Title Page

  • Conducted on

  • Prepared by

  • Available for inspection

General Condition

  • Clean inside and out

  • No Leaks or damage found

  • Tires, Rims, and Lug nuts present in good condition

  • Tires inflated to 120 PSI each

Fluids

  • Miles

  • Hours

  • Fuel level

  • Oil (15W40)

  • Transmission

  • Power steering

  • Coolant

  • Diesel Exhaust Fluid

  • Windshield washer fluid

Exterior

  • No issues found upon visual inspection

  • All doors hinged/roll ups operate correctly

  • Folding steps/grab handles

  • Wiper blades

  • Bucket and roof are clean from debris

Cab Interior

  • Gauges oil, temp, air, alt, etc

  • Warning lights and buzzers

  • Controls, steering, brakes, horn and wipers

  • Mirrors and interior lighting

  • Accountability tags in good shape

  • Radios correct channels and volume checked

  • Brockton portable charging

  • Throw stick water rescue

  • Flashlights

  • Hot stick working and in good condition

  • Submersion suits in good shape ready to deploy

Multi Gas Meter

  • Appropriate battery life

  • Calibrated

  • In good condition

Scotts

  • Bottles are full, no leaks and clean

  • Masks in good shape and connected

  • Pass devices checked

  • Heads up display working

  • Voice amplifier working

Thermal Camera

  • Good condition

  • Camera charging

  • Battery chaging

  • Spare battery

  • Camera tether is present

1 - Electric Panel

  • Mud plates

  • Tarps

2 - Pump Panel

  • Hoses are present, drained, and packed correctly

  • Nozzles are present and tight on hose

  • Nozzles in correct positions, bail, pattern

  • Water tank full

  • Ladder pipe/nozzles operate properly

  • All gauges read appropriately

  • All hose bed covers are fastened, in good shape

  • Pump primer works as it should

  • Pump engages and throttles up/dwn

  • Pump drains open/close

3 - Fittings

  • Coupling adapters and wrenches present

  • Speedy Dry

  • 50ft and two 25ft of 4"

4 - Hydrant bag/Generator

  • Hydrant bag

  • Generator tested and light working

5 - Lighting

  • Circle D lights

  • Extension cords

6 - EMS

  • Rope bag

  • AED w/ pads

  • First in bag

  • O2 tank/regulator

  • O2 supplies

  • Trauma supplies/tourniquets

  • BP Cuff

  • Epi Adult/Junior

  • Narcan

  • Refusals/paperwork

7 - RIT

  • RIT pack full and ready to deploy

  • RIT rope in good shape ready to deploy

  • High rise pack

8 - Fans

  • PPV working properly

  • Smoke ejector working properly

9 - Ladders

  • All ladders checked for safety and function

  • Extension ladders

  • Roof ladders

  • Pencil ladder

  • Folding ladder

  • Pike poles present and in good shape

10 - K12

  • K12 saw present in working properly

11 - HAV/Chimney Bucket

  • Fuel can present and full

  • Tool box

  • Hydrant assist valve

  • Chimney bucket present and stocked

12 - Saws

  • Chainsaw

  • Roof saw

  • Spare saw blades and chains

  • Motomix and bar chain oil

13 - Scott Bottles

  • Hand tools are present and in good shape

  • Bottles are full, no leaks and clean

14 - Extinguishers

  • Fire extinguishers full with appropriate pressure

  • Hand tools are present and in good shape

15 - Hose

  • Two 25' and one 50' hose (4 inch)

  • Length of 1 3/4" hose

16 - Generator

  • Oil checked (15W40)

  • Pre heats

  • Starts and runs

17 - Cord reel

  • Cord reel tested and works properly

  • Circle D lights

  • Junction box

Aerial

  • Stabilizers in good working condition

  • Bucket is in good working condition

  • Safety belts are present and in good condition

  • The Aerial operates appropriately

  • Main aerial air supply is full and not leaking

Lights

  • Headlights - Hi/low beam

  • Running lights

  • Brake lights

  • Backup lights

  • Spot/Flood lights

  • Ground, step hose bed lights, etc

  • Warning lights, Sirens, Air horn

  • Tip/Bucket Lights

  • Aerial warning lights

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.