Rig Check-1141 (Tuesday) (rev. 12202013)

• Document No.

• Conducted on

  Date

• Tuesday rig Check. (1141 and Medical Gear)

• Prepared by

• Location
  Address

• Personnel

• ALL equipment checked as "YES" means the piece of equipment has been operated, charged, and is full of fluids, operational and ready for use at the next emergency scene to the best of your ability

Cab

• Odometer reading

• Hour meter Reading

• Fuel Full

  Yes

  No

  N/A

• Fuel key?

  Yes

  No

  N/A

• Door Opener?

  Yes

  No

  N/A

• Gate Openers (2)?

  Yes

  No

  N/A

• Wipers?

  Yes

  No

  N/A

• Lights (Head, Stop, Turn, Tail, Brake, Backup, 4ways)?

  Yes

  No

  N/A

• Back up alarm?

  Yes

  No

  N/A

• Parking Brake?

  Yes

  No

  N/A

• Scene Lights (rear)

  Yes

  No

  N/A

• Emergency Lights?

  Yes

  No

  N/A

• Tac-Sector Board (on drivers door)?

  Yes

  No

  N/A

• Radio Headsets?

  Yes

  No

  N/A

• Radios Operational? (Fire, Police)

  Yes

  No

  N/A

• Siren?

  Yes

  No

  N/A

• Horns?

  Yes

  No

  N/A

• Medical gloves?

  Yes

  No

  N/A

• Building profile book?

  Yes

  No

  N/A

• SCBA (Officer seat) @ 4500 psi

  Yes

  No

  N/A

• Thermal Imaging Camera

  Yes

  No

  N/A

• Cell Phone (charged)

  Yes

  No

  N/A

• Hard Hats (2)

  Yes

  No

  N/A

• Lanyard with Keys and Cards

  Yes

  No

  N/A

• Q Siren

  Yes

  No

  N/A

• Laptop

  Yes

  No

  N/A

• Portable Radios (2)

  Yes

  No

  N/A

• Spare portable battery

  Yes

  No

  N/A

• ERG Guide Book

  Yes

  No

  N/A

• Box Alarm card

  Yes

  No

  N/A

• Orange spot lights (2)

  Yes

  No

  N/A

• Pocket Mask

  Yes

  No

  N/A

• Chemical Book

  Yes

  No

  N/A

• Blue clipboard W/Forms (report forms, insurance papers)

  Yes

  No

  N/A

• SMC Map Book

  Yes

  No

  N/A

• Clay Map Book

  Yes

  No

  N/A

• Fischer grad Map

  Yes

  No

  N/A

• Yellow safety vests (4)

  Yes

  No

  N/A

• Binoculars

  Yes

  No

  N/A

• Towels

  Yes

  No

  N/A

• SCBA (rear) (4) @4500

  Yes

  No

  N/A

• Ice Rescue rope & Anchor kit

  Yes

  No

  N/A

• Ice Rescue Bag (big yellow)

  Yes

  No

  N/A

• Cold Water Rescue Sling

  Yes

  No

  N/A

• Mustang Suits (2)

  Yes

  No

  N/A

• 75' Throw Bag

  Yes

  No

  N/A

• Pick Head Axe

  Yes

  No

  N/A

• Irons

  Yes

  No

  N/A

• Stair Chair

  Yes

  No

  N/A

• Water Pressure Extinguisher

  Yes

  No

  N/A

ENGINE COMPARTMENT

• Engine Oil Full

  Yes

  No

  N/A

• Transmission Fluid Full

  Yes

  No

  N/A

• Belts (condition)

  Yes

  No

  N/A

• Hoses (condition)

  Yes

  No

  N/A

• Coolant Level Full

  Yes

  No

  N/A

• Power Steering Level Full

  Yes

  No

  N/A

• Wiper Fluid Level Full

  Yes

  No

  N/A

• Batteries (no major corrosion or other issues)

