Backline Inspection
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Somerset-Pulaski CO. EMS
Quick Vehicle Inspection
Vehicle# *
Select an Option
EC-1
EC-2
EC-3
EC-4
EC-5
EC-6
EC-7
EC-8
Med-9
EC-10
EC-11
EC-12
EC-13
EC-14
EC-15
EC-16
Medic-1
Medic-2
Employee *
Select an Option
400 Tracy Sizemore, Chief
401 RETIRED (P. ENGLAND)
402 Matt Johnson, Major
403 Nancy Whitis, Major
404 Ernie Acton, Major
405 Jeremy Compton, Capt. / TC
406 Jessie Hamm, Capt.
407 Gerardo Garcia, Capt.
408 Autumn Beggan, Capt.
409 Evan Stout, Capt.
410 Lt. OPEN
411 Chelsea Quillen, Lt.
412 Nicholas Bush, Lt.
414 Chas Anderson, Lt.
415 Selena Ehringer
416 Kevin Campbell
417 Robert Mounce
418 John Rusin
419 Logan Gibson
420 Michael Raleigh
421 FT Medic
422 FT Medic
423 FT Medic
424 FT Medic
425 FT Medic
426 FT Medic
427 FT Medic
428 FT Medic
429 FT Medic
430 FT Medic
431 Donnie Hutchins
432 Jeanie Brown
433 Joshua Warinner
434 Matt Messenger
435 Josh Roark
436 Rebecca Poff
437 Ashley Burton
438 Dalton Floyd
439 Dennis McWhorter
440 Ashley Boyd
441 Jordan Davis
442 Mollie Stout
443 Chloe Brummett
444 Julie Howell
445 Brandon Douglas
446 Robert Roeder
447 Glenn Blevins
448 Casi Carpenter
449 RETIRED (B. STEVENSON)
450 Chelsea Blasingim
451 Jagger Keller
452 Michael Rogoski
453 Matthew Coomer
454 Alison Barnes
455 Baily Haynes
456 FT EMT
457 Chad Begley
458 Tessica Feaster
459 Jaden Inabnitt
460 Cory Ehrsam
461 Sable Jones
462 Tanner Whitaker
463 David Phillippi
464 Austin Young
465 Dustin Howard
466 Dave Miller
467 Cody Evans
468 Jimmie Foster
469 Robert Campbell
470 Sierra Campbell
471 Cory Kitchen
472 Naomi Branham
473 Cody Loveless
474 PT Medic
475 PT Medic
476 PT Medic
477 PT Medic
478 PT Medic
479 PT Medic
480 Kevin Frye
481 PT AEMT
482 Teddy Tweedy
483 PT AEMT
484 PT AEMT
485 Danielle Mountjoy
486 Katie McClendon
487 Lucas Williams
488 Camren Staton
489 PT AEMT
490 PT EMT
491 PT EMT
492 Kyle Bell
493 RETIRED (C. MCWHORTER)
494 John Brainard
495 Scott Burdine
496 Jackson Rogers
497 Mackenzie Eversole
498 PT EMT
499 Dr. Michael Citak
C-1 Bengie Howard, Chief
FM-1 Jason Cundiff
BC-1 Samuel Hudson
BC-2 Chris Meece
BC-3 Mike Phelps
101 Nathan Thayer, Capt.
102 Bryan West, Capt.
103 Shannon Hamm, Capt.
110 James Rogers, Lt.
112 Justin Foster, Lt.
113 Matt Miller, Lt.
114 Joshua Davis, Lt.
115 Creig Bradley, Lt.
116 Phillip Rogers, Lt.
120 Byron Gregory
121 Jayce Shepperd
122 Jeremy Nelson
123 Joey Vaughn
125 Chris Hall
126 Morgan Quick
127 Open
128 Travis Richardson
129 Matt Burton
130 James Martin
131 Daniel Clark
132 Josh Inman
133 Cody King
134 Tucker Robinson
135 Brett England
136 Rob Garland
137 Tim Ferrell
138 Hunter Frye
139 Gabe Heatherly
140 Braxton Burton
141 Open
142 Austin Mercer
143 Steve Marrs
SFD Random Person
Date
Mileage *
Time
Note: This inspection sheet is intended for back line emergency vehicles. The inspection sheet is used to ensure the vehicle is ready for emergency response. Items not listed in this inspection sheet are expected to be on the unit and working as stated on the last completed inspection form.
A. Unit Plugged Up? *
Yes
No
K. Head/Tail Lights *
Yes
No
B. Any Large Fluid Puddles Under Unit? *
Yes
No
L. Emergency Lights *
Yes
No
C. Engine Started: *
Yes
No
M. Clipboard & Forms *
Yes
No
If No, Why Not?
N. Cot/Stretcher On Board *
Yes
No
D. Voltage Reading
O. Oxygen Levels
Before Starting *
With Emergency Brake *
Large *
Small *
Spare *
Fixed Problem Or Vehicle Maintenance *
Fixed Problem
Vehicle Maintenance
N/A
E. Back Up Alarm Working *
Yes
No
F. Fuel Full *
Yes
No
P. Scoop Stretcher *
Yes
No
G. Siren Working *
Yes
No
Q. Long Spine Board #1 *
Yes
No
Q. Long Spine Board #2 *
Yes
No
H. Under Hood Inspection *
Yes
No
R. Stair Chair *
Yes
No
I. Tire Presure
Driver *
Select an Option
Good
Needs Attention
Needs Replacement ASAP
Pass *
Select an Option
Good
Needs Attention
Needs Replacement ASAP
S. KED *
Yes
No
T. Sager Or Hare *
Yes
No
J. Front UHF Radio
U. C-Collar Bag: Blue *
Yes
No
V. ALS Bag On Board *
Yes
No
Receives *
Yes
No
Transmits *
Yes
No
W. Narcotic Kit *
Yes
No
Seal *
Person(s) To Be Notified (use A Comma To Separate Email Addresses; Do Not Add a Space After the Comma)
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