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 by RetainerOxygen Wrench Secured to awallOxygen Wheel Open FullyStair Chair SecuredDriver's Side Mid *Fire Extinguisher (Inspect & Initial)Flare Case w/Min 6 Road FlaresBolt CuttersVehicle Chain SetJumper CablesSlotted 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)HacksawDriver's Side Rear *Cardboard Padded Splints, Long (Middle Shelf)Cardboard Padded Splints, Medium (Middle Shelf)Cardboard Padded Splints, Short (Middle Shelf)Splint Set, Black Bag (Lower Shelf)Trauma First Aid Bag (Lower Shelf)Reeves Stretcher (Lower Shelf)Passenger Side RearBackboards (2)Scoop StretcherKEDPediatric BackboardWooden Half-BoardPassenger Side MidAdult Immobilization Bag, (Red Bag)Pediatric Immobilization Bag (Navy Bag)Passenger Side FrontTyvek Suits, 2 (Lowest Shelf)Burn Kit (Yellow Bag, Lowest Shelf)Burn Blanket (Orange Hard Case, Lowest Shelf)CommentsSignatureClear SignatureNameSubmit
