ALS Transport DVI
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SOMERSET-PULASKI COUNTY EMS
DAILY VEHICLE INSPECTION
Date Completed
Employee *
Select an Option
400 Steve Eubank, Chief
401 RETIRED (P. ENGLAND)
402 Matt Johnson, Major
403 Nancy Whitis, Major
404 Robert Campbell, Major
405 Jeremy Compton, Capt. / TC
406 Jessie Hamm, Capt.
407 Josh Morgan, Capt.
408 Ernie Acton, Capt.
409 Capt.
410 Lt.
411 Gerardo Garcia, Lt.
412 Autumn Beggan, Lt
414 Evan Stout, Lt.
415 Tina Davidson
416 Chelsea Quillen
417 Andrew McGarvey
418 Jimmie Foster
419 FT Medic
420 Selena Ehringer
421 Kevin Campbell
422 Robert Mounce
423 Cody Loveless
424 David Quillen
425 Luke Jansen
426 FT Medic
427 FT Medic
428 FT Medic
429 FT Medic
430 Jeanie Brown
431 Donnie Hutchins
432 Kevin Frye
433 Nicholas Bush
434 Sierra Campbell
435 Rebecca Poff
436 FT AEMT
437 FT AEMT
438 FT AEMT
439 FT AEMT
440 Scott Burdine
441 Mike Hinkle
442 Julie Howell
443 Brandon Douglas
444 Robert Roeder
445 Chelsea Blasingim
446 Glenn Blevins
447 Josh Warinner
448 Josh Roark
449 RETIRED (B. STEVENSON)
450 Matt Messenger
451 Casi Carpenter
452 John Rusin
453 Logan Gibson
454 Dalton Floyd
455 Jagger Keller
456 Michael Rogoski
457 Todd Branche
458 FT EMT
459 FT EMT
460 Josh Pence
461 Jason Baugh
462 Desirah Cowans
463 Brian Anderson
464 Samantha Warinner
465 Billy Crockett
466 Jhon Powell
467 Mike Short
468 Michael Osborne
469 Billy Floyd
470 Alex Shawen
471 Steve Marrs
472 Dustin Allred
473 Brandon Clark
474 PT Medic
475 Traci Bray
476 Sara Etzel
477 Mike Adams
478 Mollie Stout
479 Teddy Tweedy
480 Michael Raleigh
481 Kelsey Guidi
482 PT AEMT
483 Dave Miller
484 Cyndi Wilson
485 Jordan Davis
486 Austin Tarter
487 Chas Anderson
488 Kela Piatt
489 Scott Ungles
490 Angela Thomason
491 Ahmad Iqbal
492 Morris Skidmore
493 RETIRED (C. MCWHORTER)
494 Dennis McWhorter
495 Jason Hancock
496 Ashley Boyd
497 Alison Barnes
498 Baily Haynes
499 Sable Jones
C-1 Bengie Howard
BC-1 Samuel Hudson
BC-2 Coby Dykes
BC-3 Kenny Shepherd
FM-1 Jayce Shepperd
100 Chris Meece
102 Nick Cantrell
103 Mike Phelps
110 James Rogers
112 Justin Foster
113 Bryan West
114 Shannon Hamm
115 Creig Bradley
116 Nathan Thayer
120 Zeke Reynolds
121 Matt Miller
122 Jeremy Nelson
123 Joey Vaughn
124 Jason Cundiff
125 Chris Hall
126 Travis Chase
127 Joshua Davis
128 Travis Richardson
129 Matt Burton
130 James Martin
131 Daniel Clark
132 Josh Inman
133 Cody King
134 Phillip Rogers
135 Brett England
136 Rob Garland
137 Tim Ferrell
138 Hunter Frye
139 FT FF
140 Zach Nicolson
141 Crystal Norton
142 Austin Mercer
143 Morgan Quick
144 Jared Spiro
145 Michael Yates
147 Frank Votolato
149 Nate Looney
153 Robert Mueller
EC Units *
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
Mileage *
Employee *
Select an Option
400 Steve Eubank, Chief
401 RETIRED (P. ENGLAND)
402 Matt Johnson, Major
403 Nancy Whitis, Major
404 Robert Campbell, Major
405 Jeremy Compton, Capt. / TC
406 Jessie Hamm, Capt.
407 Josh Morgan, Capt.
408 Ernie Acton, Capt.
409 Capt.
410 Lt.
411 Gerardo Garcia, Lt.
412 Autumn Beggan, Lt
414 Evan Stout, Lt.
415 Tina Davidson
416 Chelsea Quillen
417 Andrew McGarvey
418 Jimmie Foster
419 FT Medic
420 Selena Ehringer
421 Kevin Campbell
422 Robert Mounce
423 Cody Loveless
424 David Quillen
425 Luke Jansen
426 FT Medic
427 FT Medic
428 FT Medic
429 FT Medic
430 Jeanie Brown
431 Donnie Hutchins
432 Kevin Frye
433 Nicholas Bush
434 Sierra Campbell
435 Rebecca Poff
436 FT AEMT
437 FT AEMT
438 FT AEMT
439 FT AEMT
440 Scott Burdine
441 Mike Hinkle
442 Julie Howell
443 Brandon Douglas
444 Robert Roeder
445 Chelsea Blasingim
446 Glenn Blevins
447 Josh Warinner
448 Josh Roark
449 RETIRED (B. STEVENSON)
450 Matt Messenger
451 Casi Carpenter
452 John Rusin
453 Logan Gibson
454 Dalton Floyd
455 Jagger Keller
456 Michael Rogoski
457 Todd Branche
458 FT EMT
459 FT EMT
460 Josh Pence
461 Jason Baugh
462 Desirah Cowans
463 Brian Anderson
464 Samantha Warinner
465 Billy Crockett
466 Jhon Powell
467 Mike Short
468 Michael Osborne
469 Billy Floyd
470 Alex Shawen
471 Steve Marrs
472 Dustin Allred
473 Brandon Clark
474 PT Medic
475 Traci Bray
476 Sara Etzel
477 Mike Adams
478 Mollie Stout
479 Teddy Tweedy
480 Michael Raleigh
481 Kelsey Guidi
482 PT AEMT
483 Dave Miller
484 Cyndi Wilson
485 Jordan Davis
486 Austin Tarter
487 Chas Anderson
488 Kela Piatt
489 Scott Ungles
490 Angela Thomason
491 Ahmad Iqbal
492 Morris Skidmore
493 RETIRED (C. MCWHORTER)
494 Dennis McWhorter
495 Jason Hancock
496 Ashley Boyd
497 Alison Barnes
498 Baily Haynes
499 Sable Jones
C-1 Bengie Howard
BC-1 Samuel Hudson
BC-2 Coby Dykes
BC-3 Kenny Shepherd
FM-1 Jayce Shepperd
100 Chris Meece
102 Nick Cantrell
103 Mike Phelps
110 James Rogers
112 Justin Foster
113 Bryan West
114 Shannon Hamm
115 Creig Bradley
116 Nathan Thayer
120 Zeke Reynolds
121 Matt Miller
122 Jeremy Nelson
123 Joey Vaughn
124 Jason Cundiff
125 Chris Hall
126 Travis Chase
127 Joshua Davis
128 Travis Richardson
129 Matt Burton
130 James Martin
131 Daniel Clark
132 Josh Inman
133 Cody King
134 Phillip Rogers
135 Brett England
136 Rob Garland
137 Tim Ferrell
138 Hunter Frye
139 FT FF
140 Zach Nicolson
141 Crystal Norton
142 Austin Mercer
143 Morgan Quick
