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 (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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Page 1: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 2: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 3: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 4: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 5: Sample Gear and Inspection Guide From Surfguard 14-15

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)

Paddles: Stowage, Condition +Correct Size (1 set/boat)

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

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Page 6: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 7: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 8: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 9: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 10: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 11: Sample Gear and Inspection Guide From Surfguard 14-15

Life Saving Victoria # F

#R

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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

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Page 12: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 13: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 14: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 15: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 16: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 17: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 18: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 19: Sample Gear and Inspection Guide From Surfguard 14-15

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

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Page 20: Sample Gear and Inspection Guide From Surfguard 14-15

Signed: Date:

SAMPLE

GENERATE FROM THE GEAR A

ND EQUIP

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Page 21: Sample Gear and Inspection Guide From Surfguard 14-15

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.

Signed: Date:

INSPECTION CHECKLIST

Form Number: 84/07Last Updated: 2008-11-10

SAMPLE

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Page 22: Sample Gear and Inspection Guide From Surfguard 14-15

Life Saving Victoria # F

#R

#D

# Stickers

SPINAL EQUIPMENT (Spinal neck collars, spinal boards andstraps )

P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information

No checklist attributes have been set for Spinal Equipment .

Spinal board

Regular Collar

No Neck Collar

Adjustable Collar

Spinal straps

Paediatric Collar

Set Numbered

APPROVAL STICKER

Signed: Date:

INSPECTION CHECKLIST

Form Number: 84/07Last Updated: 2011-11-02

SAMPLE

GENERATE FROM THE GEAR A

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Page 23: Sample Gear and Inspection Guide From Surfguard 14-15

Life Saving Victoria # F

#R

#D

# Stickers

SUCTION EQUIPMENT (MANUAL)

P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information

Vaccum handle/pump

Disposable suction catheters (smalland large)

Disposable collection jar/canister

Clean and free of sand

APPROVAL STICKER

Signed: Date:

ESSENTIAL SURFGUARD INFO

Current Gear Inspection Date

Gear Inspection Completed by:

Gear Inspection Notes/Comments

Suction Equipment Make

INSPECTION CHECKLIST

Form Number: Last Updated: 2011-09-05

SAMPLE

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Page 24: Sample Gear and Inspection Guide From Surfguard 14-15

Life Saving Victoria # F

#R

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TRAILER (Boat/Box/Board Trailers etc)

P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information

No obvious defects (no protrudingjagged edges etc)

Winch & strap in working order &rachet lock working (if applicable)

Rust/Corrosion Free

Joins clean/rust/corrosion free

APPROVAL STICKER

Signed: Date:

ESSENTIAL SURFGUARD INFO

Manufacturer Serial No.

Registration Number

INSPECTION CHECKLIST

Form Number: Last Updated: 2010-09-03

SAMPLE

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Page 25: Sample Gear and Inspection Guide From Surfguard 14-15

Life Saving Victoria # F

#R

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VEHICLE

P= Pass / F = Fair / R = Re-inspect / D = Discard = Compulsory Surfguard Information

Registration plate & label (currentand attached)

Service log book

Clean and in good working order

Rust/corrosion free

Reversing beeper

Flashing light (and siren if applicable)

Radio communications mobile unit(where fitted)

Accessories to secure additionalequipment

Board racks/carry racks and tow barin good working order

Lights, horn and indicators in goodworking order

Sign writing (surf rescue branding)

Four wheel drive (4WD)

APPROVAL STICKER

Note: Rescue gear/accessories fitted on vehicles must meet gear inspection requirements for that item.

Signed: Date:

ESSENTIAL SURFGUARD INFO

Date of Purchase

Manufacturer Serial No.

Registration Number

Vehicle Make

Vehicle Type

INSPECTION CHECKLIST

Form Number: 84/07Last Updated: 2011-02-10

SAMPLE

GENERATE FROM THE GEAR A

ND EQUIP

MENT TAB IN S

URFGUARD