Kendall Hawkins

Fire extinguisher and First Aid Kit 4/2/25

Lewis County REC

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Site conducted
Conducted on
Prepared by
- Adam Schaller
- Colt Jennings
- Dave Cox
- Derek Howes
- Elijah Ward
- Jack Crist
- Jason Daniel
- John Mc Cutchan
- Joe Lay
- Kevin Cottrell
- Rustyn Carter
- Ryan Booher
- Ryan Waterman
- Shannon Killday
- Kendall Hawkins
- Scott Gamm
- Terry O'Brien
Location
Truck Number

Fire extinguisher

Is the gauge in the acceptable area
Are all pins in place
Is overall condition acceptable (hose, bracket, tank)
Were all extinguishers on the vehicle checked

First aid kit

Is everything sufficiently stocked
Were you able to restock the kit

Kendall Hawkins

Fire extinguisher and First Aid Kit 4/2/25

Lewis County REC

Use this Template

Print as PDF

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.