144 Jared Spiro
145 Michael Yates
147 Frank Votolato
149 Nate Looney
153 Robert Mueller
DOCUMENTS
Vehicle Registration *
Yes
No
Proof Of Insurance *
Yes
No
Clip Board & Forms *
Yes
No
Hazmat Book *
Yes
No
OXYGEN LEVEL
Large Tank
Small Tank
Small Tank (Spare)
EQUIPMENT
Spine Boards (X2)
Yes
No
Pediatric LSB
Yes
No
Stair Chair
Yes
No
Scoop Stretcher
Yes
No
Fire Extinguisher (X2)
Yes
No
Hazard Triangles (X3)
Yes
No
Reflective Vest (X3)
Yes
No
Rescue Helmets (X2)
Yes
No
Tool Box
Flashlights (X1)
Yes
No
CAB
UHF Ratio:
Transmits
Yes
No
Receives
Yes
No
Windshield Wipers:
Continuous Speed
Yes
No
Intermittent
Yes
No
A/C & Heat
Yes
No
ENGINE COMPARTMENT
Automatic Thottle
Yes
No
Battery Cables
Yes
No
Batteries
Yes
No
Belts
Yes
No
Hoses
Yes
No
Exhaust System
Yes
No
Emergency Brake
Yes
No
FLUID LEVELS
Brake Fluid
Select an Option
Good
Added
Engine Coolant
Select an Option
Good
Added
Oil Level
Select an Option
Good
Added
Power Steering Fluid
Select an Option
Good
Added
Transmission Fluid
Select an Option
Good
Added
Fuel Level
Select an Option
Good
Added
TIRE PRESSURE/WEAR
Right Front Tire
Select an Option
Good
Needs Attention
Needs Replacement ASAP
Right Rear Inside Tire
Select an Option
Good
Needs Attention
Needs Replacement ASAP
Right Rear Outside Tire
Select an Option
Good
Needs Attention
Needs Replacement ASAP
Left Front Tire
Select an Option
Good
Needs Attention
Needs Replacement
Left Rear Inside Tire
Select an Option
Good
Needs Attention
Need Replacement ASAP
Left Rear Outside Tire
Select an Option
Good
Needs Attention
Needs Replacement ASAP
WARNING EQUIPMENT
Emergency Lights:
Primary
Yes
No
Secondary
Yes
No
Flood Lights:
Left Side
Yes
No
Right Side
Yes
No
Rear/Load
Yes
No
Tail Lights
Yes
No
Brake Lights
Yes
No
Back Up Alarm
Yes
No
Siren
Yes
No
Emergency Flashers
Yes
No
Turn Signals
Yes
No
ACTION AREA
B/P Cuff Adult
Yes
No
Stethoscope
Yes
No
10-Emesis Bags
Yes
No
Oxygen Regulators (X2):
Wall Monuted
Yes
No
Humidified
Yes
No
Wall Mounted Thermometer:
Thermometer Sheaths
Yes
No
2 Spare Boxes Thermometer Sheaths
Yes
No
SUCTION
Wall Mounted:
Holds At 300 MM/HG
Yes
No
1-18 French
Yes
No
1-Yankauer
Yes
No
1-Supply Tubing
Yes
No
1-Bite Stick
Yes
No
2-Isolation Masks
Yes
No
Portable:
Holds At 300 MM/HG
Yes
No
1-18 French
Yes
No
1-Yankauer
Yes
No
1-Supply Tubing
Yes
No
1-Bite Stick
Yes
No
2-Isolation Masks
Yes
No
PATIENT COMPARTMENT
UHF Radio:
Transmits
Yes
No
Receives
Yes
No
A/C & Heat
Yes
No
Overhead Lights:
Bright *
Select an Option
Working
Not Working
Needs Bulb Replacement
Dim *
Select an Option
Working
Not Working
Needs Bulb Replacement
Florescent *
Select an Option
