Lakeland EMS Rig Check
Please complete all fields below. If you require immediate re-stock assistance contact your duty officer.
Ambulance *
Date *
MM
/
DD
/
YYYY
Mileage *
Your answer
Fuel Level *
Cab Equipment *
Required
On-Board O2 PSI *
Your answer
Vehicle Lights/Emergency Warning Devices *
Required
Exterior Compartments *
Required
Blue Jump Bag *
Required
Blue Jump Bag O2 PSI *
Your answer
Red Jump Bag *
Required
Red Jump Bag O2 PSI
Your answer
Portable Suction & AED *
Required
Interior Equipment *
Required
Bench Seat *
Required
Additional Comments or Missing Supplies
Your answer
Crew Names *
Your answer
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