Wintergreen Fire And Rescue Daily Assignment Check Sheet
ADVERTISEMENT
1Wintergreen Fire and Rescue Daily
Assignment Check Sheet
Date:__/__/____ Shift:___ Station:___
Apparatus:______
__Check Engine Fluid Levels
Main Oxygen Level:_____PSI
__Cab Clean or Cleaned
Portable Oxygen Level:_____PSI
__Fuel Tank Full or Filled
Spare Oxygen Level:_____PSI
__Inspect for New Damage
Spare Oxygen Level:_____PSI
__Check Factory Lighting
SCBA #1:_____PSI
__Check Interior Lighting
SCBA #2:_____PSI
__Check Emergency Lighting/Siren
SCBA #3:_____PSI
__Exterior Clean or Cleaned
SCBA #4:_____PSI
__Check Tire Pressure
SCBA #5:_____PSI
__Check Flashlights/Box Lights
SCBA #6:_____PSI
__Check Radios (Mobile/Portable)
Spare SCBA:_____PSI
__Check Supplies (Medical or Fire)
Spare SCBA:_____PSI
__Check Fixed/Portable Suction (If Applicable)
Spare SCBA:_____PSI
__Charge Suction Unit, Maximum 4 Hours (If Applicable)
Spare SCBA:_____PSI
__Check Cardiac Monitor/AED (If Applicable)
Spare SCBA:_____PSI
__Run Generator/Gas Powered Equipment (If Applicable)
Spare SCBA:_____PSI
__Check Hydraulic Extrication Tools/Pumps
Spare SCBA:_____PSI
__Check SCBA, PASS, and Voice Amps (If Applicable)
Spare SCBA:_____PSI
__Check Immobilization Bag seal
RIT Pack:_____PSI
__Check Backboards (2)
Air (2000psi):_____PSI
__Rotate Autopulse Batteries (If Applicable)
__Check Oral Glucose Expiration Dates
__Check ET Tubes (Pediatric & Adult) Expiration Dates
__Check if EGR book are in front cab of Apparatus
__Check if Binoculars are in front cab of Apparatus (If Applicable)
ST Box # ______ Exp. Date:___/___/___ Tag #____________________
CT Box # ______ Exp. Date:___/___/___ Tag#____________________
Other Information:_______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
***By signing below, you are affirming that you have completed thoroughly the specific task and
the information is accurate to the best of your knowledge. This form will be kept on file. ***
Employee Signature:____________________________________
Date:_____-______-______
Employee Signature:____________________________________
Date:_____-______-______
Employee Signature:____________________________________
Date:_____-______-______
Reviewed
by
Officer
,
initial:________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal