Mansfield Rescue

• Conducted on

  Date

• Prepared by

Vehicle Description

• Odometer reading at inspection

• The vehicle being driven in the last two weeks?

  Yes

  No

  N/A

• A test drive is required. Please note TWO RCR members must be in rescue when conducting test drive.

• Does the log book match the Odometer reading?

  Yes

  No

  N/A

EXTERIOR LIGHTS

• High / Low Beams Operational

  Yes

  No

  N/A

• Driving Light Operational and Aligned

  Yes

  No

  N/A

• Clearance Marker Lights Operational

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Left and Right Front Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Rear Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Brake Lights Operational

  Yes

  No

  N/A

• Left and Right Reversing Lights Operational

  Yes

  No

  N/A

• License Plate Light Operational

  Yes

  No

  N/A

• Reversing Beeper Operational

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Windscreen Free of Cracks and Chips

  Yes

  No

  N/A

• Front Bonnet, Grill and Bumper Free of Damage

  Yes

  No

  N/A

• Right Mirror is Adjustable and Free of Damage

  Yes

  No

  N/A

• Right Doors are Free of Damage

  Yes

  No

  N/A

• Right Side Windows are Free of Chips, Cracks and Scratches

  Yes

  No

  N/A

• Right Side of Vehicle Free of Damage

  Yes

  No

  N/A

• Rear of Vehicle and Bumper is Free of Damage

  Yes

  No

  N/A

• Rear Windows Free of Chips, Scratches and Cracks

  Yes

  No

  N/A

• Left Side of Vehicle is Free of Damage

  Yes

  No

  N/A

• Left Side Windows are Free of Chips, Cracks and Scratches

  Yes

  No

  N/A

• Left Side Doors are Free of Damage

  Yes

  No

  N/A

• Left Mirror is Adjustable and Free of Damage

  Yes

  No

  N/A

• Vehicle is Clean and free of Road Grime and Dirt

  Yes

  No

  N/A

TYRES

• Front Right Tyre in Good Condition

  Yes

  No

  N/A

• Rear Right Tyre in Good Condition

  Yes

  No

  N/A

• Rear Right Inside Tyre in Good Condition

  Yes

  No

  N/A

• Front Left Tyre in Good Condition

  Yes

  No

  N/A

• Rear Left Tyre in Good Condition

  Yes

  No

  N/A

• Rear Left Inside Tyre in Good Condition

  Yes

  No

  N/A

• Spare Tyre is in Good Condition and Inflated Correctly

  Yes

  No

  N/A

INTERIOR

• Driver Seat in Good Condition

  Safe

  At Risk

  N/A

• Driver Seat Belt Operational

  Safe

  At Risk

  N/A

• Windscreen Wipers Working Properly and in Good Condition

  Yes

  No

  N/A

• Windscreen Washer Working Properly and Full

  Yes

  No

  N/A

• Heater and Defroster Working

  Yes

  No

  N/A

• Air Conditioner Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges Operating

  Yes

  No

  N/A

• Interior Lights Operational

  Yes

  No

  N/A

• Rear Cabinet Doors Operational

  Yes

  No

  N/A

• Rear Cabinet Lights Operational

  Yes

  No

  N/A

• Grab Rails Secure

  Yes

  No

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

• Reversing Camera Operational

  Yes

  No

  N/A

• Passenger Seat Belts Operational

  Yes

  No

  N/A

• Passenger Seats in Good Repair

  Yes

  No

  N/A

SAFETY EQUIPMENT

• Vehicle Radios are on Correct Channels

  Yes

  No

  N/A

• Two Handheld Radios are in Vehicle and Charged

  Yes

  No

  N/A

• EVS Siren Operates Correctly

  Yes

  No

  N/A

• EVS Light Operate Correctly

  Yes

  No

  N/A

• PA System Operational

  Yes

  No

  N/A

RESCUE EQUIPMENT

• Generator Fuel and Oil Levels OK

  Yes

  No

  N/A

• Hydraulic Pump Fuel, Oil and Hydraulic Fluid Levels OK

  Yes

  No

  N/A

• Light Mast and Lights OK

  Yes

  No

  N/A

• Hydraulic Tools in Good Condition

  Yes

  No

  N/A

• Hydraulic Hoses a in Good Condition

  Yes

  No

  N/A

• Cutter Blades are not Nicked, Chipped or Cracked

  Yes

  No

  N/A

• Electrical Tools and Leads Test and Tag are Current

  Yes

  No

  N/A

• Battery Tools are Charged and in Good Condition

  Yes

  No

  N/A

• Hand Tools Stored Correctly and are Clean

  Yes

  No

  N/A

• Winch Cable in Good Condition and Wound on Drum Correctly

  Yes

  No

  N/A

• Welfare Container Fully Stocked and Best Before Dates Checked (Water Esky)

