UG Stretcher & FAB Box Checklist

• Inspected by

• Date

  Date

Stretcher

• 1 x scaling bar

  Yes

  No

• 1 x pelican pick

  Yes

  No

• 2 x search sticks

  Yes

  No

• 2 x self rescuer

  Yes

  No

• 2 x CCBA oxygen cylinders (2L)

  Yes

  No

• cylinder pressures x 2

• 1 x blanket

  Yes

  No

• 1 x carry canvas

  Yes

  No

• 1 x rope bag

  Yes

  No

• 1 x red medical bag

  Yes

  No

• 1 x captains’ bag

  Yes

  No

• 1 x vice captains’ bag

  Yes

  No

• 1 x sling and carabiner at head of stretcher

  Yes

  No

Rope Bag

• 1 x 50m rope

  Yes

  No

• 2 x pulleys

  Yes

  No

• 5 x carabiners

  Yes

  No

• 1 x Petzl ID

  Yes

  No

• 1 x ascender

  Yes

  No

• 6 x slings = 2 x Small, 2x Med. 2 x Large

  Yes

  No

Medical Bag

• 1 x carabiner attached to outside of bag

  Yes

  No

• 1 x CCBA Mask

  Yes

  No

• 1 x carevent with BG4 oxygen cylinder

  Yes

  No

• cylinder pressure reading?

• 1 x high concentration mask

  Yes

  No

• Qty medical gloves, S, M, L, XL

  Yes

  No

• 1 x patient care record pad

  Yes

  No

• 1 x pen & pencil

  Yes

  No

• 3 x OPA

  Yes

  No

• 1 x trauma shears

  Yes

  No

• 4 x triangular bandages

  Yes

  No

• 6 x wound dressings

  Yes

  No

• 1 x large crepe bandage

  Yes

  No

• 2 x small crepe bandages

  Yes

  No

• 1 x emergency blanket

  Yes

  No

• 1 x combine dressing

  Yes

  No

• 1 x universal dressing

  Yes

  No

• 2 x eye pad

  Yes

  No

• 2 x non adherent dressing

  Yes

  No

• 2 x 15ml saline

  Yes

  No

Captains Bag

• 1 x Folder with current UG maps & captains’ sheets

  Yes

  No

• 3 x pens (red, black, blue)

  Yes

  No

• 1 x paint pen

  Yes

  No

• 1 x permanent marker

  Yes

  No

• 2 x highlighters (green & pink)

  Yes

  No

• 1 x scale ruler

  Yes

  No

• 1 x mine gasses sheet

  Yes

  No

• 3 each x out of service & danger tags

  Yes

  No

• 2 x chinagraph pencils

  Yes

  No

• 1 x electrical tape

  Yes

  No

• 2 x green glow sticks

  Yes

  No

• Qty cable ties

  Yes

  No

• Qty minesup clips

  Yes

  No

• Qty ear plugs

  Yes

  No

Vice-Captains Bag

• 1 x bottle anti-fog

  Yes

  No

• 3 x pens (red, black, blue)

  Yes

  No

• 1 x paint pen

  Yes

  No

• 1 x permanent marker

  Yes

  No

• 2 x highlighters (green & pink)

  Yes

  No

• 2 x chinagraph pencil

  Yes

  No

• 1 x small roll danger tape

  Yes

  No

• 1 x small roll caution tape

  Yes

  No

• 20 x FAB route markers

  Yes

  No

• 1 x electrical tape

  Yes

  No

• Qty small cable ties

  Yes

  No

• Qty minesup clips

  Yes

  No

• Qty ear plugs

  Yes

  No

• Captains BG4 checks - laminated sheet

  Yes

  No

FAB Box

• 1 x Canvas Tarp

  Yes

  No

• 6 x spare CCBA cylinders

  Yes

  No

• FAB Coordinator folder

  Yes

  No

• Full set of UG Emergency Mine Maps

  Yes

  No

• Qty drinking cups

  Yes

  No