  Yes

  No

  N/A

PUMP PANEL LEFT

• Run Pump

  Yes

  No

  N/A

• Exercise ALL Valves

  Yes

  No

  N/A

• Exercise Drain valves

  Yes

  No

  N/A

• Flood Lights (2)

  Yes

  No

  N/A

• Deck Gun

  Yes

  No

  N/A

• Deck Gun Remote

  Yes

  No

  N/A

• 1-3/4 Crosslay & Nozzle (2)

  Yes

  No

  N/A

• 2-1/2 Crosslay & Nozzle

  Yes

  No

  N/A

• Water Level Full

  Yes

  No

  N/A

DUNNAGE TRAY

• Cribbing Set

  Yes

  No

  N/A

• Padded Board Splints

  Yes

  No

  N/A

• Reeves Board

  Yes

  No

  N/A

• Shovels (2)

  Yes

  No

  N/A

• Squeegees (2)

  Yes

  No

  N/A

• Scoop Shovel

  Yes

  No

  N/A

• Buffalo Box Tools

  Yes

  No

  N/A

• Grass Broom

  Yes

  No

  N/A

• Grass Paddle

  Yes

  No

  N/A

• 1-3/4 Hose Roll (2)

  Yes

  No

  N/A

• Step Cribbing Set (2)

  Yes

  No

  N/A

COMPARTMENT L-1

• Adjustable Hydrant Wrench

  Yes

  No

  N/A

• Spanner Wrenches (4)

  Yes

  No

  N/A

• Radiation Monitor W/Case

  Yes

  No

  N/A

• Digital Camera W/Case

  Yes

  No

  N/A

• Water rescue Kit #2

  Yes

  No

  N/A

• Inflatable PFD

  Yes

  No

  N/A

• Throw "Bottle"

  Yes

  No

  N/A

• 75' Throw Bag

  Yes

  No

  N/A

• Mustang Inflatable PFD (2)

  Yes

  No

  N/A

• Throw Rope Bag

  Yes

  No

  N/A

• Butane Torch

  Yes

  No

  N/A

• Air Monitors (2) (Calibrated)

  Yes

  No

  N/A

• Gas Leak Detector (operational)

  Yes

  No

  N/A

• Wheel Chocks (2 sets)

  Yes

  No

  N/A

• Portable Light

  Yes

  No

  N/A

• Extension Cord on Reel

  Yes

  No

  N/A

• Extension Cord 10'

  Yes

  No

  N/A

• Tele-Lite Generator

  Yes

  No

  N/A

• Cab Tilt control Box

  Yes

  No

  N/A

COMPARTMENT L-2 (bottle storage)

• Spare SCBA (3) @4500

  Yes

  No

  N/A

• Key box Key

  Yes

  No

  N/A

COMPARTMENT L-3

• 100 ft. 1-3/4 HRP Hose Pack

  Yes

  No

  N/A

• 100 ft. 1-3/4 HRP Hose Pack<br>

  Yes

  No

  N/A

• Blue HRP Bag w/tools

  Yes

  No

  N/A

• Rope Bag

  Yes

  No

  N/A

• 1-3/4 Nozzle w/wye

  Yes

  No

  N/A

• Yellow Handlight

  Yes

  No

  N/A

COMPARTMENT L-4 (bottle storage)

• Spare SCBA (1) @4500

  Yes

  No

  N/A

COMPARTMENT L-5

• Electric Fan

  Yes

  No

  N/A

• HRP 2-1/2 Hose Roll w/straps (2)

  Yes

  No

  N/A

• 25' 3" Hose Roll

  Yes

  No

  N/A

• Traffic Cones (4)

  Yes

  No

  N/A

• Folding Ladder

  Yes

  No

  N/A

• Automobile Crash Kit

  Yes

  No

  N/A

• 2-1/2 double Female

  Yes

  No

  N/A

• 2-1/2 Double Male (3)

