Information

  • Personnel Assigned To Vehicle

  • Prepared by

  • Conducted on

1

CAB

  • Portable Radios Qty 4

  • Knox Box Keys

  • Alarm Keys

  • Subdivision Book

  • ERG Book

  • Pre-Plan Book

  • County Map Book

  • Clipboard

  • EMS Gloves (XL, L, M)

  • Helmet Shields Qty 4

  • Passport Tag - RED

  • Passport Tag - WHT

  • SCBA Qty 3

  • Safety Vests Qty 5

  • Garage Door Opener

  • Fuel Key

  • Thermal Imaging Camera

  • Hand Lights Qty 3

  • Fuel Level (if below 3/4, please fill)

  • Enter Mileage

2

EMS ROLL UP CABINET

  • RIT Pack, 200' Rope w/ Carabiner, Cutters, Med Mask, 1hr Bottle, Quick Fill Hose, Webbing w/ Carabiner

  • RIT Tarp (yellow)

  • Portable Suction Unit

  • Red Bag and Green Bag

  • C-Collar Bag (6 Collars)

  • Blanket

  • Pro Splints (2 Arm, 1 Leg, 1 Elbow)

  • AED (Change Battery)

  • Gas Leak Box w/ Plug n' Dike

  • 4 Gas, Gas Track, Radiac Monitor

  • Mustang Suit, 2 PFD's, Water Rope

  • Case of Water

  • Enter Drug Tag Number

3

DRIVERS SIDE

  • Ground Plates Qty 2

  • Wheel Chocks Qty 2

  • Flood Light Qty 3

  • SCBA Bottles Qty 4

CROSSLAYS

  • 1 3/4" X 200' w/ Smooth Bore

  • 1 3/4" X 200' w/ Fog

  • 2 1/2" X 200' w/ Smooth Bore

DRIVERS SIDE PUMP PANEL

  • 6' Halligan Hook

  • Storz Wrenches Qty 2

  • Spanner Wrenches Qty 2

  • Hydrant Wrench

CABINET 1

  • Bucket of Salt

  • Scene Tape Qty 2

  • Rope Hose Tool

  • Spare Keys Qty 9

4

CABINET 2

  • Mallet

  • Storz Wrenches Qty 2

  • 2 1/2" Double Male

  • 2 1/2" Double Female

  • Stackable Tips for Monitor Qty 4

  • Hydrant Wrench

  • 2 1/2" X 1 1/2" Gated Wye

  • 2 1/2" Gate Valve

  • 2 1/2" Play Pipe

  • 2 1/2" Female X 5" Storz

  • 6" Female X 5" Storz

  • 4 1/2" Female X 5" Storz

  • 4" X 5" Storz

  • 1 1/2" Chiefs Fog Nozzle

  • Foam Eductor

  • Hurst Pump w/ Bottle of Oil

  • 25' Hydraulic Hose for Hurst Pump

  • Large Ram and Small Ram

  • Glass Master

  • Traffic Cones Set

5

CABINET 3

  • Air Bags w/ Plywood Qty 4

  • Sawzall w/ Spare Blades

  • Electrical Cord w/ Junction Box

  • Electrical Junction Box w/ Pig Tail

  • SCBA Qty 2

  • Flares Qty 6

  • Cord Adapters Qty 4

CABINET 4

  • Ram Jammers Qty 2

  • Box of Chains

  • Air Hoses Qty 4

  • Crow Bars Qty 2

CABINET 5

  • 4 X 4 Cribbing Qty 29

  • Wedges Qty 9

  • Step Chocks Qty 2

  • Tool Box

  • Air Bag Regulator, Cut Off Wheel, Air Chisel

  • Impact Gun and Sockets

6

CABINET 6

  • Bottle Jacks Qty 3

  • Come-a-Long

  • Chains Qty 4

  • Ratchet Straps Qty 2

HYDRANT BAG

  • Hydrant Wrench

  • Spanner Wrenches Qty 2

  • Storz Wrenches Qty 2

  • Thread Adapter

  • 2 1/2" Gate Valve

  • Rubber Mallet

