Please enable JavaScript in your browser to complete this form.Date / TimeDateTimeOdometerChecked off by (all that assisted): *Steve ShelorWayne AkersBecky ShelorMike HaubnerLee WatsonRick LearyJennifer BarnettAmber SheppardAnnalyse BedwellAshley LewisBreana AkersChris ShelorChristian VanceJames AllbeeExterior CompartmentsDriver's Side Front *Oxygen > 750 PSISecured Minimum 3 StrapsOxygen Wrench in Wall PouchOxygen Wheel Open FullyJumper Cables on upper ShelfDriver's Side Mid *Fire Extinguisher (Inspect & Initial)Flare Case w/Min 6 Road FlaresTyChem Suits (2)Bolt CuttersVehicle Chain SetMass Casualty Bar for StretcherSlotted Screwdriver (in Tool Box)Philips Screwdriver (in Tool Box)2-Pound Sledge (in Tool Box)Vise Grip Pliers (in Tool Box)Adjustable Wrench (in Tool Box)Center Punch (in Tool Box)Work Gloves (1 Pair in Tool Box)Safety Glasses (in Tool Box)Slip-Jaw Pliers (Large) (in Tool Box)Slip-Jaw Pliers (Medium) (in Tool Box)Passenger Side RearBackboards (2)Scoop StretcherKEDPediatric BackboardLong Padded Board Splint SetWooden Half-BoardDriver's Side Rear *Stair Chair Securely in Door PocketLukas 2 (Top Shelf, Charged)Cardboard Padded Splints, Long (Middle Shelf)Cardboard Padded Splints, Medium (Middle Shelf)Cardboard Padded Splints, Short (Middle Shelf)Megamover (Lower Section)Adjustable Splint Set (Orange Bag, Lower Section)Reeves Stretcher (Lower Section)Passenger Side MidBurn Kit (Yellow Bag, Top Shelf)C-Collar Bag (Red Bag, Top Shelf)Spider Strap Bag (Red Bag, Top Shelf)Pediatric Immobilization Bag (Orange Bag, Top Shelf)Broselow Bag (Navy Bag, Lower Shelf)Trauma First Aid Bag (Red Bag, Lower Shelf)CommentsSignatureClear SignatureNameSubmit
