Title Page

  • Conducted on

  • Prepared by

  • Location

SCBA Inspection

  • Complete Bi-Weekly SCBA Inspection?

  • Check All Gauges for Function (Must be within 100 psi)

  • Check Low Pressure and Quarter Service Alarms for Function

  • Check/Tighten All Hose Connections

  • Ensure Regulators are Clean and Operational

  • Ensure All Straps are Expanded to Largest Position

  • Check Function of P.A.S.S. Device - Alarms within 15 sec of sitting still.

  • Check Spare SCBA Cylinders are Equal or Greater than 4000psi

  • Number of Spare SCBA Cylinders present?

  • Are Any SCBAs Missing or Out of Service?

  • List Location of Missing SCBA pack

  • Are Any SCBA or Cylinders Damaged?

  • Please list SCBA or Cylinders Number

  • Please Provide a Photo of the Damage

  • COMMENTS:

Cab of the Truck - Front - Officer's Seat

  • (1) SCBA

  • (1) VHF Handheld Radio - Set to RED channel

  • (1) UHF 800mHz Handheld Radio

  • (1) Portable Hand Light

  • (1) Spotlight

  • (1) HazMat ERG

  • (1) Pre Incident Plan binder

  • (1) St. Clair County Map Book

  • (1) Pair of Binoculars

  • (1) Seat Belt Cutter tool

  • (1) Sensit P100 CO Monitor - YELLOW

  • (1) ZOLL AED

Cab of Truck - Rear Seats

  • (4) SCBAs

  • (2) Space SCBA masks

  • (3) VHF Handheld Radio - Set to RED channel

  • (2) Portable Hand Lights

  • (2) Portable Light Box - ORANGE

  • Roadside Safety Vests - YELLOW

  • Traffic Control Wand Lights

  • (1) Cab Tilt Hand Crank - BLACK - Under Rear Forward Facing Seat

  • (1) MSA Thermal Imaging Camera - OPERATE

Pump Panel - Driver Side

  • (1) VHF Mobile Radio

  • (2) Spanner Wrench - SMALL

  • (1) Hydrant Wrench

  • (2) 5" x 25' Fill Hose - YELLOW - (1) 4 1/2" Thread to 5" Storz attached

  • (1) Intake Valve - Large Diameter STORZ

Hose Lines - Hand Lines

  • 1 3/4" x 200' Hand Line - RED - TFT Fog Nozzle

  • 1 3/4" x 200' Hand Line - ORANGE - TFT Fog Nozzle

  • 2 1/2" x 200' Hand Line - BLUE - TFT Smooth Bore Nozzle

  • 2 1/2" x 200' Hand Ling - YELLOW - TFT Fog Nozzle

Driver Side - Compartment 1

  • (1) Socket Set - 153 Piece in Case - GRAY

  • (1) Wrench Set - 32 Piece in Case - BLACK

  • (1) Foam Aerator - TFT Nozzle Adapter

  • (1) Monitor Base - Master Stream - RED

Hydrant Bag

  • (1) 4 1/2" Thread to 5" Storz

  • (1) 2 1/2" Thread to 5" Storz

  • (1) Hydrant Wrench

  • (2) Spanner Wrench - SMALL

  • (2) Spanner Wrench - LARGE

Tool Chest - 6 Drawer - BLACK

Drawer 1 - TOP

  • (1) Hacksaw with spare blades

  • (1) Keyhole Saw with spare blades

  • (2) Safety Glasses - Pair

  • (1) Medical Shears

Drawer 2

  • Screw Drivers - 18 Piece Set

  • Allen Wrench - Metric and Standard Set

Drawer 3

  • (1) Tin Snips

  • (1) Linemen's Pliers

  • (1) 7" Diagonal Pliers/Snips

  • (1) 8" Channel Lock Pliers

  • (3) Wise Grip Locking Pliers

  • (1) 10" Channel Lock Pliers