Working
Not Working
Needs Bulb Replacement
MISCELLANEOUS SUPPLIES
1-Mega Mover Seated
Yes
No
1-Mega Mover Regular
Yes
No
1- Tissues
Yes
No
2-Sheets
Yes
No
2-Blankets
Yes
No
2-Pillows
Yes
No
2-Pillow Cases
Yes
No
2-Extra Gowns
Yes
No
Vanquish And Pump Sprayer
Yes
No
FLUID WARMER
Fluid Warmer
Yes
No
Normal Saline
Lactated Ringers
EQUIPMENT SEAL NUMBERS
Air Splints
Blue C-Collar Bag
K.E.D
K.E.D. #2
Sager Splint
Hare Traction
Yellow Med Kit *
Fluid Res Kit *
Pediatric Kit *
Pediatric Kit #2 *
CPAP & Circuit *
Splint Kit *
Fever Kit
ALS BAG
Left Pocket
Center
Right:
1-Sharps Containers
Yes
No
1-2 inch Tape
Yes
No
2-Tourniquets
Yes
No
Front:
B/P Cuff Adult
Yes
No
Stethoscope
Yes
No
Pulse Oximeter
Yes
No
B/G Chemstick Kit
Yes
No
Oral Glucose
Yes
No
2-Swat
Yes
No
SUPPLY CABINET SEALS
Cabinet A *
Cabinet B *
Cabinet C *
Cabinet D *
Cabinet E *
GLOVES
1-Small
Yes
No
1-Medium
Yes
No
1-Large
Yes
No
1-Ex-Large
Yes
No
TRAUMA KIT
Trauma Kit Inside Seal
Outside:
2-Cat Tourniquets
Yes
No
1-Trauma Shears
Yes
No
2-Pair Gloves
Yes
No
NARCOTIC KIT
Narcotic Kit *
Yes
No
Narcotic Kit Number *
Select an Option
1
2
3
4
5
6
7
8
9
10
Kit Seal Number
Morphine1
Morphine 2
Morphine 3
Ativan
Ativan 2
Toradol
Fentanyl
Versed
Ketamine
iV ROLL/CABINET
TOP POUCH:
2 Lab Kit In Bags & Flushes
Yes
No
2 Green
Yes
No
1 Blue
Yes
No
1 Red
Yes
No
1 Purple
Yes
No
1 Vac
Yes
No
2 Extra Flushes
Yes
No
MIDDLE POUCH:
(3) 1cc, 3cc, 10cc Syringes (Each)
Yes
No
(3) 18g, 21g, 25g Needles (Each)
Yes
No
BOTTOM POUCH:
3- Alcohol Preps
Yes
No
3- Iodine Preps
Yes
No
3-Nail Polish Remover
Yes
No
3-Cholra Preps
Yes
No
3- Bandaids
Yes
No
3 -Hand Wipes
Yes
No
1 -Backup Thermometer *
Yes
No
1- Instant Glucose
Yes
No
1 Huber Needle *
Yes
No
1- Tegaderm
Yes
No
1 -1-Inch Tape
Yes
No
1-Tourniquet *
Yes
No
MOLLE MODULES:
(3) 24, 22, 20, 18, 16, 14 Angio's (Each)
Yes
No
3-Ammonia Inhalants
Yes
No
3 -Albuterol
Yes
No
3- Ipratropium Bromide
Yes
No
1- ASA (Bottle)
Yes
No
1 -Nitro Spray (Frontline Units Only)
Yes
No
1-Nitro Pills (Backline Units Only)
Yes
No
MONITORS
Monitor Number *
Select an Option
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
1-Obese BP Cuff *
Yes
No
1 Roll Paper *
Yes
No
2 -Razors *
Yes
No
1- CO2 Cannula *
Yes
No
1-ET CO2
Yes
No
1- Defib Cable *
Yes
No
1- Adult BP Cuff *
Yes
No
1 Pulse Ox *
Yes
No
4 Lead Cables *
Yes
No
12 Lead Cables *
Yes
No
2 -Combo Pads *
Yes
No
2 -Electrodes Packs *
Yes
No
1 Spare Battery
Yes
No
Comments
Person(s) To Be Notified (use A Comma To Separate Email Addresses; Do Not Add a Space After the Comma)
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