Title Page

  • Document Number

  • Conducted by

  • Conducted on

  • Accepted by Station Officer

Driver's Checks

Certification

  • Registration

  • Warrant of Fitness

  • Road User Charges Due

Lights

  • Headlights Low and high Beams

  • Tail Lights

  • Brake Lights

  • Reverse Lights

  • License plate Lights

  • Auxiliary LED Spot Lights behind cab

  • Hazard Lights

  • Indicators

  • Beacons

  • Locker lights

Sounds

  • Horn

  • Siren

  • PA System

Cabin Checks

  • Engine Lights (Battery/Oil/ABS)

  • Windscreen (check for cracks)

  • Windscreen Wipers

  • Seat Belts

Fluids and Pressures

  • Diesel

  • Oil

  • Coolant

  • Battery

  • Windscreen washer

  • Visual check of engine fluids leaking

  • Tyre Pressures including spare

Road Test

  • Vehicle fit for purpose.

Locker Checks

Right Side Top

  • 3 x Fire Extinguishers [Check fully charged, & Test dates. NB: Invert/Shake Powder Extinguishers]

  • 1 x Containers Class B Foam

  • 1 x Fuel Container Mixture 30:1

  • 2 x Scotty Packs<br>

  • 1 x Scotty Pack Hand Pump

  • 1 x Foam Nozzle

  • 1 x Wajax Pump + 1 x Tote Tank

  • 1 x Green Hose Bag containing 3 x Percolating lengths (41mm) + 1 x Nozzle

  • 1 x Blue Hose Bag containing 3 x Percolating lengths (25mm) + 1 x Nozzle<br>

  • 2 x Wooden Hose bag boards

  • 1 x Blue Watering Can

Right Side Bottom

  • 2 x Hard Suction (green & yellow) + 1 x foot valve

  • 2 x Hard Suction Extensions + 1 x foot valve <br>

  • 1 x Basket strainer

  • 1 x Float + clip

Left Side Top

  • x1 Hygiene Pack (includes x4 decontamination wipes)

  • 2 x Hose Bags percolating hose 45 mm + nozzle

  • 1 x First Aid Kit

  • 1 x Oxygen Cylinder

  • 1 x Blanket

  • 1 x Defibrillator [Battery OK]

  • Defibrillator Pads [Expiry Check]

Left Side Bottom

Wooden Box 1

  • 1 x Camlok 70 mm Female to 50 mm Female

  • 1 x 41 mm Dam diffuser

  • 3 x 41mm M - F adapters

  • 1 x Camlok 50 mm Female to Female

  • 1 x Camlok 50 mm Male to Male

  • 1 x Camlok 70 m - 41 mm dividing breech

  • 3 x 41mm rubber gaskets

  • 1 x 50 mm rubber gasket

  • 1 x 41mm sieve insert

Wooden Box 2

  • 1 x Can of Inox lubricant

  • 1 x Pump tool kit in blue canvas bag<br>

  • 1 x Spare pump pull start rope

  • 2 x small C hose connector spanners

  • 1 x Spare Hydroblender soap cartridge ( in plastic bag)

  • 2 x spare red hose nozzzles

Wooden Box 3

  • 1 x Wicker Strainer basket

  • 1 x 41 mm Dividing Breech

  • 1 x 41mm short length of hose

  • 1 x oil measuring jug

  • 1 x 1 litre two stroke oil.

Wooden Box 4

  • 2 x 41 mm dividing breech

  • 1 x handpiece Valve 41 mm

  • 2 x 41 mm short hoses.

Wooden Box 5

  • 4 x Safety Goggles

  • 2 x Ear muffs

Sistema Containers

  • ? x Muesli bars

  • ? x Expired Epi Pens

  • ? x Face Masks

  • ? x Female Hygiene Products

  • ? x Small Nitrile PPE Gloves

Wooden Box 6

  • 1 x Large box of Surgical gloves

  • 1 x Medium box of Nitrile PPE Gloves

  • 3 x Sperm Suits ( 2 x 3XL,1 Medium)

  • ? x Unpackaged /suits behind Box #1 `+ 1 x plastic waste bag for HAZMAT<br>

  • 2 x red beacon torches ( fixed to side of box #6)

  • 2 x Earmuffs (2) + 2 with pump Top RHS

  • 1 x Radio Earpiece + x 4 hygienic earpieces

Left Side Lower

  • 1 x Hydro Blender + 2 x soap cartridges inside<br>

  • 2 x spare soap cartridges.

  • 1 x Coupling spanner - Large<br>

  • 2 x Coupling spanners - Small<br>

  • 2 x Shovels

  • 1 x Rake

  • 1 x Broom

  • 1 x Crowbar

  • 1 x Polaski Tool

  • 1 x Wooden box of water bottles (5 minimum) <br>

  • 1 x Macleod Tool

  • 1x Rope Towing strop

  • 1 x Large Axe

Rear Slide Our Drawer

  • 1 x Small Axe

  • 2 x Red 41mm Hose (flaked)

  • 4 x Short rubber hoses

Top Rear

  • 1 x Wajax Pump (Robin)

  • 1 x Ladder

  • 1 x Stretcher

  • 1 x Water Tank

Inside Cab

Driver's Door Pocket

  • 1 x K Code Sheet

  • 1 x LMR Code Sheet

  • 1 x Basic Guide to Fire Calls

  • 1 x CPR Guide

  • 1 x Helicopter Check List

  • 1 x Thames Valley Rural Fire Plan

  • 1 x Waikato Resources Directory

  • 1 x Covid Questionnaire Sheet

  • 4 x Motorola IGC Hand held radios + Batteries<br>

  • 1 x Ear Plugs

Man Centre Console

  • 1 x Wand Torch charger

  • 22 x Spare batteries ( 8 x AA + 10 x AAA + 4 x C )

  • 4 x Spare Spark Plugs (Bosh M4AC,NGK B7ES,BPR6ES,B7HS)

  • ? x Pens

  • 2 x Helmet head torches

  • 1 x Tyre pressure guage

  • 2 x Tubes Sunblock

  • 1 x Lightning to USB phone charging cable

  • 1 x Antiseptic wipes

  • 1 x Radio battery charger + 1 x spare battery fitting

  • 1 x Ear Plugs

Small Console

  • 2 x generic reading glasses

  • ? x Pens

  • ? x Ear Plugs

Glove Box

  • 8 x N95 Safety masks

  • 6 x 3M Masks

  • 1 x Plastic Box [#1] of Barrier Gloves - Small

  • 1 x Plastic Box [#2] of Ear plugs, IGC earpieces( 4 ) Scissors

  • 1 x Plastic Box [#3] of Barrier Gloves - Large

  • 2 x plastic safety goggles

Passenger Door Pocket

  • 2 x packets antiseptic wipes

  • 1 x Plastic case Safety officer kit/ forms

Under Passenger Seat

  • 1 x Yellow LED spotlight torch

  • 1 x Personal Crew First Aid kit

Back of Passenger Seat

  • 1 x OIC Yellow Vest<br>

  • 1 x Safety Officer Hi Viz green vest<br>

  • 1 x Dual Radio Harness ( Black)

  • 3 x Yellow w HiViz jackets

Back LH Door Pocket

  • 1 x Wipes

  • 2 x Safety Goggles

  • 1 x Hand Sanitiser<br>

Back RH Door Pocket

  • 1 x Dolphin Torch

  • 1 x Spray & Wipe

  • 1 x Lashing Cord (approx 2 m) <br>

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.