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 ( Under Driver Seat )

  • Fuel Card

  • Garage Door Opener

  • Hand Sanitzer

  • Knox Box Key & Park Key

  • Insurance Card

  • ERG

  • NIOSH Book

  • Map Book

  • MDT/ Tablet

  • Headsets X5

  • Mobile Dispatch Radio

  • Radio Battery Charger w/ Batteries

  • Radio Template

  • Reflective Safety Vest- (6 Count)

  • Toilet Paper

  • Portable Radio- X3 Motorola 1500

  • Portable Radio- X1 Motorola 2500

  • Radio Strap (2-Count)

  • Binoculars

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

  • Haul System Bag ( Under Rear Seat )

  • Throw Bag- 75 FT X2 ( Under Rear Seat )

  • Flathead Axe

  • Haligan Tool

  • Vulcan LED Handlight X3

  • Slip on Boot Tractions X4

  • N95 Respirator Mask ( Under Rear Seat )

  • Voice Amplifiers X3 w/ Bag

  • Reserve AV-3000 Mask X2

  • Carabiner Multi-Use Straps X3 w/ Bag

Medical Compartment

  • EMS Bag- Stat Pak

  • AED Unit

  • Samson Strap

  • Suction Unit

  • Trauma Bag- Blue

  • C-Collar Bag

  • Pro-Splints

  • Blanket

  • Clipboard (Silver)

SCBA Officer Seat- E193-O

  • PSI?

SCBA Middle Rear- E193-A

  • PSI?

SCBA Middle Rear- E193-B

  • PSI?

SCBA Driver Side Rear-E193-C

  • PSI?

  • Comments:

Compartment #1 (L1)

  • 2 1/2" Quick Connect Adapter

  • 4 1/2" NPT to Storz Adapter

  • 2 1/2" to 1 1/2" Gated Wye

  • 2 1/2" Gate Valve

  • Kobalt Engineer Headset

  • Storz to 2 1/2" Adapter

  • Rock-N-Rescue 2 1/2" Hose Air Fill Adapter

  • Scene Tape

  • 1 1/2" Double Female

  • 1 1/2" Double Male

  • 2 1/2" Double Female

  • 2 1/2" Double Male

  • 2 1/2" to 1 1/2" Reducer

  • Hydrant Wrench & Spanner Wrenches

  • Bolt Cutters

  • LDH Spanner Wrenches X4

  • Hard Suction Strainer Appliance

  • Pickhead Axe X2

  • Rubber Malet

  • Box Light

  • 50' Section- 1 3/4" Hose

  • 50' Section- 2 1/2" Hose

  • Akron 1 1/2" Stacked Tip Smooth Bore Nozzle

  • Cellar Nozzle

  • Piercing Nozzle

  • Akron 1 1/2" Turbojet Fog Nozzle

  • Low Flow Strainer

  • Comments:

Compartment #2 (L2)

  • CO2 Extinguisher

  • Water Can

  • Fire & Ice Spare Bottle

  • Heavy Duty Canvas Salvage Cover

  • Salvage/ Triage Tarp- Green

  • Salvage/ Triage Tarp- Red

  • Salvage/ Triage Tarp- Yellow

  • ABC Extinguisher

  • Wheel Chock X2

  • Push Broom

  • Life Safety Rope- 190 FT ( Red Bag )

RIT Pak 3

  • PSI?

SCBA Driver- E193-D

  • PSI?

  • Comments:

Compartment #3 (L3)

  • Water Jug w/ Fresh Water Bottles

  • Porter Cable Tool Bag

  • Tool Box ( Black )

  • Gas Can- 1 Gallon Unleaded

  • TFT 2 1/2" Blitz Force Monitor

  • Super Vac PPV Fan

  • Comments:

Rear Compartment

Rear Compartment

  • Amkus Hydraulic Cutters

  • Amkus Hydraulic Ram

  • Amkus Hydraulic Spreaders

  • Glass Master

  • STIHL MS461 Chainsaw

  • STIHL TS420 Circular Saw

  • Comments:

Compartment #6 (R3)

  • Amkus Hydraulic Hose X2- Blue & Red

  • Honda Power Unit

  • Res-Q-Jak Struts & Jacks

  • Utilitly Chain Crate

  • Come Along Chain ( Red )

  • Milwaukee SawZall w/ Case & Blades

  • Comments

Compartment #5 (R2)

  • Wood Cribbing- 2x4, 4x4 & Wedges

  • Auto-Cribs X2

  • Ratchet Straps- 27'

  • Wood Step Chocks

  • Cribbing

Compartment #4 (R1)

  • Landing Zone Strobes

  • 4' Closet hook

  • Grass Fire Broom

  • 50' Extension Cord

  • Rock Bar

  • Flathead Axe

  • FLIR TIC

  • Hubbell M/F Electric Adapters

  • Pro Bar Haligan Tool

  • Sledge Hammer

  • Spanner Wrench X2

  • FaxMax Multi-Tool

  • Box Light

  • Spare Oxygen Cylinder

  • Milwaukee charger & Spare Battery

  • Comments:

SCBA Bottle Compartments

  • Driver Side Reserve SCBA Cylinders

  • Officer Side Reserve Cylinders

  • Comments

Exterior (Tools, Hose, etc.)

Pump Panel

  • Water Tank Level

  • Exercise Pump Levers

  • Exercise Pump Drains

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

  • Scoop Shovel

  • 1000 FT 4" LDH

  • Spanner / Hydrant Wrench Kits

Exterior of Truck

  • 14 FT Roof Ladder

  • 24 FT Extension Ladder

  • Attic Ladder

  • 6' Pike Pole ( Driver Side Rear )

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.