Emergency Operational Support Truck Maintenance Inspection

• Truck Name/ #

• Site/ Region

• Conducted on

  Date

• Prepared by

• Location
  Address

• Instructions:
  -------------------------------------
  1. Rate each item as "Compliant", "Non- Compliant", "N/A".
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

GENERAL LOCKERS

• Spare BA Cylinders (2)

  Compliant

  Non- Compliant

  N/A

• Fire Rake (2)

  Compliant

  Non- Compliant

  N/A

• Ceiling Hook

  Compliant

  Non- Compliant

  N/A

• LRHM Shovel

  Compliant

  Non- Compliant

  N/A

• Broom

  Compliant

  Non- Compliant

  N/A

LEFT FRONT LOCKER

• Trauma Kit

  Compliant

  Non- Compliant

  N/A

• O2 Therapy Kit

  Compliant

  Non- Compliant

  N/A

• Level 3 Splashsuits (4)

  Compliant

  Non- Compliant

  N/A

Pandemic Kit

• a) Face Masks (32)

  Compliant

  Non- Compliant

  N/A

• b) Eye Protection (8)

  Compliant

  Non- Compliant

  N/A

• c) Alcohol Hand Wash

  Compliant

  Non- Compliant

  N/A

• d) Biohazard Disposal Bags

  Compliant

  Non- Compliant

  N/A

• e) Speciman Bag

  Compliant

  Non- Compliant

  N/A

• Rope

  Compliant

  Non- Compliant

  N/A

• Hose Ramp (2)

  Compliant

  Non- Compliant

  N/A

• Portable Pump

  Compliant

  Non- Compliant

  N/A

• Suction Line

  Compliant

  Non- Compliant

  N/A

Respirator Kit

• a) Cartridges (2)

  Compliant

  Non- Compliant

  N/A

• b) Adaptors (2)

  Compliant

  Non- Compliant

  N/A

• c) Orange Cartridge Covers (1pk)

  Compliant

  Non- Compliant

  N/A

LEFT MIDDLE TOP LOCKER

• Water

  Compliant

  Non- Compliant

  N/A

• Soft Drinks

  Compliant

  Non- Compliant

  N/A

• Snacks

  Compliant

  Non- Compliant

  N/A

• TIC

  Compliant

  Non- Compliant

  N/A

• Decontamination Kit (2)

  Compliant

  Non- Compliant

  N/A

• BA Sets (4)

  Compliant

  Non- Compliant

  N/A

LEFT SIDE MIDDLE BOTTOM LOCKER

• 4 Stroke Petrol Container

  Compliant

  Non- Compliant

  N/A

LEFT BACK LOCKER

• Foam Pickup Tube

  Compliant

  Non- Compliant

  N/A

• Suction Basket

  Compliant

  Non- Compliant

  N/A

• Manual Hose Rewind Handle

  Compliant

  Non- Compliant

  N/A

• Ground Monitor

  Compliant

  Non- Compliant

  N/A

• Class A Foam 20L (2)

  Compliant

  Non- Compliant

  N/A

• 3 Flaked 41mm and Bubble Cup

  Compliant

  Non- Compliant

  N/A

• 2 Flaked 90mm Feeders

  Compliant

  Non- Compliant

  N/A

• Collapsable Road Cones

  Compliant

  Non- Compliant

  N/A

• Fire Service Tape

  Compliant

  Non- Compliant

  N/A

REAR

• 5m Access Ladder

  Compliant

  Non- Compliant

  N/A

• 2.4m Access Ladder

  Compliant

  Non- Compliant

  N/A

• Standpipe

  Compliant

  Non- Compliant

  N/A

• Key

  Compliant

  Non- Compliant

  N/A

• Suction Hose Spanners

  Compliant

  Non- Compliant

  N/A

• Suction Hoses (4)

  Compliant

  Non- Compliant

  N/A

• Short Feeder

  Compliant

  Non- Compliant

  N/A

FUNCTION TESTS AND CHECK

• Petrol Containers

  Compliant

  Non- Compliant

  N/A

• TIC (Replace Battery)

  Compliant

  Non- Compliant

  N/A

• Portable Pump

  Compliant

  Non- Compliant

  N/A

• NOTE: All Crew Responsible for Cleanliness of Truck

• Inspected by:

  Sign