Squad 55 & 56 Daily Check
UPDATED 11/18/19 Lt Wright
Which Squad *
Required
Mileage *
Your answer
Diesel Exhaust Fluid OK (Sq 56 ONLY)
Fill DEF at 50%
Fuel *
Required
Cab Area
SQUAD 56 ONLY
RADIO STRAPS
Gloves
All Lights (Brake,Tail,ect...) Working Properly *
Required
Emergency Lights/Siren/Horn Working Properly *
Required
Vehicle Clean *
Required
Main Oxygen - change at 500psi *
Your answer
Inside Pt Area
Inside Cabinet SQUAD 56/55
SQUAD 55 ONLY
Pedi Bag *
Required
INTUBATION BAG *
Required
EZ IO Kit Seal # *
Your answer
Duo Dote Seal # *
Your answer
NARCOTIC Cabinet Seal # *
Your answer
IV Cabinet Seal # *
Your answer
Portable O2-COT - change at 1000psi *
Your answer
COT- CHARGING AND DRESSED
RED DRUG BAG
MEDIC (TOP) (RED SEAL ) # *
Your answer
ADVANCE (Back large pocket) (GREEN SEAL) # *
Your answer
IV (Front (Front small pocket) (GREEN SEAL) # *
Your answer
BASIC (RIGHT SIDE) (BLUE SEAL) # *
Your answer
RED FIRST IN BACKPACK
FRONT BOTTOM POCKET
Portable O2- RED FIRST IN BACKPACK - change at 1000psi *
Your answer
AIRWAY SUPPLIES (INSIDE BAG BY O2 BOTTLE) *
Required
Untitled Title
Trash Can Empty *
Inside Clean *
Zoll X-series Self Check Completed *
Required
Comments
Your answer
Last Name Of Member Doing Check
Member *
Your answer
Member
Your answer
Member
Your answer
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