  • 4 1/2" Female X 5" Storz

7

REAR ROLL UP CABINET 7

  • 35' Extension Ladder Qty 2

  • 20' Roof Ladder

  • 28' Extension Ladder

  • 15' Roof Ladder

  • Attic Ladder

  • 6' Pike Pole Qty 2

  • 6' Haligan Hook

  • 12' Haligan Hook Qty 2

  • 8' Haligan Hook Qty 2

  • 8' Pike Pole

8

REAR HOSE BED

  • 500' X 2 1/2" w/ Play Pipe to 100' X 1 3/4" Hose w/ Chief Fog Nozzle

  • 650' X 5" LDH

CABINET 8

  • Misc. Saw Tools (Bar Oil, Funnel, Duct Tape, 2 Pouches)

  • Tarps Qty 2

  • Rotary Saw

  • Gas Can (Reg)

  • Fuel Can (Mix)

  • Smoke Ejector

  • Rope Hose Tool

  • Hotel Pack

  • 150' X 1 3/4" Hose w/ 2 1/2" X 1 1/2" Reducer, Smooth Bore, 2 Spanner Wrenches

9

PASSENGER SIDE

  • Ground Plates Qty 2

  • SCBA Bottles Qty 4

  • Flood Light Qty 3

CABINET 9

  • RASP Bag

  • Forcible Entry Bag w/ Keys, Rabbit Tool, K-Tool, Mallet, Pry Bar

CABINET 10

  • Pry Bar

  • Haligan

  • Irons (Haligan, Flat Head)

  • Sledge Hammer

  • Pick Head Axe

  • Closet Hook

10

CABINET 11

  • Pipe Wrench

  • Cellar Nozzle

  • Piercing Nozzle

  • Spreader Bar

  • Bolt Cutters

  • Emulsifier

  • Dry Chem Extinguisher

  • CO2 Extinguisher

  • Pressurized Water Can

  • PPV Fan

CABINET 12

  • Utility Rope

11

PASSENGER SIDE PUMP PANEL

  • Storz Wrenches

  • Spanner Wrenches

  • 5" X 50' LDH

  • 200' Electrical Cord Reel

  • Junction Box

  • 6' Roof Hook

FRONT BUMPER

  • Hurst Cutters

  • Hurst Spreaders

  • 100' Hose Reel

AERIAL

  • 10' Pike Pole

  • 16' Roof Ladder

  • Pick Head Axe

12

AERIAL BASE

  • Pompier Belts Qty 4

  • Step Chocks Qty 2

  • Wood Cribbing

  • 5 Gallon Buckets AFFF Foam

SAW BOX

  • Oil Dry

  • Chain Saw (Run on Weekly)

  • Rotary Saw (Run on Weekly)

  • Spare Rotary Saw Blades

  • Irons (Haligan, Flat Head Axe)

PASSENGER COFFIN BOX

  • TRT Harness

  • Skedco Rescue Tripod

STOKES BOX

  • Tarps Qty 2

  • Rescue Rope Bags Qty 2

  • TRT Hardware Bag

  • Stokes Basket

  • Backboard

13

DRIVERS SIDE COFFIN BOX

  • Box of Stakes

  • Bag of Straps and Chains

  • Rescue 42 Struts Qty 2

  • High Lift Jacks Qty 2

  • Broom

  • Squeegee

  • Flat Shovel

15

RUN POWER EQUIPMENT

  • Generator

  • Hurst Pump

LIGHTING

  • Emergency Lights

  • Driving Lights

MISC.

  • Tire Pressure (120 psi)

  • Siren

  • Washed

  • Clean Cab/Cabinets

  • Any Damage to Vehicle?

  • Please Describe in Detail and Notify Officer Immediately

16

PUMP CHECK

  • Pump Shift

  • Primer Test w/ Oil Check

  • Relief Valve

  • Excercised All Drains and Valves

WORK NEEDED

  • List any Problems (Also Create W/O)

  • Supplies Needed

  • Add signature

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