Information
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Audit Title
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Conducted on
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Unit Number
- 8981
- 8982
- 8984
- 8985
- 8986
- 8987
- 8988
- 8989
- 8975
- 8976
- 8980
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Odometer
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Hours
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Fuel Level
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Oil Level
Vehicle Cab
Vehicle Cab
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Gas Card
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Insurance Card
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Vehicle Registration
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Maps
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Reference Books
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Glove Supply
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Key
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Flashlight
Mechanical
Mechanical
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Emergency Lights
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Horn/Siren
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Tail/Brake Lights
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Head Lights
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Turn Signals
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Dash Gauges
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Transmission Fluid
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Brake Fluid
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Steering Fluid
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Coolant
BLS Supplies
BLS Supplies
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Restraints
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OB Supplies
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Dressings/Bandages
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Hot/Cold Packs
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Linens
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BSI Equipment
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Oxygen Masks/Cannulas
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Adult/Pediatric/Infant BVM's
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Airways
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Pulse Ox Supplies
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Spare Airway Supplies
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Suction Equipment
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Multi B/P Cuff Kit
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Burn Sheets
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Irrigation Supplies
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Extra Blanket/Pillow
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Scoop Stretcher W/Straps
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MEMSI Kit
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K.E.D.
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Pedi Board
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Backboards (Minimum of 2)
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C-Collars
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Backboard Straps (Minimum of 6)
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C.I.D. Blocks
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Pro Splints
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PR Kit
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Hand Tools
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Cleaning Supplies
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Stair Chair w/straps
ALS Supplies
ALS Supplies
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Monitor
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Extra Battery
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Cables
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Airway Bag
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Laryngoscope
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Extra Bulb/Bat
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Neb Kit
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Pulse Ox
Narcotics (Signature Required)
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Narcotics Bag
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Contact the shift supervisor on duty or on call.
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Signature
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Portable Spare
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IV Supplies
Final
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Are any repairs needed on the truck?
Type your badge number in, followed by signing the iPad.
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Crew Member #1
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Crew Member #2
