Title Page
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Personnel
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Conducted on
Cab
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Miles
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Fuel
- Full
- 3/4
- 1/2
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Oil Level
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Coolant Level
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Power Steering
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Vehicle Starts
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Lights (All Lights)
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Siren
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Main Radio
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L Gloves
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XL Gloves
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Map/Preplan
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Garage Door Opener
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Lock Box w/2 keys
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Digital Camera
Oxygen Compartment
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Main O2 Level
- 300
- 350
- 400
- 450
- 500
- 550
- 600
- 650
- 700
- 750
- 800
- 850
- 900
- 950
- 1000
- 1100
- 1200
- 1300
- 1400
- 1500
- 1600
- 1700
- 1800
- 1900
- 2000
Bunker Gear Compartment
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SCBA Units
- 1
- 2
- 3
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Hand Lights
- 1
- 2
- 3
Back Board Compartment
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Backboards
- 1
- 2
- 3
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immobilization Bags
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Reeves
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KED
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Stair chair
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Obese Pt Carrier
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Pedi Mate
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Vacuum Splints x3 w/pump
Pt. Area
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Cell Phone
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Ipad
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Suction w/tubing and tips
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CPAP unit with circuit
LifePak 15
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Batteries Fully Charged
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Battery #1
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Battery #2
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BP Cuff
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Pulse Ox
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12-Lead Cables
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Adult D-Fib Pads x2
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Peds D-Fib Pads x2
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EKG Paper
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Spare Electrodes
Front Bulkhead Cabinet
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Lucas Battery Full
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Peds Jump Bag
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Drug Box Seal #
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Spare O2 Tanks (1500)
- 300
- 350
- 400
- 450
- 500
- 550
- 600
- 650
- 700
- 750
- 800
- 850
- 900
- 950
- 1000
- 1100
- 1200
- 1300
- 1400
- 1500
- 1600
- 1700
- 1800
- 1900
- 2000
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Trauma Kit
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Protocol Book
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IV Kit/ Blood Draw Tubes
Cot
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Cot O2 (Refill at 500 psi)
- 300
- 350
- 400
- 450
- 500
- 550
- 600
- 650
- 700
- 750
- 800
- 850
- 900
- 950
- 1000
- 1100
- 1200
- 1300
- 1400
- 1500
- 1600
- 1700
- 1800
- 1900
- 2000
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NC
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NRB
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Nebulizer
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Peds NC
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Peds NRB
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Peds Nebulizer
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Clipboard
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Smith Cot
Blue Jump Bag
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Glucometer
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Airway Kit
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BVM
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EZ-IO
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King Vision & King Airways
Personnel information
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Personnel Completing Check
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Signature
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Conducted On
