Vehicle Inspection Record

Date:*

Operator:*

Apparatus:*

License Plate:*

Mileage:*

On-Duty BC:*

Battalion Chief Grim Battalion Chief Cleck Battalion Chief Hopkins Captain Chojnacki Captain Stoops Captain Daiello Both BC1 & CA31 Both BC2 & CA32 Both BC3 & CA33

This report must be completed when an operator accepts responsibility for a piece of apparatus. Completion of this form is the responsibility of the operator under the regulations of the Maryland State Department of Transportation. Anything marked DEFICIENT must have an explanation in the notes section at the bottom of the checkout. Any lights that are not functioning need to have a bulb number listed in the notes section.

Daily Vehicle Checks

Steering*

Good Deficient

Air Pressure*

Good Deficient

Parking Brake*

Good Deficient

Fuel Level*

New Damage*

Good Deficient

Knox Key*

Good Deficient N/A

Doors/Handles*

Good Deficient

Windows/Mirrors*

Good Deficient

Wipers*

Good Deficient

Headlights*

Good Deficient

Turn Signals*

Good Deficient

Side Markers*

Good Deficient

Tail Lights*

Good Deficient

Brake Lights*

Good Deficient

Reverse Lights*

Good Deficient

Emergency Lights*

Good Deficient

Federal Que*

Good Deficient N/A

Electric Siren*

Good Deficient

Vehicle Horn*

Good Deficient

Air Horn*

Good Deficient N/A

Instrument Panel*

Good Deficient N/A

Reflectors*

Good Deficient

Reflective Triangles*

Good Deficient

Heater*

Good Deficient

Defroster*

Good Deficient

Tire Condition*

Good Deficient

On-Spot Chains*

Good Deficient N/A

Daily Equipment Checks

SCBA*

Good Deficient

Facepieces*

Good Deficient

Spare Cylinders*

Good Deficient

Small Tools*

Good Deficient

Hand Lights*

Good Deficient

Meter*

Good Deficient

EMS Equipment*

Good Deficient

AED*

Good Deficient

Smoke Detector Kit*

Good Deficient

Portable Radios*

Good Deficient

Traffic Vests*

Good Deficient

EVAC Horn*

Good Deficient

Booster Tank*

Good Deficient N/A

Foam Tank*

Good Deficient N/A

Foam Bucket*

Good Deficient N/A

Scene Lights*

Good Deficient

Generator*

Good Deficient N/A

Quartz Lights*

Good Deficient N/A

Pump/Aerial*

Good Deficient N/A

Hose*

Good Deficient N/A

Ground Ladders*

Good Deficient N/A

Notes

Provide a detailed description of any deficiencies, including bulb numbers for lights that are out.

I attest that this vehicle inspection record is accurate to the best of my knowledge.*

YES NO