Prince George Fire-EMS

(Personal Protective Gear)
Inspection Form 

                                                 

Name:                        Inspection Date:

{Check One}          Issued  Loaner

 
 ITEM    PASS       FAIL      REPAIR      REPLACE   DATE
CORRECTED 
 COAT          
 COAT LINER          
 COAT(RQ STRAP)          
 PANTS          
 PANTS LINER          
 SUSPENDERS          
 HELMET(OUTER)          
 HELMET (INNER)          
 HELMET (EAR, OPT)              
 HOOD          
 BOOTS          
 WK GLOVES          
 SAFETY GLASSES          

 
NOTE: ALL UNSATISFACTORY ITEMS MUST BE EXPLAINED BELOW. IF NO CORRECTIONS
ARE NEEDED, OR REPAIRED/ REPLACEMENT IS COMPLETE, THEN FORWARD THIS FORM
TO FIRE ADMINISTRATIONS 

Comments: 

INDIVIDUAL  COMPANY OFFICER    SAFETY INSPECTOR    
     





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