Equipment Checkoff

MM slash DD slash YYYY
Shift Start Time(Required)


Personal Supplies

Airway Supplies

PPE Supplies

Bandaging Supplies

Splinting Supplies

Assessment Supplies

Trauma Supplies

Medical Supplies

Narcan Log

Time In is located in the AAR
Time Out

Vehicle Checklist

Is the battery fully charged?
Do the turn signals work?
Do the headlights turn on?
Is there any new damage?