Drawer 4

  • (1) Claw Hammer

  • (1) 18" Pipe Wrench

  • (1) 8" Crescent Wrench

  • (1) 12" Crescent Wrench

Drawer 5

  • (1) Clevis

  • (1) Seat Belt Cutter with Window Punch

  • (1) Set of Wrenches - SMALL

Drawer 6

  • (1) Bottle Jack

  • (1) Hand Soap

  • (1) Paper Towel - Roll

  • (1) Toilet Paper - Roll

  • (3) Shop Towels

  • (1) WD-40 - Spray Can

  • (1) Caution Tape - Roll

Rear of Compartment

  • (1) Bolt Cutter

  • (1) Spine Board - Wood - SMALL

  • (1) Pry Bar - 52" - BLACK

  • Light Tower - Night Scan - OPERATE

Slide-Out Tool Board - Front

  • (4) Spanner Wrench - SUPER Spanner

  • (1) Glass Cutter with Window Punch

  • (1) Halligan Tool - 30"

  • (1) Wye - 2 1/2" to 1 1/2" - RED

  • (1) Jet Syphon - 6"

  • (1) 4" Storz to 5" Storz - Adaptor

  • (2) 2 1/2" Female Thread to 5" Storz

Slide-Out Tool Board - Rear

  • (1) Pike Pole - D Handle

  • (1) Axe - Flat Head

  • (1) Axe - Pick Head

  • (1) Sledge Hammer

  • (1) Crash Axe

Driver Side - Compartment 2 - Technical Rescue

  • (3) Vertical Rescue Ropes - In Bag - ORANGE/YELLOW/BLUE

  • (1) Throw Rope Bag - Polypropylene Rope - YELLOW

  • (1) Utility Rope - Nylon Rope - 100' - WHITE

  • (1) Rescue Noodle - PINK

  • (3) Rescuer Gear Bag - Water/Vertical Rescue - RED

  • (3) Spare Rescue Gloves - (2) XL (1) Lg

  • (1) Hardware Bag - Tech Rescue - BLACK

  • (1) Software Bag - Tech Rescue - BLACK

  • (1) Edge Protection - In Bag - BLACK

Driver Side - Compartment 3

  • (1) Rubber Mallet

  • (3) 2 1/2" Thread Double Female

  • (2) 2 1/2" Thread Double Male

  • (1) "High Rise" Hose Pack - 1 3/4" x 100' - BROWN (1) TFT Fog Nozzle

  • (1) Rescue Jack Set - RED

  • Stack Tips - Smooth Bore - Master Stream

  • (1) 2 1/2" Play Pipe Nozzle - Elkhart

  • (1) Low Level Strainer - 6"

  • (2) Molded Cribbing Step Chalk

  • (3) Cribbing Pack - GREEN

  • (1) Foam Inductor

  • (4) Oil Dry - 2 Gallon Jug

  • (1) Circular Rescue Saw - OPERATE

  • (1) Extinguisher - ABC - 20lbs

  • (1) Extinguisher - Water - CHECK PRESSURE

Rear Compartment

  • (2) Hydraulic Hose Sections - 100' - BLUE/RED

  • (1) Salvage Tarp - Nylon - BLUE

  • (1) TNT Ram - OPERATE

  • (1) TNT Spreader - OPERATE

  • (1) TNT Cutter - OPERATE

Rear of Truck

  • (1) Quartz Lights - Portable on Stand - OPERATE

Top of Truck - Hose Bed

  • 5" x 1000' Supply Line - YELLOW

  • 2 1/2" x 200' Hand Line - Dead Lay - YELLOW

  • Attic Ladder - 10' - Folded

Top of Truck - Driver Side - Hatch Compartment

  • (1) Fan - Smoke Ejector - OPERATE

  • Stokes Basket

  • (1) Spine Board - LARGE Plastic

  • (5) Foam - AFFF - Pale

  • (6) Personal Flotation Device - Life Jacket - ORANGE

  • (6) Salvage Tarp - BLUE

  • (12) Traffic Cones - ORANGE

Top of Truck - Passenger Side - Hatch Compartment

  • (2) Hard Suction Hose - 6" x 10' - PVC

  • (1) Barrel Strainer - 6"

