Life Saving Victoria # F # R # D # Stickers BEACH VEHICLE (ATV) P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information Registration plate & label (if applicable) Service log book Clean and in good working order Rust/corrosion free Wheels & tyres in good condition Tyre pressure equal in all four tyres Reversing beeper Flashing light (in working order) Accessories to secure additional equipment Board racks/carry racks and tow bar in good working order Lights, horn and indictors in good working order (if fitted) Sign writing (surf rescue branding) Side doors/netting - attached and in good working order Mirror- Fitted and not damaged Roll bars/cage - Fitted and structural integrity not damaged Seat belts or hand grips - Fitted, not damaged and in good working condition APPROVAL STICKER Note: Rescue gear/accessories fitted on vehicles must meet gear inspection requirements for that item. Signed: Date: ESSENTIAL SURFGUARD INFO ATV Make ATV Model Date of Purchase Manufacturer Serial No. Registration Number INSPECTION CHECKLIST Form Number: 84/07 Last Updated: 2011-11-08 SAMPLE GENERATE FROM THE GEAR AND EQUIPMENT TAB IN SURFGUARD
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Sample Gear and Inspection Guide From Surfguard 14-15
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Life Saving Victoria # F
#R
#D
# Stickers
BEACH VEHICLE (ATV)
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Registration plate & label (ifapplicable)
Service log book
Clean and in good working order
Rust/corrosion free
Wheels & tyres in good condition
Tyre pressure equal in all four tyres
Reversing beeper
Flashing light (in working order)
Accessories to secure additionalequipment
Board racks/carry racks and tow barin good working order
Lights, horn and indictors in goodworking order (if fitted)
Sign writing (surf rescue branding)
Side doors/netting - attached and ingood working order
Mirror- Fitted and not damaged
Roll bars/cage - Fitted and structuralintegrity not damaged
Seat belts or hand grips - Fitted, notdamaged and in good workingcondition
APPROVAL STICKER
Note: Rescue gear/accessories fitted on vehicles must meet gear inspection requirements for that item.
Signed: Date:
ESSENTIAL SURFGUARD INFO
ATV Make
ATV Model
Date of Purchase
Manufacturer Serial No.
Registration Number
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2011-11-08
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
COMPETITION EQUIPMENT
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for Competition Equipment.No checklist items have been set for Competition Equipment.
Signed: Date:
Form Number: 84/07Last Updated: 2008-11-10
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
DEFIBRILLATOR (AED)
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Buttons Labelled
No Sand/Corrosion
Pads (in date and sealed)
Battery Condition
Carry Case
Spare Pads
Medical Shears
Resus Mask
Razor
Volume OK
Non alcohol gauze wipes
Gloves
Disposable Towels (optional)
Spare Battery (optional)
Training defibrilator (and protectivecase) clearly labelled: "TRAININGUSE ONLY"
APPROVAL STICKER
Signed: Date:
ESSENTIAL SURFGUARD INFO
Defibrillator Make
Defibrillator Model
Last Service on:
Manufacturer Serial No.
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2013-01-08
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
FIRST AID EQUIPMENT (First Aid Supplies/Kits - Please referto the checklist provided by your SLS state/territory office)
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for First Aid Equipment.No checklist items have been set for First Aid Equipment.
Signed: Date:
Form Number: 84/07Last Updated: 2009-08-21
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
IRB (Inflatable Rescue Boat)
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
IRB Code of Conduct (on NoticeBoard)
Floorboard Out (Class 1 & Class 3) Y/ N
Pontoon Wear to Underside
Pontoon Wear at Floorboard Junction
Reflective Tape
Spray Dodger
Bow Rope + Handles
Bow Rope D Fitting
Pontoon Ropes & Eyelets
Re-right Handles Rope + Pouch.(Length 1400mm - does not foul prop)
Carry Handles
Driver's Boarding Handle
Crewperson's Boarding Handle
Fuel Line Loops
Inflation Valves
Transom Plate Wear
Transom Lip (5mm Square)
Motor Safety Cable (1/boat)
Eye Bolts
Bungs (if applicable)
Knife & Sheath (square tip for use asa screwdriver)
15m Tow Rope: Stowage, Splice,Clip + Float (each end)
Approved Rescue Tube: Stowage
Whistle
Fuel Cell (no leaks, no sharps)
ESSENTIAL SURFGUARD INFO
H.I.N (if required by State/Territory)
IRB Class
IRB Make / Model
IRB Manufacturer
IRB Registration No. (e.g. SR No.)
