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

  • Generator works as it should

  • Extension cord reel

  • 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

  • Brockton portable charging

  • Throw stick water rescue

  • Flashlights

  • Hot stick working and in good condition

  • Bolt cutters in good shape

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

  • AED w/ pads

  • First in bag

  • O2 tank/regulator

  • O2 supplies

  • Trauma supplies/tourniquets

  • BP Cuff

  • Epi Adult/Junior

  • Narcan

  • Refusals/paperwork

Thermal Camera

  • Good condition

  • Camera charging

  • Battery chaging

  • Spare battery

  • Camera tether is present

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

2 - Fittings

  • Coupling adapters and wrenches present

  • 50ft and two 25ft of 4"

  • Foam containers

  • Foam syphon

3 - Hand Tools

  • Hand tools are present and in good shape

  • Two wheel chocks present

  • Gas cap present

  • High rise pack

4 - Extrication and overhaul

  • Rescue Jacks and Struts present and ready to deploy

  • Chains and straps ready to deploy

  • Stakes and plates present

  • Salvage tarps and cribbing

  • Chimney Bucket

  • Broom

  • Speedy Dry

  • Step ladder

  • PPV

5 - Rear Compartment

  • Hydrant Bag

  • Hydrant Assist Valve

  • Cribbing

  • Generator tested

  • Salvage tarps

Ladders

  • All ladders checked for safety and function

  • Extension ladder

  • Roof ladder

  • Pencil ladder

6 - Jaws/Extinguishers

  • W Tool and K Tool

  • Fire Extinguishers

  • Spreaders

  • Cutters

  • Ram and adapters

  • Hydraulic power unit tested

  • Hydraulic Hoses

  • Post adapter

  • TL-9 Plate

  • Handheld cable cutters

  • Air bags, Hoses and Controller

7 - Forcible Entry/RIT

  • RIT pack full and ready to deploy

  • RIT rope in good shape ready to deploy

  • Throw ropes in good shape ready to deploy

  • Submersion suits in good shape ready to deploy

  • Stream light tripod

8 - Power Tools

  • Dewalt batteries charging and rotated

  • Circle D lights w/ extension cords

  • Submersible pump and discharge hose

  • Sawzall appropriate blades and quantities

  • Roof saw

  • K-12

  • Standard chainsaw

  • Motomix and bar chain oil

  • Spare saw blades and chains

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.