Title Page
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Conducted on
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Prepared by
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Location
SCBA Inspection
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Complete Bi-Weekly SCBA Inspection?
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Check All Gauges for Function (Must be within 100psi)
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Check Low Pressure and Quarter Service Alarms for Function.
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Check/Tighten All Hose Connections
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Ensure Regulator are Clean and Operational.
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Ensure All Straps are Expanded to Largest Position.
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Check Function of P.A.S.S. Device - Alarms within 15 sec of sitting still.
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Check Spare SCBA Cylinders are Equal or Greater than 4000psi.
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Number of Spare SCBA Cylinders present?
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Are Any SCBAs Missing or Out of Service?
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List Location of Missing SCBA pack
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Are Any SCBA or Cylinders Damaged?
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Please list SCBA or Cylinder Number
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Please provide a Photo of the Damage
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COMMENTS:
Cab of the Truck - Front - Officer's Seat
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(1) SCBA
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(1) VHF Handheld Radio - Set to RED channel
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(1) UHF 800mHz Handheld Radio
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(1) Portable Hand Light
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(1) Spotlight
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(1) HazMat ERG
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(1) Pre Incident Plan binder
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(1) St. Clair County Map Book
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(1) Pair of Binoculars
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(1) Seat Belt Cutter tool
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(1) Tac Stick (Boom Stick) live wire indicator
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(1) Sensit P100 CO Monitor - YELLOW
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(1) ZOLL AED
Cab of Truck - Rear Seats
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(4) SCBAs
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(2) Space SCBA masks
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(3) VHF Handheld Radio - Set to RED channel
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Roadside Safety Vests - YELLOW
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(2) Latex Bloves - BOX - Lg and XL
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(4) Portable Hand Lights
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(1) ARGUS Thermal Imaging Camera
Pump Panel Area
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(1) Axe - Pick Head - Driver Side
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(1) Axe - Pick Head - Passenger Side
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(1) Pry Bar - BLACK
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(1) Pike Pole - 5' D Handle
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(1) VHF Mobile Radio with Headset
Hose Lines - Hand Lines
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1 3/4" x 200' Hand Line - RED - TFT Fog Nozzle
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1 3/4" x 200' Hand Line - ORANGE - TFT Fog Nozzle
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2 1/2" x 200' Hand Line - BLUE - TFT Smooth Bore Nozzle
Pump Panel - Step Compartment - Driver Side
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(3) Containers Oil Dry
Pump Panel - Driver Side
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(2) Spanner Wrench - SMALL
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(4) Spanner Wrench - LARGE
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(2) 5" x 25' Fill Hose - YELLOW - (1) 4 1/2" Thread to 5" Storz attached
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(1) Intake Valve - Large Diameter
Driver Side - Compartment 1
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(1) Spare SCBA
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(1) Bolt Cutter
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(1) Hydrant Wrench
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(1) Crash Axe
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(1) Rubber Mallet
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(1) Manual Rewind Handle - BLACK
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(1) Hose Roller
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Multiple Cleaning Rags
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(1) Positive Pressure Fan - OPERATE 5 MINUTES
Hydrant Bag
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(1) 4 1/2" Thread to 5" Storz
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(1) 2 1/2" Thread to 5" Storz
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(1) 2 1/2" Hydrant Gate Valve
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(1) Hydrant Wrench
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(2) Spanner Wrench - Super Spanner
Driver Side - Compartment 2
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(1) Halligan Tool
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(1) Axe - Flat Head
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(1) Drywall Ripper
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(1) 5" Thread Male to 6" Thread Female
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(1) 4 1/2" Thread Male to 4" Thread Female(
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(1) 6" Barrel Strainer - (may be attached to hard suction hose)
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(1) Jet Siphon - (may be attached to hard suction hose)
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(1) 2 1/2" Thread Female to 1 1/2" Thread Male - Wye
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(3) 2 1/2" Thread Double Female - Coupling
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(2) 2 1/2" Thread Double Male - Coupling
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(1) 2 1/2" Thread Female to 1 1/2" Thread Male - Reducer
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(2) 5" Storz to 2 1/2" Thread Female - 30* Angle
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(1) 5" Storz to 4" Storz - Reducer
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(1) 5" Storz to 4 1/2" Thread Female - 30* Angle
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(1) 5" Storz to 2 1/2" Thread Male - Wye
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(1) 2 1/2" TFT Fog Nozzle
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(1) Push Broom Handle
Driver Side - Compartment 3
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(1) Fire Extinguisher - Class D - YELLOW
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(1) Push Broom Brush
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(1) "High Rise" Hose Pack - 1 3/4" x 100' - BROWN (1) Fog Nozzle - Break-Away (1) 2 1/2" Thread Female to 1 1/2" Thread Male - Wye
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(2) Salvage Tarp - Nylon - BLUE
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(1) Diesel Generator - OPERATE
Driver Side - Top of Truck
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(2) 6" Thread x 10' Hard Suction Hose - BLACK
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(1) Fixed Spotlight - Tear Drop - Rear of Truck - OPERATE
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Rear Compartment
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(2) Hydraulic Hose Sections - 30'
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(1) MSA RIT Pack - Mask and Buddy-Breathe attached - CHECK PRESSURE
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(1) Salvage Tarp - Nylon - BLUE
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(1) Rescue Blanket - WOOL
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(1) TNT Power Unit - SIMO Pump - OPERATE
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(1) TNT Spreader - OPERATE
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(1) TNT Cutter - OPERATE
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(5) Landing Zone Lights - In Bag - OPERATE
Top of Truck - Hose Bed
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5" x 1000' Supply Line - YELLOW
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2 1/2" x 200' Hand Line - TFT Fog Nozzle - WHITE
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2 1/2" x 200' Hand Line - Dead Lay - YELLOW
Passenger Side - Top of Truck
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(1) Ladder - 10' - Attic Ladder
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(1) Ladder - 14' - Roof Ladder
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(1) Ladder - 35' - Extension Ladder
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(1) Spotlight - Tear Drop - Fixed in place - OPERATE
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(2) Quartz Lights - Portable on Stand - OPERATE
Pike Poles
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(1) Pike Pole - 6'
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(1) Pike Pole - 8'
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(1) Pike Pole - 10'
Pump Panel - Step Compartment - Passenger Side
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(3) Extension Cords - Orange Reel - 75'
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(1) Jumper Cables
Pump Panel - Passenger Side
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(8) Spare SCBA Bottles - CHECK PRESSURE >4000psi
- ALL FULL
- ALL FILLED
- MISSING
Passenger Side - Above Pump Panel
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(1) Deck Gun - Master Stream - Pre-Piped
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(1) Booster Reel w/ TFT Nozzle - 1/2" x 150' - RED
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(1) Electric Cord Reel - 200' - YELLOW
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(2) Quartz Lights - Fixed - OPERATE
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(2) Nylon Hose sections - 1 3/4" x 50' - Doughnut Roll
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(12) Traffic Cones - ORANGE
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(1) Spine Board - Short Wooden
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(1) Spine Board - Long Plastic
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(1) Piercing Nozzle - SILVER
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(1) Shovel - Scoop Shovel
Passenger Side - Compartment 1
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(1) Extinguisher - Water - CHECK PRESSURE
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(1) Extinguisher - CO2
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(1) Electrical Junction Box
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(1) Glass Cutter
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(1) Folding Shovel
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(2) Cribbing Packs - (6) 4"x4", (4) 2"x4", (2) Wedges
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(2) Cribbing - Step Chalk
Passenger Side - Compartment 2
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(1) EMS Jump Bag
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(1) Bottled Water - Case
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(1) Chimney Flare - Box
Passenger Side - Compartment 3
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(1) Sawzall & Accessories - OPERATE
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(1) 4-Gas Meter - BLACK Case - OPERATE
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4-Gas Meter Battery Level: (charge if less than 1/2)
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(1) Cordless Tool Set - 3-tools in RED bag - Porter Cable
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(1) Accountability Board - WHITE vinyl
Passenger Side - Compartment 4
(1) 4-Drawer Tool box - Craftsman RED
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(1) Adapter - Twist Lock Female to Straight Male - YELLOW
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(1) Adapter - Twist Lock Male to Straight Female - YELLOW
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(2) Chain Sections - BLACK bucket - (1/2" x 16') & (3/8" x 18')
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(1) Socket Set - BLACK case
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(1) Bottle Jack
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(1) Clevis
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(1) Extinguisher - ABC - 20lbs
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(1) Utility Rope - WHITE bag - (1/2" x 150')
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(1) Sledge Hammer
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(2) Hacksaws.
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(1) Pipe Wrench
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(1) Vent Saw - Echo - OPERATE
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(1) Vent Saw Wrench
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(1) Spare Chain - Vent Saw
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(1) Bar Oil - Gallon Jug
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(1) Oil - 2-Cycle - Small Bottle
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(1) Gasoline - Tru-Fuel - Gallon
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(2) Gas/Oil - 50:1 Mix - Quart
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(1) Caution Tape - Roll - YELLOW
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(1) Duct Tape - Roll - GREY
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(1) Ground Monitor - Master Stream Base - RED
Vehicle Engine/Pump Operating
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Drain Jockey Pump - Under Rear, Forward Facing Seat
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Engine Oil Level:
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Engine Oil Pressure - IDLE:
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Engine Oil Pressure - 1000 RPMs:
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Engine RPMs - IDLE
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Tank Water Level:
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Pump Primer - OPERATE
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Pump - OPERATE
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Quartz Lights - Fixed - OPERATE
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Warning Lights/Sirens - OPERATE
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Tire Pressure - Front 130psi / Rear 120psi
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Transmission Fluid Level:
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Power Steering Fluid Level:
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Check Brakes
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Drive the Vehicle
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Fuel Level at completion of Equipment Check:
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COMMENTS:
Signatures of Inspectors:
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Firefighter Signature - Print/Sign
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Firefighter Signature - Print/Sign
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Firefighter Signature - Print/Sign
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Firefighter Signature - Print/Sign
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Officer Sign-Off Signature - Print/Sign
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Add signature
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Email Completed Form to: NAFD62264@gmail.com