Manufacturer Serial No.
Registration Expiry
SLSA Serial No. (e.g. 1-1AC-001N)
INSPECTION CHECKLIST
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Floorboards (not worn, noholes/sharps)
Floorboard hinge condition (ifapplicable)
Fuel Cell's Fixings
Foot Straps (1xdriver, 1xcrew)
Pressure Gauge (1/boat type)
APPROVAL STICKER
Signed: Date:
Form Number: 84/07Last Updated: 2013-06-17
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
IRB MOTOR
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Motor seals are intact
No obvious motor modifications
Restrictor device in place
Rust/Corrosion Free
Tilt-Lock Removed or Disabled
Mechanism to prevent motor fromstarting in gear removed (notrequired for ETEC models)
Condition of hoses and wiring
Loose or Missing Bolts
Fuel Filter Clean
Choke/Primer Functions
Smooth/Full Throttle Action (in gear engine not running)
Motor Cover and Clip
Propeller Blades (4 blade only)
Propeller Guard (is securely fixed)
Clamp Threads and Handles
Clamp Brackets
Tilt Bracket and Fixings
Swivel Brackets and Fixings
Starter Cord and Recoil
Motor Actually Runs and Idles
Gear Shift (F, R, N)
Gear Lever
Stop Button/s
No Major Defects
Motor Numbered
APPROVAL STICKER
Signed: Date:
ESSENTIAL SURFGUARD INFO
Manufacturer Serial No.
Motor Make
Motor Model
Propeller Guard Model (if present)
Propeller Guard Serial No. (if present)
Propeller model (4 blade only)
Propeller serial number (if present)
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2013-06-17
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
JRB (Jet Rescue Boat)
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for JRB.
Correct Signage
Engine condition
Stern (wear/damage)
Floor of hull (wear/damage)
Accessories (in place and condition)
Bow (wear/damage)
Hull underside (wear/damage)
APPROVAL STICKER
Signed: Date:
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2011-02-21
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
MANIKIN
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Chest Cover/Spare Mask
Carry Case (optional)
Cleaning Solution (as per SLSArequirements)
Spare Bags
Paper Towels
Tested and Working
Simulator Numbered
APPROVAL STICKER
Note: Manikins are to be presented clean, tidy and in working order. For OH&S reasons, manikins should be services according to the manufacturers instructions.
Signed: Date:
ESSENTIAL SURFGUARD INFO
Manikin Make
Manikin Model
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2008-11-10
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
ORB (Offshore Rescue Boat)
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for ORB.
Transom (wear/damage)
Correct Signage
Bow (wear/damage)
Hull starboard and port sides(wear/damage)
Communication Equipment
Hull underside (wear/damage)
Stern (wear/damage)
Floor of hull (wear/damage)
Lifesaving Equipment (in place andcondition)
Navigation Equipment
Safety Equipment (in place andcondition)
APPROVAL STICKER
Signed: Date:
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2011-02-21
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
OXYGEN RESUSCITATOR
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Unit Numbered
Ventilation Bag
Reservoir Bag
Reservoir Valve
Intake Valve
Extension Tube (optional)
Patient Valve
Resuscitation Tubing
Therapy Tubing
Resuscitation Mask Adult
Resuscitation Mask Child
Therapy Mask Adult
Therapy Mask Child
OP Airways x 2 (adult male andfemale)
Key Wheel - Attached
Yoke Plug - Attached (Stainless steelOxy Viva units only)
Sealing Washer
Spare Washer (1 - Stored in acontainer)
Surgical Gloves (minimum 3 pairs)
Notepad, Pen/Pencil
Chalk/Marker (to write date oncylinder)
No Sand in Unit
No Corrosion in Unit
No Corrosion on Screws/Nuts
Spare Oxygen Cylinder (1)
APPROVAL STICKER
Signed: Date:
ESSENTIAL SURFGUARD INFO
Last Service on:
Resuscitator Make
Resuscitator Model (TYpe)
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2012-09-20
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
PATROL EQUIPMENT (MISC) (General - Please refer to thechecklist provided by your SLS state/territory office)
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for Patrol Equipment (Misc).No checklist items have been set for Patrol Equipment (Misc).
Signed: Date:
Form Number: 84/07Last Updated: 2009-08-21
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
PATROL UNIFORMS
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for Patrol Uniforms.No checklist items have been set for Patrol Uniforms.
Signed: Date:
Form Number: Last Updated: 2008-03-28
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
RADIO
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Channels Labelled
No Sand/Corrosion
Aerial
Battery Condition
Carry Case
Waterproof Pouch
Radio Works
Radio Numbered
APPROVAL STICKER
Signed: Date:
ESSENTIAL SURFGUARD INFO
Manufacturer Serial No.
Radio Make
Radio Model
Radio Type (handheld/base set)
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2008-11-10
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
RESCUE BOARD
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Outer Surface (free of dings, jaggededges etc)
Straps or Ropes
Fin
Markings Top
Markings Bottom
Board Numbered
Knee pads (hard rescue boards)
APPROVAL STICKER
Signed: Date:
ESSENTIAL SURFGUARD INFO
Board Make
Board Type
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2012-07-23
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
RESCUE TUBE
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Tube Condition
Line not Knotted/Frayed
Clip
D Attachment
O Rings
Shoulder Strap
Splices
Tube Numbered
APPROVAL STICKER
Signed: Date:
ESSENTIAL SURFGUARD INFO
Tube Make
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2008-11-10
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
RIB (Rigid Inflatable Boat)
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for RIB.
Correct Signage
Pontoon starboard and port sides(wear/damage)
Hull underside (wear/damage)
Handles
Inflation Valves
Accessories (in place and condition)
Bow (wear/damage)
Floor of hull (wear/damage)
Rope
Transom Wear
Pressure Gauge (1/boat type)
APPROVAL STICKER
Signed: Date:
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2011-02-21
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
RIB/ORB OUTBOARD MOTOR
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for RIB/ORB Outboard Motor.
Rust/Corrosion Free
Fuel Filter Clean (if applicable)
Propeller Guard (if applicable)
No obvious motor modifications
Choke/Primer Functions
Propeller Blades
Clamp Threads and Handles
Swivel Brackets and Fixings
Gear Shift (F, R, N)
Stop Button/s
Loose or Missing Bolts
Motor Cover and Clip
Tilt Bracket and Fixings
Motor Actually Runs and Idles
Gear Lever
No Major Defects
Condition of hoses and wiring
Smooth/Full Throttle Action (in gearengine not running)
APPROVAL STICKER
Signed: Date:
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2011-02-21
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
RWC (Rescue Water Craft (Wave Runner))
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
Intake Plates
Seats
Non-Slip Grip
Hull Condition
Steering (Handlebar)
Front Compartment
Rear Compartment
Bungs
Mass Rescue Straps
Jet Outlet
Navigation Lights (If applicable)
Start & Kill Switches
Rescue Sled Anchor Points
Registration Numbers
Sparkplugs & Leads
Battery
Fuel & Oil
Telltale & Water Pump
Anchor Straps & Clips
Rescue Sled & Handles
Rescue Tube (complete relevantchecklist)
Lifevest
Helmet(s)
Towrope
Flushing Hose
Radio (complete relevant checklist)
Whistle
Bum Pack (if applicable)
Knife & Tools
Trailer (complete relevant checklist)
APPROVAL STICKER
ESSENTIAL SURFGUARD INFO
Make/Model
Manufacturer
Registration Number
SLSA Registration No.
INSPECTION CHECKLIST
Form Number: 84/07Last Updated: 2008-11-10
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Signed: Date:
SAMPLE
GENERATE FROM THE GEAR A
ND EQUIP
MENT TAB IN S
URFGUARD
Life Saving Victoria # F
#R
#D
# Stickers
SHARK BAG/MAJOR HAEMORRHAGE KIT
P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information
No checklist attributes have been set for Shark Bag/Major Haemorrhage Kit.
Clean Towels
Combine Trauma Pads 20 x 20cm
Pair of Universal Shears
Sterile Lint Pads (large)
Crepe Bandages 15cm
Tourniquet
Gloves (S, M, L)
APPROVAL STICKER
Note: These articles should be stored in a sealed plastic bag and the lot kept in a sturdy bag/box. Shark Bag requirements are as per your state's Standard Operating Procedures.