French Village FD Apparatus Check

• Unit #

• Conducted on

  Date

Fluids

• Fuel (keep above 3/4)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

• DEF (keep above 1/2)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

• Oil (keep full)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

• Antifreeze (keep full)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

• Transmission Fluid (keep full)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

• Brake Fluid (keep full)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

• Regular Gas (keep above 1/2)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

• Mixed Gas (keep above 1/2)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

• Bar Oil (keep above 1/4)

  Select Full 3/4 1/2 1/4 Empty N/A

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty
  • N/A

• Amount added

Tire Pressures

• Left front

  Green

  Red

• Tire filled

• Left rear outer

  Green

  Red

• Tire filled

• Left rear inner

  Green

  Red

• Tire filled

• Right front

  Green

  Red

• Tire filled

• Right rear outer

  Green

  Red

• Tire filled

• Right rear inner

  Green

  Red

• Tire filled

SCBA Information

• Pack #

• Battery

• Battery %

• Clean

• Bottle #

• Bottle PSI

• Clean
Spare Bottle Information

• Bottle #

• Bottle PSI

• Clean
RIT Pack Information

• Bottle #

• Bottle PSI

• Clean

• Tools present

• Portable Oxygen

Portable O2

• Bottle PSI (keep above 500)

Electronics

• Four gas

  Select Present Missing Damaged N/A Clean

  • Present
  • Missing
  • Damaged
  • N/A
  • Clean

• Describe missing or damaged equipment

• HCN

  Select Present Missing Damaged N/A Clean

  • Present
  • Missing
  • Damaged
  • N/A
  • Clean

• Describe missing or damaged equipment

• Natural gas detector

  Select Present Missing Damaged N/A Clean

  • Present
  • Missing
  • Damaged
  • N/A
  • Clean

• Describe missing or damaged equipment

• Tac stick

  Select Present Missing Damaged N/A Clean

  • Present
  • Missing
  • Damaged
  • N/A
  • Clean

• Describe missing or damaged equipment

• Radiological detector

  Select Present Missing Damaged N/A Clean

  • Present
  • Missing
  • Damaged
  • N/A
  • Clean

• Describe missing or damaged equipment

• Thermal imaging camera

  Select Present Missing Damaged N/A Clean

  • Present
  • Missing
  • Damaged
  • N/A
  • Clean

• Describe missing or damaged equipment

• Portable radios

portable radio Information

• Portable radios

  Select Present Missing Damaged N/A Clean

  • Present
  • Missing
  • Damaged
  • N/A
  • Clean

• Describe missing or damaged equipment

• Members completing report

signature

• Signature

  Sign