  Yes

  No

  N/A

• 1-1/2 Double Female

  Yes

  No

  N/A

• 1-1/2 Double Male

  Yes

  No

  N/A

• 2-1/2 x 1-1/2 Reducer (5)

  Yes

  No

  N/A

• 1-1/2" Adapters (4)

  Yes

  No

  N/A

• 2-1/2 x 2-1/2 Gated Wye

  Yes

  No

  N/A

• 2-1/2 x 1-1/2 Gated Wye

  Yes

  No

  N/A

• 1-1/2 Fog Nozzle (2) (select-o-matic)

  Yes

  No

  N/A

• Distributor Nozzle

  Yes

  No

  N/A

• Ram Smooth Bore Tip

  Yes

  No

  N/A

• 1-1/2" foam Eductor

  Yes

  No

  N/A

• 2-1/2" Chief Nozzle (2)

  Yes

  No

  N/A

• 2-1/2" Smooth Bore Nozzle

  Yes

  No

  N/A

• 1-1/2 Blank Cap

  Yes

  No

  N/A

• 2-1/2 Blank Cap

  Yes

  No

  N/A

• Hose Straps

  Yes

  No

  N/A

• Folding Spanner (3)

  Yes

  No

  N/A

• Spanner Wrench (3)

  Yes

  No

  N/A

• Booster Reel Spanner

  Yes

  No

  N/A

• 5" Storz x 2-1/2 Adapter (3)

  Yes

  No

  N/A

• Fan Spring Bar

  Yes

  No

  N/A

• Inline Pressure Guage

  Yes

  No

  N/A

• 2-1/2 Elbow

  Yes

  No

  N/A

• Key Box Book

  Yes

  No

  N/A

• Key Box Sign out log

  Yes

  No

  N/A

• Key Box W/ALL Keys

  Yes

  No

  N/A

• Hydrant Wrench

  Yes

  No

  N/A

• Hose Roller

  Yes

  No

  N/A

• Tri-Lock Cord

  Yes

  No

  N/A

TAIL BOARD

• Booster Reel w/nozzle

  Yes

  No

  N/A

• Spare Nozzle for Booster Reel

  Yes

  No

  N/A

• 5" Spanner Wrenches (4)

  Yes

  No

  N/A

• Hydrant Gates (2)

  Yes

  No

  N/A

• Hose Clamp

  Yes

  No

  N/A

• Hydrant Wrench

  Yes

  No

  N/A

• Bottle Jack w/handle

  Yes

  No

  N/A

HOSE BED

• Backboard

  Yes

  No

  N/A

• 5" Supply Line w/hydrant connector

  Yes

  No

  N/A

• 2-1/2 Attack Line w/RAM

  Yes

  No

  N/A

• 2-1/2 Attack Line w/wye 1-3/4 & Nozzle

  Yes

  No

  N/A

COMPARTMENT R-5

• ABC Extinguisher

  Yes

  No

  N/A

• CO2 Extinguisher

  Yes

  No

  N/A

• K-Class Extinguisher

  Yes

  No

  N/A

• Water Pressure Extinguisher

  Yes

  No

  N/A

• Red Tarp

  Yes

  No

  N/A

• Blue Tarp

  Yes

  No

  N/A

• Floor Dry

  Yes

  No

  N/A

• PPV Fan

  Yes

  No

  N/A

• PPV Fan Exhaust Hose

  Yes

  No

  N/A

• K-12

  Yes

  No

  N/A

• K-12 Extra Blade

  Yes

  No

  N/A

• Yes

  No

  N/A

• Funnel

  Yes

  No

  N/A

• Yes

  No

  N/A

• Gas Can (2cycle)

  Yes

  No

  N/A

• Blue FAST Tarp

  Yes

  No

  N/A

• FAST Equipment Bag

  Yes

  No

  N/A

• FAST Rope Bag

  Yes

  No

  N/A

• Short Pike Pole

  Yes

  No

  N/A

• Pry Bar

  Yes

  No

  N/A

• Pipe Wrench (3)

