Equipment Checklist Form
Date
*
 -
Day
 -
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
VEHICLE
*
Please Select
DX 05
DX 107
DX 114
Checklist
*
Rows
YES
NO
2 X 65MM HOSE
1
2
2 X 45MM HOSE
3
4
3 X 25 MM HOSE
5
6
2 X 25 MM BRANCHES
7
8
2 X 65 MM BRANCHES(1 X AKRON / 1 X AWG)
9
10
1 X SUCTION VOLUME PUMP
11
12
1 X SUCTION HOSE
13
14
2 X SPADE
15
16
1 X BOLT CUTTER
17
18
2 X FALSE SPINDLES
19
20
FIRST AID BOX WITH BURNSHIELD
21
22
COOLER-BOX
23
24
1 X DCP EXTINGUISHER
25
26
FAULTS / REMARKS
CHECKED BY
*
First Name
Last Name
STAFF NUMBER
*
SIGN
*
SUBMIT CHECKSHEET
Should be Empty: