Title Page

  • Conducted on

  • Prepared by

  • Available for inspection

General Condition

  • Clean inside and out

  • No Leaks or damage found

  • Tires, Rims, and Lug nuts present in good condition

  • Tires inflated to 120 PSI each

Fluids

  • Miles

  • Hours

  • Fuel level

  • Oil (15W40)

  • Transmission

  • Power steering

  • Coolant

  • Diesel Exhaust Fluid

  • Windshield washer fluid

Exterior

  • No issues found upon visual inspection

  • All doors hinged/roll ups operate correctly

  • Folding steps/grab handles

  • Wiper blades

Cab Interior

  • Gauges oil, temp, air, alt, etc

  • Warning lights and buzzers

  • Controls, steering, brakes, horn and wipers

  • Mirrors and interior lighting

  • Accountability tags in good shape

  • Radios correct channels and volume checked

  • Flashlights

Multi Gas Meter

  • Appropriate battery life

  • Calibrated

  • In good condition

Scotts

  • Bottles are full, no leaks and clean

  • Masks in good shape and connected

  • Pass devices checked

  • Heads up display working

  • Voice amplifier working

EMS

  • First in bag

  • O2 tank/regulator

  • O2 supplies

  • Trauma supplies/tourniquets

  • BP Cuff

  • Refusals/paperwork

1 - Pump Panel

  • Hoses are present, drained, and packed correctly

  • Nozzles are present and tight on hose

  • Nozzles in correct positions, bail, pattern

  • Water tank full

  • Foam tank full

  • All gauges read appropriately

  • All hose bed covers are fastened, in good shape

  • Deck gun operates appropriately

  • Pump primer works as it should

  • Pump engages and throttles up/dwn

  • Pump drains open/close

  • Hose reel

2 - Fittings

  • Coupling adapters and wrenches present

  • Speedy Dry

3 - Hydrant Bag

  • 50ft and two 25ft of 4"

  • Hydrant Bag

4 - Hand Tools

  • Hand tools are present and in good shape

  • Salvage tarps and cribbing

  • Circle D Light

  • Push Broom

5 - Extinguishers

  • Fire Extinguishers

  • Foam Pick Up Tube

6 - Misc. Equipment

  • Chainsaw

  • Wheel chock

  • Exhaust Fan

  • Tool box

  • Motomix and bar chain oil

7 - Rear Compartment

  • Multi purpose hydraulic tool

  • Hydrant Assist Valve

  • Shovel

Ladders

  • All ladders checked for safety and function

  • Extension ladder

  • Roof ladder

  • Pencil ladder

8 - Generator

  • Generator tested and works as it should

9 - Yard Hydrant

  • Speedy Dry

  • Fuel can

  • Yard hydrant

Lights

  • Headlights - Hi/low beam

  • Running lights

  • Brake lights

  • Backup lights

  • Spot/Flood lights

  • Ground, step hose bed lights, etc

  • Warning lights, Sirens, Air horn

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.