio EPA Requirement

  • Sewage Plant Working

  • Unit #

  • Being Completed By

  • All Station Windows Cleaned

  • All Apparatus Windows Cleaned

  • Swept out T6 and T15 Bays

  • Check blower is running and 2 pumps are running. You can hear blower is running from outside of fence. There are red lights for both pumps and they should NOT be lit. If you can NOT hear blower running or a red light is on Call Dan Mayberry @ 330-904-0894. This is an Ohio EPA Requirement

  • Sewage Plant Working

  • Unit #

  • Being Completed By

  • Sanitized all compartments of first out Medic

  • Clean Crew Fridge

  • Clean Stove

  • Cleanout Cabinets and Organize them

  • Go through pantry and discard expired food

  • Unit #

  • Being Completed By

  • Check Bingo Hall Condition

  • Check Hall Temperature

  • Wash Instant room approns

  • Dump all Cigarette containers

  • Clean EMS Supply room

  • Clean Bay pads and walk ways (Summer: Pressure wash; Winter: Plow and salt)

  • Litter Control

  • Unlock Bingo Doors at 1600

  • Check blower is running and 2 pumps are running. You can hear blower is running from outside of fence. There are red lights for both pumps and they should NOT be lit. If you can NOT hear blower running or a red light is on Call Dan Mayberry @ 330-904-0894. This is an Ohio EPA Requirement

  • Sewage Plant Working

  • Entire Crew should begin instant sales and card sales at 1600

  • Unit #

  • Being Completed By

  • Clean Tables in bingo hall

  • Clean all Common Touch surfaces

  • Clean Public Restrooms

  • Re-Stock Public Restrooms

  • Empty Trash

  • Mop Public Restrooms

  • Sweep Bingo Floors and Hallway

  • Mop Bay Floors

  • Check Boiler Room (Refill softener salt)

  • Check Back Building boiler room (Refill softener salt)

  • Re-Stock all soap and sanitizer locations throughout station

  • Re-stock Glove dispensers throughout station

  • Unit #

  • Being Completed By

  • Bed cover washing

  • Check Bingo Hall Condition

  • Check Hall Temperature

  • Ensure bay pads and walkways are clear (Summer: Leaves and debris; Winter: Plow and Salt)

  • Open Bingo doors at 1600

  • Entire Crew should begin instant sales and card sales at 1600

  • Unit #

Additional Documentation

Department functions

  • Function

  • Bingo participation

  • Business Meeting Participation

  • Training Type

  • Training Participation

  • Make sure the training is logged into IMS.

  • PR Event Participation

  • Other Event

  • Other Event Participation

  • Physical Fitness Participation

Evening Duties

  • This section should be completed before the shift OIC lays down to sleep or at 2200 hours when visitors are sent away.

  • Run Reports all entered

  • Lights turned off

  • All Doors Locked

  • Medic Clean

  • Clean Kitchen

  • Empty all Trash Cans

  • Payroll Completed

  • Do Not mark an inspection as complete until all areas have been addressed this should occur when the Officer lays down for the night or at 2200 hours when visitors are sent away.

  • Once completed export this report by email in PDF format. Some emails will be auto generated but to print it email to "fireofficers.nlfd@gmail.com".

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.