  Yes

  No

  N/A

Basic Equipment

• Rubber Mallet

  Yes

  No

  N/A

• Hammer

  Yes

  No

  N/A

• Pliers

  Yes

  No

  N/A

• Side Cutters

  Yes

  No

  N/A

• Phillips Head Screw Driver x 2

  Yes

  No

  N/A

• Flat Head Screw Driver x 2

  Yes

  No

  N/A

• Glass Breaker

  Yes

  No

  N/A

• Glass Saw

  Yes

  No

  N/A

• Seat Belt Cutter

  Yes

  No

  N/A

• Halligan Tool

  Yes

  No

  N/A

• Shifting Spanner

  Yes

  No

  N/A

• Set of Ring/Open ended Spanners

  Yes

  No

  N/A

• Socket Set

  Yes

  No

  N/A

• Laminated Glass Cutter

  Yes

  No

  N/A

• Shovel

  Yes

  No

  N/A

• Broom

  Yes

  No

  N/A

• PackExe Kit

  Yes

  No

  N/A

• Rope Bag containing 6 x 12m Ropes

  Yes

  No

  N/A

Motorised Hydraulic Tools

• Hydraulic Pump

  Yes

  No

  N/A

• Sheers/Cutter

  Yes

  No

  N/A

• Spreader

  Yes

  No

  N/A

• Combination Sheers/Spreader

  Yes

  No

  N/A

• Hydraulic Hand Pump

  Yes

  No

  N/A

• Ram

  Yes

  No

  N/A

• Ram Extension Kit

  Yes

  No

  N/A

• Chain Set

  Yes

  No

  N/A

• Hose Reel x 2

  Yes

  No

  N/A

• Hose 20m Extension

  Yes

  No

  N/A

• Pedal/Mini Cutter

  Yes

  No

  N/A

Lighting Equipment

• Torches x 2

  Yes

  No

  N/A

• 240v Lighting Set (Tripod and Lighting Group Set)

  Yes

  No

  N/A

• E-Flares x 8

  Yes

  No

  N/A

• Warning Sign (Traffic Accident)

  Yes

  No

  N/A

• 20m Extension Lead (RCD/Waterproof)

  Yes

  No

  N/A

• 2KvA Generator

  Yes

  No

  N/A

• Witches Hats x 12

  Yes

  No

  N/A

• Battery Operated Lighting (Black Footwell Light)

  Yes

  No

  N/A

Motorised/Electrical/Air Powered Equipment

• Chainsaw

  Yes

  No

  N/A

• Power Cut Saw

  Yes

  No

  N/A

• Reciprocating Saw

  Yes

  No

  N/A

• Air Bag Kit (Min 2 x 20 Tonne)

  Yes

  No

  N/A

First Aid/Patient Protection/Rescuer Protection

• Glass Management Kit (Glass Catcher and Hard Protection)

  Yes

  No

  N/A

• Fire Retardant Blanket x 2

  Yes

  No

  N/A

• Clear Thick Plastic Sheet (Soft Casualty Protection)

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

• Un Deployed Airbag Tap/Magnets

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Sharps Container

  Yes

  No

  N/A

• Stop/Slow Bats x 2

  Yes

  No

  N/A

• Basket Stretcher

  Yes

  No

  N/A

• Spinal Board

  Yes

  No

  N/A

• Traffic Control Wands x 2

  Yes

  No

  N/A

• Traffic Triangle (In Case)

  Yes

  No

  N/A

• PPE Kit

  Yes

  No

  N/A

• Bio Hazard Kit

  Yes

  No

  N/A

• Nitrile Gloves

  Yes

  No

  N/A

• Soft Sharps Protection Kit (1 Bag of Various Sizes)

  Yes

  No

  N/A

• Pvc Pipe Edge Protection

  Yes

  No

  N/A

Storm and Water Equipment

• SWAHS Kit

  Yes

  No

  N/A

• Chainsaw Chaps

  Yes

  No

  N/A

• Chainsaw Tool Kit

  Yes

  No

  N/A

• Chainsaw Fuel (10 Liters)

  Yes

  No

  N/A

Miscellaneous

• Stabilisation Kit Including Assorted Blocks And Chocks

  Yes

  No

  N/A

• Side Stabilisation Kit (Stabfast) x 2

  Yes

  No

  N/A

Fire Extinguishers

• 9 Litre Water x 2

  Yes

  No

  N/A

• 9kg Dry Chemical x 2

  Yes

  No

  N/A

• Vest (Agency Commander/Incident Controler)

  Yes

  No

  N/A

• Vest (Safety Officer/ELMO)

  Yes

  No

  N/A

• Crew Leader Brassard

  Yes

  No

  N/A

• Scene Tape

  Yes

  No

  N/A

• Ladder Folding

  Yes

  No

  N/A

• Battery Operated Drill In Case

  Yes

  No

  N/A

• Tirfor Winch

  Yes

  No

  N/A

• Lever Hoist

  Yes

  No

  N/A

• Hand Operated Hydraulics

  Yes

  No

  N/A

• High Lift Jack

  Yes

  No

  N/A

• Anchor Pickets x 6

  Yes

  No

  N/A

• Picket Driver

  Yes

  No

  N/A

• Is there anything that you would like to make note off.

• Is there any immediate actions that need to be taken?

• This report has been complete and is true and correct to the best of my knowledge/ability.

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