Page 4 of 10
0156
COMPLIANCE
Exterior Continued
................................................................................................................................
YES
.......
NO
........
NA
Signal lights-front .....................................................................................................................................
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.........
Signal lights-rear ......................................................................................................................................
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.........
Signal lights-side......................................................................................................................................
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.........
Brake........................................................................................................................................................
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.........
Tail ...........................................................................................................................................................
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.........
Reverse lights ..........................................................................................................................................
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.........
D.O.T. reflectors.......................................................................................................................................
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.........
Fog lights .................................................................................................................................................
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Driving lights.............................................................................................................................................
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Shoreline..................................................................................................................................................
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.........
110V outlet...............................................................................................................................................
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Exhaust vent____ Intake vent____ .........................................................................................................
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Siren speakers.........................................................................................................................................
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COMPLIANCE
4. Under Chassis Inspection
....................................................................................................
YES
.......
NO
........
NA
A.
Undercoating (blackasphalt
or foam
)
.....................................................................................
..........
.........
B.
Rear towhooks (front towhooksarenot allowedonFordESeriesambulance)
.......................
..........
.........
D.
All holes through floor sealed
..........................................................................................................
..........
.........
E.
Allmountingbolts andpucks tight
..................................................................................................
..........
.........
F.
All electrical wires andcables loomedand tiedup securely
.........................................................
..........
.........
G.
Heater/AChoses loomedand tiedup securely
...............................................................................
..........
.........
I.
Backing for pedestal seat and cotmountswelded in
.....................................................................
..........
.........
J. Splashguard inwheel wells
..................................................................................................................
..........
.........
K. Rear stabilizer
.........................................................................................................................................
..........
.........
L. Back-upalarm
........................................................................................................................................
..........
.........
M.
Heat shields inplaceandsecurelymounted
...................................................................................
..........
.........
N. Spare tire carrier
....................................................................................................................................
..........
.........
O. Prestige tapeonoil pressure switch andA/C valves
.........................................................................
..........
.........
COMPLIANCE
5. Interior Visual Inspection
......................................................................................................
YES
.......
NO
........
NA
A.
Consolemounting and appearance (wire loomedand in track)
...................................................
..........
.........
B. Cab ceiling, trim, pads and fillers
.........................................................................................................
..........
.........
C.
Cab seat andshoulder beltsoperation, seat recessesand armrests
...........................................
..........
.........
D. Walk through, or talk through
...............................................................................................................
..........
.........
NOTE: If a step is incomplete circle
O
the initial blank in
red
pen.
Thiswill be thenotification to thedownstreamwork center(s) that this stepstill needs tobe completed.
.................................