  • (2) Broom with Detachable Handle

  • (2) Scoop Shovel

  • (1) Spade Shovel

  • (1) Tile Spade Shovel

Ladder Compartment - Rear of Truck

  • (1) Ladder - 12' - Roof Ladder

  • (1) Ladder - 28' - Extension Ladder

  • (1) Pike Pole - 6'

  • (1) Pike Pole - 8'

  • (1) Pike Pole - 10'

Passenger Side - Above Pump Panel

  • (1) Deck Gun - Master Stream - Pre-Piped

  • (1) Booster Reel w/ TFT Nozzle - 1/2" x 150' - RED

  • (1) Nylon Hose sections - 2 1/2" x 50' - Doughnut Roll - BLUE

Passenger Side - Bulk Head

  • (1) Quartz Lights - Fixed - OPERATE

Passenger Side - Compartment 1

  • (1) Electric Cord Reel - 200' - YELLOW

  • (1) Electrical Junction Box

  • (1) Electric Cord - 75' - ORANGE Reel

  • (1) Electric Cord - 50' - ORANGE Reel

  • (1) Sawzall and Accessories - Dewalt - OPERATE

  • (1) Winch - Portable with Receiver Mount

  • (2) Chain Section in Bag - 3/8" x 15' - BLACK

  • (1) Tow Strap - 20' - YELLOW

  • (1) Air Hose - 1/2" x 150' - Reel - RED

  • (1) Air Hose - 1/2" x 35' - Loop

  • (1) Air Hose - 1/2" x 15' - Jumper from Truck to Reel

  • (2) Air Chisel & Accessories - In GRAY case - OPERATE

  • (3) Air Bag - BLACK

  • (1) Air Bag Control Module - OPERATE

  • (1) Rubber Mat - Air Bag Protection - BLACK

  • (1) Jumper Cables

  • (1) Refrigerator - CHECK CONTENTS

Passenger Side - Compartment 2

  • (1) SCBA - Spare in Case - BLACK

  • (5) Landing Zone Lights - In Bag - OPERATE

  • (2) EMS Jump Bag - BLUE

  • (1) Latex Gloves - Box - Large

  • (1) Trash Bags - Roll

  • (3) Rescue Blanket

  • (1) Salvage Tarp - GREEN Canvas

  • (3) Salvage Tarps - vinyl

Passenger Side - Compartment 3

  • (1) TNT Simo Pump - Diesel Pump - OPERATE

  • (1) TNT Bantam Pump - OPERATE

  • (3) Hydraulic Hose - 30' Sections - RED/BLUE/YELLOW

  • (3) Cribbing Pack - GREEN

  • (2) Lubricating Solution - Squeeze Bottle

  • (1) Gasoline - Tru-Fuel - Gallon

  • (1) Vent Saw - Stihl - OPERATE

Vent Saw Accessory Crate

  • (1) Vent Saw Wrench

  • (1) Spare Chain - Vent Saw

  • (1) Bar Oil - Gallon Jug

  • (1) Gas/Oil - 50:1 Mix - Quart

Vehicle Engine/Pump Operating

  • Drain Jockey Pump - Under Rear, Forward Facing Seat

  • Engine Oil Level:

  • Engine Oil Pressure - IDLE:

  • Engine Oil Pressure - 1000 RPMs:

  • Engine RPMs - IDLE

  • Tank Water Level:

  • Pump Primer - OPERATE

  • Pump - OPERATE

  • Foam System - Cycle Inductor/Flush Switch

  • Night Scan Light Tower - OPERATE

  • Quartz Lights - Fixed - OPERATE

  • Warning Lights/Sirens - OPERATE

  • Tire Pressure - Front 130psi / Rear 120psi

  • Transmission Fluid Level:

  • Power Steering Fluid Level:

  • Check Brakes

  • Drive the Vehicle

  • Fuel Level at completion of Equipment Check:

  • COMMENTS:

Signatures of Inspectors:

  • Firefighter Signature

  • Firefighter Signature

  • Firefighter Signature

  • Firefighter Signature

  • Officer Sign-Off Signature

  • Email Completed Form to: NAFD62264@gmail.com

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.