Information

  • Vehicle

  • Conducted on

  • Mileage

  • Crew

Truck Maintenance

Fuel above 3/4 Engine oil Power steering fluid Brake fluid Engine coolant Washer fluid Transmission fluid (check with engine running) Tire pressure 75 PSI(front) 85 PSI(rear)

  • Full / Low

  • Action taken:

  • Air tanks purged (15th of the month only)

Operational check: Vehicle started Driving lights Emergency lights Siren, Queue Airhorn

  • Deficiencies noted?

  • Action taken:

  • Any new vehicle damage?

  • Description

  • Attach picture

Cab

Map Books: Kirkwood Valley Park Creve Coeur Des Peres Meramec Campus Webster Groves West County Mall Wunnenberg's Knox Box Book St Louis area Hospitals

  • Action taken:

Equipment: Laptop computer Walkie talkies (2) Cell Phone w/ Charger GPS w/ Charger Headsets (2) Knox Box Keys Street Vests (3) Gloves S/M/L/XL (1 box each) Binoculars CO monitor Mini Rad Fire Extinguisher

  • Action taken:

Restart Laptop (State required protocols contained)

  • Action taken:

Fuel Card and Ground Service Ambulance License

  • Action taken:

Exterior Compartments

Passenger side compartment 2: Cooler - Iced down

Driver side Compartment 3: SCBA (2) Flashlights (2) Flathead Axe Haligan Tool Thermal Imaging Camera

  • Action taken:

Interior compartments

Narcotic lock up: Narcotics and Narcotic check sheets Bristol jet plunger

  • Actions taken:

Controlled Substances - Expiration dates to be checked daily.

  • Schedule 2 & 3:
    Morphine
    Fentanyl
    Ketamine

  • Tag 1:

  • Tag 2:

  • Schedule 4:
    Valium
    Versed
    Etomidate-tracked substance

  • Tag 1:

  • Tag 2:

House Stock/Drug Supply

Check Complete

Signature # 1

  • Firefighter / Paramedic

Signature # 2

  • Firefighter / Paramedic

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