First Responder Equipment Resources Survey | Permian Road Safety Coalition

Thank you for participating in the following survey. Responses will be used to consider the effectiveness of our previous First Responder Life-Saving Equipment Initiatives and inform the need for future programs.

Name

First Last

Title

Organization

County(ies) Covered

Roster Size

Active Roster Size

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Pelican Rechargeable On-Scene Lighting Pack

Please enter a number from 0 to 5.

20lb. Fire Extinguisher

Please enter a number from 0 to 6.

Thermal Imaging Camera (Individual Size)

Please enter a number from 0 to 12.

Heavyweight Extrication Gloves

Please enter a number from 0 to 200.

Advanced First Aid Kits

Please enter a number from 0 to 12.

Reflective Traffic Safety Vest (5 point tear-away)

Please enter a number from 0 to 100.

4-Gas Monitor (Individual Size)

Please enter a number from 0 to 35.

Halligan Tool

Please enter a number from 0 to 12.

Personal Protective Flashlight (Pelican/Guardian Angel, or similar)

Please enter a number from 0 to 92.

Tactical Flashlight (multi-color with traffic wand cone)

Please enter a number from 0 to 92.

Helmet Flashlight with Elastic Strap

Please enter a number from 0 to 92.

Compressed Air Foam Fire Suppression Unit (ECOCAF, or similar) (requires a unit on which to mount)

Please enter a number from 0 to 5.

Firefighter Turnout Gear (Rescue/Wildland fire style)

Please enter a number from 0 to 40.

Current Manufacturer of Firefighter Turnout Gear (Rescue/Wildland fire style)

Firefighter Turnout Gear (Structure fire style)

Please enter a number from 0 to 28.

Current Manufacturer of Firefighter Turnout Gear (Structure fire style)

SCBA Unit

Please enter a number from 0 to 15.

Current Manufacturer of SCBA Unit

All Band Portable Radio (L3Harris XL-200, Motorola APX 8000, or similar)

Please enter a number from 0 to 4.

My "one wish" for my department is...