  Yes

  No

  N/A

• Bolt Cutter

  Yes

  No

  N/A

• Sledge Hammer

  Yes

  No

  N/A

• OnDeck Equipment Bag

  Yes

  No

  N/A

• Bolt Cutters

  Yes

  No

  N/A

• Tin Snips

  Yes

  No

  N/A

• Pry Bar

  Yes

  No

  N/A

• Side Cutters

  Yes

  No

  N/A

• Webbing

  Yes

  No

  N/A

• Flash Lights (2) (operating)

  Yes

  No

  N/A

• Air Bottle (4500psi)

  Yes

  No

  N/A

• SCBA Mask and Harness

  Yes

  No

  N/A

• Sawzall w/Accessories (charge and operate)

  Yes

  No

  N/A

• Decon Kit

  Yes

  No

  N/A

COMPARTMENT R-4 (bottle storage)

• Spare SCBA Bottle(3) @4500

  Yes

  No

  N/A

COMPARTMENT R-3

• Dewalt drill box w/Hilti drill & Accys

  Yes

  No

  N/A

• Tool Box (2)

  Yes

  No

  N/A

• Scene Tape (3)

  Yes

  No

  N/A

• Duct Tape

  Yes

  No

  N/A

• K-Tool Kit

  Yes

  No

  N/A

• Ty-Vec Suits (2)

  Yes

  No

  N/A

• Tub w/absorbent pads & spill-X

  Yes

  No

  N/A

• Tub w/absorbent pigs

  Yes

  No

  N/A

• Ear Plugs

  Yes

  No

  N/A

• Smoke Detector dust covers

  Yes

  No

  N/A

• N-95 masks

  Yes

  No

  N/A

• Traction Splint

  Yes

  No

  N/A

• Vacuum Splints

  Yes

  No

  N/A

• Box w/extinguisher mounting hardware

  Yes

  No

  N/A

COMPARTMENT R-2 (bottle storage)

• Spare SCBA bottle @4500

  Yes

  No

  N/A

• Spare O2 Bottle

  Yes

  No

  N/A

COMPARTMENT R-1

• Blankets (2)

  Yes

  No

  N/A

• Blood Born Pathogen Kit

  Yes

  No

  N/A

• O.B. Kit

  Yes

  No

  N/A

• Sterile Water

  Yes

  No

  N/A

• Pocket Mask (2)

  Yes

  No

  N/A

• Triage Kit

  Yes

  No

  N/A

• 800 MHZ Radio w/charger

  Yes

  No

  N/A

• Medical Bags (2) (red and green)

  Yes

  No

  N/A

• C-Collar Bag

  Yes

  No

  N/A

• SAED

  Yes

  No

  N/A

• O2 Bottle

  Yes

  No

  N/A

• Pillow

  Yes

  No

  N/A

PUMP PANEL R.

• Ladder Rack (exercise, ladders latched)

  Yes

  No

  N/A

• 24' Extension Ladder

  Yes

  No

  N/A

• 14' Roof Ladder

  Yes

  No

  N/A

• Attic Ladder

  Yes

  No

  N/A

• Pike Poles (2)

  Yes

  No

  N/A

• New York Hook

  Yes

  No

  N/A

• Primer Oil

  Yes

  No

  N/A

TIRES

• Driver Front

  Yes

  No

  N/A

• Driver rear

  Yes

  No

  N/A

• Passenger Front

  Yes

  No

  N/A

• Passenger Rear

  Yes

  No

  N/A

OTHER

• Other issues requiring attention

• Other issues requiring attention

STATUS

• Remains In Service?

  Yes

  No

  N/A

• Chief or Assistant Chief notified

• Notify Clay Fire that we are unable to respond.

• Enter into FireHouse as Out of Service.

SIGNATURE

• I verify ALL equipment checked as "YES" has been operated, charged, and is full of fluids, operational and ready for use at the next emergency scene to the best of my ability.

  Sign