Information

  • Conducted on

  • Prepared by

Engine Compartment

  • Cab Tilt Check- Hoses, Antifreeze, Power Steering & Transmission Fluid

  • Oil

  • Window Washer Fluid

  • Tires- Pressure & Tread Depth

  • Comments:

Driver Controls

  • Arrow Stick

  • 4-Way Flashers

  • Air Brake Pressure

  • Back-Up Alarm

  • Back-Up Lights

  • Brake Lights

  • Emergency Lights

  • Scene Lighting

  • 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

  • Trauma Bag- Blue

  • C-Collar Bag

  • Pro-Splints- Arm

  • Blanket

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

  • Emergency Warning Triangles

  • 9-Volt Batteries

  • Ice Melt

  • Stickers & Pencils

  • Spare Gaskets

  • Akron 1 1/2" Turbojet Fog Nozzle

  • 1 3/4" X 5' Jump Line

  • Comments:

Compartment #2 (L2)

  • CO2 Extinguisher

  • Water Can

  • Fire & Ice Spare Bottle

  • Heavy Duty Canvas Salvage Cover

  • Salvage/ Triage Tarp- Red, Yellow, Green

  • ABC Extinguisher

  • Wheel Chock X2

  • Push Broom

  • Grey plastic salvage tarps X2

  • Life Safety Rope- 190 FT ( Red Bag )

  • Search Line w/ Carabiner & 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

  • Red Toolbox w/ Air Chisel

  • Comments:

Rear Compartment

Rear Compartment

  • Amkus Hydraulic Cutters

  • Amkus Hydraulic Ram

  • Amkus Hydraulic Spreaders

  • Glass Master

  • STIHL MS461 Chainsaw

  • STIHL TS420 Circular Saw

  • Spare Fuel and oil bucket

  • 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

  • Milwaukee Vice Grips X2

  • Spare Chain

  • New York Hook

  • Comments

Compartment #5 (R2)

  • Wood Cribbing- 2x4, 4x4 & Wedges

  • Auto-Cribs X2

  • Ratchet Straps- 27'

  • Wood Step Chocks

  • Rescue Air bags

  • Rescue Air Bag Equipment- Black Toolbox

Compartment #4 (R1)

  • Stat- Pak

  • AED

  • Suction Unit

  • Clipboard (Silver)

  • Pro Splints- Leg

  • Landing Zone Strobes

  • 4' Closet hook

  • Grass Fire Broom

  • 50' Extension Cord

  • Rock Bar

  • Flathead Axe

  • FLIR TIC

  • Akron Scene lights X2

  • Hot stick

  • 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

  • Hydrant Wrench

  • Spare Radio Batteries X3 & Charger

  • 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

  • 25' LDH Jump Line

  • Generator w/ Telescoping Lights

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

  • Ice rescue suits X2

  • Water/ Ice rescue noodles

  • Scoop Shovel

  • PFDS and Helmets

  • 1000 FT 4" LDH

  • Hazmat Kit

  • Spanner / Hydrant Wrench Kits

  • Oil Dry Level

  • PED Device

  • Stokes Basket

  • Foam Level

Exterior of Truck

  • 14 FT Roof Ladder

  • 24 FT Extension Ladder

  • Attic Ladder

  • Traffic Cones X6 ( Rear Bumper )

Hose Bed

  • Milwaukee Strap

  • Scoop stretcher

  • High rise pack

  • Spine board

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.