Mansfield Rescue Support 1

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle Description

• Odometer reading at inspection

• Is the vehicle due for a service within the next month?

  Yes

  No

  N/A

• Has a vehicle being driven within the last two weeks?

  Yes

  No

  N/A

• A test drive is required.

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

• Front Left Tyre in Good Condition

  Yes

  No

  N/A

• Rear Left 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

• Fire extinguishers mounted in charge.

  Yes

  No

  N/A

• 2 X LED torches mounted

  Yes

  No

  N/A

• Orange glass saw mounted

  Yes

  No

  N/A

• To stop/go battons

  Yes

  No

  N/A

• Small chainsaw

  Yes

  No

  N/A

• Chainsaw fuel, oil, chaps and tools

  Yes

  No

  N/A

• Glass and sharp kit

  Yes

  No

  N/A

• Large step chocks X 4

  Yes

  No

  N/A

• PackEX and roller

  Yes

  No

  N/A

• Tool dump tarps X 2

  Yes

  No

  N/A

• Hydraulic cutters

  Yes

  No

  N/A

• Hydraulic spreaders

  Yes

  No

  N/A

• Hydraulic ram

  Yes

  No

  N/A

• Hydraulic hoses X 2

  Yes

  No

  N/A

• Hydraulic pump

  Yes

  No

  N/A

• Spare fuel for pump

  Yes

  No

  N/A

• Tool hip pouch X 2

  Yes

  No

  N/A

• First a kit

  Yes

  No

  N/A

• Bolt cutters

  Yes

  No

  N/A

• Axe

  Yes

  No

  N/A

• Halligan tool

  Yes

  No

  N/A

• Winch dampener

  Yes

  No

  N/A

• PVC pipe sharp protectors

  Yes

  No

  N/A

• Stretching handles

  Yes

  No

  N/A

• Spinal board straps

  Yes

  No

  N/A

• Red webbing/ribbon

  Yes

  No

  N/A

• Spinal board

  Yes

  No

  N/A

• Stokes litter

  Yes

  No

  N/A

• Rubber mallet

  Yes

  No

  N/A

• E-Flares X 5

  Yes

  No

  N/A

• Tiedown ratchet straps X 2

  Yes

  No

  N/A

• Rope x 4 lengths

  Yes

  No

  N/A

• SES barrier tape

  Yes

  No

  N/A

• Airbag tape

  Yes

  No

  N/A

• Tool Kit - as per list inside lid

  Yes

  No

  N/A

• Reciprocating saw

  Yes

  No

  N/A

• Traffic Wand X 2

  Yes

  No

  N/A

• Extension leads X 2

  Yes

  No

  N/A

• Mini airbag

  Yes

  No

  N/A

• RAM support

  Yes

  No

  N/A

• Woollen blanket X 2

  Yes

  No

  N/A

• Winch controller

  Yes

  No

  N/A

• Extra PPE masks, gloves, goggles

  Yes

  No

  N/A

• Shovel

  Yes

  No

  N/A

• Tomahawk

  Yes

  No

  N/A

• Snatch Block

  Yes

  No

  N/A

• Recovery hitch

  Yes

  No

  N/A

• Jimmy bar

  Yes

  No

  N/A

• Snow Chains

  Yes

  No

  N/A

• Drag chain

  Yes

  No

  N/A

• Bow shackles X 2

  Yes

  No

  N/A

• Snatch strap

  Yes

  No

  N/A

• Tree trunk protector

  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.

  Sign