Monthly Mechanical Inspection (Rescue Truck)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Yes

  No

  N/A

Unit Number

• Current Milage

• Insurance Expiration Date

• Motor Vehicle Registration Expiration Date

• Fuel Card Present

  Yes

  No

  N/A

Under the Hood

• Oil

  Ok

  Low

• Transmission Fluid

  Ok

  Low

• Coolant

  Ok

  Low

• Brake Fluid

  Ok

  Low

• Power Steering

  Ok

  Low

• Washer Fluid

  Ok

  Low

• Belts

  Good No Visible Damage

  Visible Damage Found

• Hoses

  Good No Visible Damage

  Visible Damage Found

Exterior of Unit

• Headlights (low beam)

  Functional

  Defect Found (see notes)

  N/A

• Headlights (high beams)

  Functional

  Defect Found (see notes)

  N/A

• Parking Lights

  Functional

  Defect Found (see notes)

  N/A

• Marker Lights

  Functional

  Defect Found (see notes)

  N/A

• Left Turn Signals (Front and Back)

  Functional

  Defect Found (see notes)

  N/A

• Right Turn Signals (Front and Back)

  Functional

  Defect Found (see notes)

  N/A

• Hazard Lights

  Functional

  Defect Found (see notes)

  N/A

• Left Scene Lights

  Functional

  Defect Found (see notes)

  N/A

• Rear Scene Lights

  Functional

  Defect Found (see notes)

  N/A

• Right Scene Lights

  Functional

  Defect Found (see notes)

  N/A

• Reverse Lights

  Functional

  Defect Found (see notes)

  N/A

• Brake Lights

  Functional

  Defect Found (see notes)

  N/A

• Compartment Lights

  Functional

  Defect Found (see notes)

  N/A

• Auto Eject Plug

  Functional

  Defect Found (see notes)

  N/A

• Winch

  Functional

  Defect Found (see notes)

  N/A

Tires

• Drivers Side Front Tire (65 psi)

  Ok

  Low

• Driver's Side Rear Inner Tire (80 psi)

  Ok

  Low

• Driver's Side Rear Outer Tire (80 psi)

  Ok

  Low

• Passenger Side Front Tire (65 psi)

  Ok

  Low

• Passenger Side Rear Inner Tire (80 psi)

  Ok

  Low

• Passenger Side Rear Outer Tire (80 psi)

  Ok

  Low

Emergency Lights

• Front Lightbar

  Functional

  Defect Found (see notes)

  N/A

• Rear Lightbar

  Functional

  Defect Found (see notes)

  N/A

• Primary / Secondary Flashers

  Functional

  Defect Found (see notes)

  N/A

• Headlight Flashers

  Functional

  Defect Found (see notes)

  N/A

• Intersection Lights

  Functional

  Defect Found (see notes)

  N/A

• Load Manager

  Functional

  Defect Found (see notes)

  N/A

Interior of Cab

• Interior Lights

  Functional

  Defect Found (see notes)

  N/A

• Dash Lights

  Functional

  Defect Found (see notes)

  N/A

• Map Light

  Functional

  Defect Found (see notes)

  N/A

• Spot Light

  Yes

  No

  N/A

• Turn Signal Indicators

  Functional

  Defect Found (see notes)

  N/A

• High Beam Indicator

  Functional

  Defect Found (see notes)

  N/A

• Emergency Brake Indicator (both dash and console)

  Functional

  Defect Found (see notes)

  N/A

• High Idle

  Functional

  Defect Found (see notes)

  N/A

• Factory Horn

  Functional

  Defect Found (see notes)

  N/A

• Air Horn / Siren

  Functional

  Defect Found (see notes)

  N/A

• Heat / AC

  Functional

  Defect Found (see notes)

  N/A

• AM/FM Radio

  Functional

  Defect Found (see notes)

  N/A

• High Band Mobile

  Functional

  Defect Found (see notes)

  N/A

• High Band Portable Radio

  Functional

  Defect Found (see notes)

  N/A

• Low Band Mobile

  Functional

  Defect Found (see notes)

  N/A

• On-Spot Chains / 4WD (including Differential Locks)

  Functional

  Defect Found (see notes)

  N/A

• Power Locks (Factory and Rear Module)

  Functional

  Defect Found (see notes)

  N/A

• Power Windows

  Functional

  Defect Found (see notes)

  N/A

Electrical Equipment

• On Board Generator

  Functional

  Defect Found (see notes)

  N/A

• Front Driver's Side Flood Light

  Functional

  Defect Found (see notes)

  N/A

• Front Passenger Side Flood Light

  Functional

  Defect Found (see notes)

  N/A

• Rear Driver's Side Flood Light (include checking tripod and latches)

  Functional

  Defect Found (see notes)

  N/A

• Rear Passenger Side Flood Light (include checking tripod and latches)

  Functional

  Defect Found (see notes)

  N/A

• Electrical Outlets (Left and Right Wheel Wells, Rear of Unit x2)

  Functional

  Defect Found (see notes)

  N/A

• Driver's Side Electrical Reel (cord damage, outlets functional etc.)

  Functional

  Defect Found (see notes)

  N/A

• Passenger Side Electrical Reel (cord damage, outlets functional etc.)

  Functional

  Defect Found (see notes)

  N/A

Portable Equipment

• Generator (fuel, oil, starts, holds load)

  Functional

  Defect Found (see notes)

  N/A

• Portable Hurst Motor (fuel, oil, hydraulic fluid, hoses)

  Functional

  Defect Found (see notes)

  N/A

• Saws All (blades, functional)

  Functional

  Defect Found (see notes)

  N/A

• Extension Cords (damage, adapters)

  Good No Visible Damage

  Visible Damage Found

• Fuel Can

  Ok

  Low

• Fire Extinguishers

  Functional

  Defect Found (see notes)

  N/A

• Tool Boxes

  Good No Visible Damage

  Visible Damage Found

• Hand Lights

  Functional

  Defect Found (see notes)

  N/A

• Port a Power

  Functional

  Defect Found (see notes)

  N/A

• Road Cones x4

  Good No Visible Damage

  Visible Damage Found

• Stokes basket

  Good No Visible Damage

  Visible Damage Found

• Hand Tools

  Good No Visible Damage

  Visible Damage Found

• Utility Rope

  Functional

  Defect Found (see notes)

  N/A

• Glass masters x2

  Functional

  Defect Found (see notes)

  N/A

Hydraulic Equipment

• Main Supply

  Ok

  Low

• Main Hydraulic Line

  Functional

  Defect Found (see notes)

  N/A

• Combination Tool

  Functional

  Defect Found (see notes)

  N/A

• Large Spreaders

  Functional

  Defect Found (see notes)

  N/A

• Extractor Cutter

  Functional

  Defect Found (see notes)

  N/A

• Rams (Small, Medium, Large)

  Functional

  Defect Found (see notes)

  N/A

• Original Cutter

  Functional

  Defect Found (see notes)

  N/A

Stabilization Equipment

• Wood Cribbing (check annually replace as needed)

  Good No Visible Damage

  Visible Damage Found

• Stabilization Jacks and Accessories

  Functional

  Defect Found (see notes)

  N/A

• Airbags

  Yes

  No

  N/A

• Airbag Controller / Hoses

  Yes

  No

  N/A

• Air Cylinders (full 2200psi, Good Hydro Dates)

  Good No Visible Damage

  Visible Damage Found

Signature of Individual Conducting Check

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