Information

  • Conducted on

  • Prepared by

Engine Compartment

  • Anti-Freeze

  • Batteries

  • Oil

  • Hoses

  • Belts

  • Power Steering Fluid

  • Window Washer Fluid

  • Comments:

Driver Controls

  • Arrow Stick

  • 4-Way Flashers

  • Air Brake Pressure

  • Back-Up Alarm

  • Back-Up Lights

  • Brake Lights

  • Emergency Lights

  • Head Lights

  • Siren

  • Horn

  • Turn Signals

  • Wipers

  • Fuel Level

  • Comments:

Cab

  • Gas Monitor- Operational

  • 9Volt Batteries

  • Chemical Decon Flip Book

  • Driver Headset

  • ERG 2017

  • Fuel Card

  • Garage Door Opener

  • Hand Sanitzer

  • Incident Command Board

  • Knox Box Key & Park Key

  • Insurance Card

  • Map Book

  • MDT/ Tablet

  • Mobile Dispatch Radio

  • NIOSH Book

  • Puck Board

  • Radio Battery Charger w/ Batteries

  • Radio Template

  • Reflective Safety Vest- (5 Count)

  • Smoke Detector

  • Hot Stick

  • Stickers

  • Toilet Paper

  • Train Emergency Response Guidebook

  • Triage Tags

  • Portable Radio- (4- Count)

  • Radio Strap (2-Count)

  • Bullard- TIC

  • Binoculars

  • Medical Gloves ( Small, Medium, Large, Xtra- Large)

  • Rope Rescue Bag- Haul System

  • Caribiner Multi Use Straps X3

  • Ice-Shoes

SCBA Driver Side Rear

  • PSI?

SCBA Middle Rear

  • PSI?

SCBA Officer Side Rear

  • PSI?

SCBA Officer Seat

  • PSI?

  • Comments:

Compartment #1 (L1)

  • 1 1/2" Double Female

  • 1 1/2" Double Male

  • 2 1/2" Double Female

  • 2 1/2" Double Male

  • Wheel Chalk

  • 2 1/2" Gate Valve

  • 2 1/2" to 1 1/2" Reducer

  • 5" to Storz Adapter

  • Box Light w/ Charging Dock ( 2 Count )

  • Rubber Mallet

  • Spanner Wrench ( 2 Count )

  • Yellow Tool Box

  • 25' LDH Section

  • 50' - 2 1/2" Hose

  • TFT Nozzle

  • 64' Throw Bag

  • Landing Zone Kit

  • Foam Eductor

  • Milwaukee Drill & Drill Bits

  • Water Jug- Blue w/ Fresh Water Bottles

  • Comments:

Compartment #2 (L2)

  • 12' X 16' Tarp ( 2 Count )

  • KED

  • PED Board

  • Peds Pro Splints

  • Pro Splints

  • Rope Bag- 300'

RIT Pack-Orange

  • PSI?

SCBA- E192D

  • PSI?

  • Comments:

Compartment #3 (L3)

  • ABC Extinguisher

  • Fire & Ice Bottle

  • AMKUS Hydraulic Cuttlers

  • AMKUS Hydraulic Power Unit

  • AMKUS Hydraulic RAM

  • AMKUS Hydraulic Spreaders

  • Hydraulic Hoses ( Red & Blue)

  • Bolt Cutters

  • CO2 Extinguisher

  • Water Can

  • Glass Master

  • Milwaukee Saw

  • Comments:

Rear Compartment

Rear Compartment

  • Oil Dry (5 Gallon Bucket)

  • STIHL Quickie Saw

  • Can of 50:1 Fuel

  • Sledge Hammer

  • STIHL MS461 Chainsaw

  • Bar Oil

  • Booster Line 100' w/ Akron Nozzle

  • 4" to 2 1/2" Reducer

  • Channel Lock w/ Attached Chain

  • Funnel

  • Comments:

Compartment #4 (R1)

  • Stat Pak- Note: Add any supplies needed to the comments

  • C- Spine Kit

  • Haz-Mat Kit

  • Scene Clipboard

  • AED Unit

  • Suction Unit w/ Stick and Canister

  • Blue Trauma Bag

  • Wool Blanket X2

  • Comments:

Compartment #5 (R2)

  • LSB

  • Fuel Can 2-Gallon

  • Closet Hook

  • Push Broom

  • Trash Hook

  • Positive Pressure Fan

SCBA Bottle Compartments

SCBA Driver Side Bottles

  • PSI?

  • PSI?

SCBA Pass. Side Bottles

  • PSI?

  • PSI?

Exterior (Tools, Hose, etc.)

Pump Panel

  • Water Tank Level

  • Exercise Pump Levers

  • Exercise Pump Drains

  • Rock Bar

Hose Loads

  • Crosslay #1 - 200 FT - 1-3/4" Hose

  • Crosslay #2 - 200 FT - 1-3/4" Hose

  • Rear Discharge- 200 FT - 2 1/2" Hose

  • Trash Line - 100 FT - 1 3/4" Hose

Top

  • Cribbing

  • Scoop Shovel

  • Foam

  • Smooth Bore Stack Tips

  • Salvage Bucket

  • Low Flow Strainer

  • 1000 FT 4" LDH

  • Spanner / Hydrant Wrench Kits

Exterior of Truck

  • 14 FT Roof Ladder

  • 24 FT Extension Ladder

  • Attic Ladder

  • Hydrant Wrench & Spanners

  • 2 1/2" to 1 3/4" Gated- Y (Attached to Trash Line)

  • Storz to 2 1/2" to 1 3/4" Siamese Reducer ( Officer Side )

  • Halligan Bar- ( Officer Side )

  • D-Handle Pike Pole ( Driver Side Rear )

  • Roof Hook

  • 6' Pike Pole ( Driver Side Rear )

  • Pick Head Axes

  • 10' Hard Suction X2

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.