Information

  • Personnel Completing Check (Last Name)

  • Conducted on

Check

Medic 7

Cab

  • Miles

  • Fuel

  • Oil Level

  • Coolant Level

  • Powering Steering Level

  • Vehicle Starts

  • Lights (All Lights)

  • Siren

  • Main Radio

  • L Gloves

  • XL Gloves

  • Map/Preplans

  • Garage Door Opener

  • Lock Box w/ 2 keys

  • Digital Camera

Oxygen Compartment

  • Main 0xygen Pressure (Change at 500 psi)

Bunker Gear Compartment

  • SCBA Units x3

  • Hand Lights

Backboard Compartment

  • Vacuum Splints

  • KED

  • Reeves

  • Stair Chair/Straps x3

  • Adult Backboard/Straps x3

  • Obese Pt Carrier

  • Peds Backboard

  • Pedi mate

  • Baby Seat

Pt Area

  • Cell phone

  • Ipad

  • Suction w/tubing and tips

  • CPAP unit with circuit

LifePak 15

  • Batteries Fully Charged

  • Battery #

  • Battery #

  • BP Cuff

  • Pulse Ox

  • 12-Lead Cables

  • Adult D-fib Pads x2

  • Peds D-fib Pads x2

  • EKG Paper

  • Spare Electrodes

Front Bulkhead Cabinet

  • Lucas Batteries Full

  • Peds Jump Bag

  • Drug Box Seal #

  • Spare O2 Tanks (1500 psi)

  • Trauma Kit

  • Protocol Book

  • IV Kit/ Blood Draw Tubes

Cot

  • O2 Bag PSI (Refill at 500 psi)

  • NC

  • NRB

  • Nebulizer

  • Peds NC

  • Peds NRB

  • Peds Nebulizer

  • Clipboard

  • Smith Cot

Blue Jump Bag

  • Glucometer

  • Airway Kit

  • BVM

  • EZ-IO

  • King Vision & king Airways

Personnel Information

  • Personnel Completing Check

  • Signature

  • Conducted On

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