Eclectic EMS Driver Check Off
Date:
Name
:
Unit#
:
Mileage:
Engine Oil
Fuel Level:
Power Steering Fluid
Turn Signals
Brake Fluid
Wipers
Transmission Fluid
Horn Siren
Engine Coolant
Heater F / R
Washer Fluid
Air Conditioner F / R
Diesel Exhaust Fluid
VHF Operational
Tires
Southern Linc
Lugnuts Tight
Traffic Vests
Driver Comp. (Clean)
Clipboard
Patient Comp. (Clean)
Map Book
Truck Washed / Clean
Handheld Flashlight
Dents / Scratches
Gloves
Trash Emptied
Big O2 Tank:
Fire Flapper
Small O2 Tank:
Bolt Cutters, Pry Bar, Hammer, Axe
Headlights
Oxygen Tank Inventory
Backup Lights
Big O2 Tanks Full:
Scene Lights
Big O2 Tanks Empty:
Running Lights
Sm. O2 Tanks Full:
Sm. O2 Tanks Empty: