Title Page

  • Site

  • Dispatch Date

  • Prepared by (Full Name)

  • Location

Records

    Dispatch Log
  • Call received (Date and Time)

  • Source of call

  • Call back number

  • Response location (Name of destination or address)
  • Complaint

  • Unit dispatch time

  • Unit en route time

  • Time unit arrived on the scene

  • Time unit left the scene

  • Time arrived at destination

  • Destination of patient (Name of destination or address)

Completion

  • Full Name and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.