Title Page

  • Document No.

  • Vehicle Call Sign

  • Vehicle Registration

  • Conducted on

  • Conducted by

  • Location
  • Ambulance crew names

External checks

  • Date and time completed

  • Vehicle mileage

  • Oil level within parameters

  • Water level within parameters

  • Screen wash filled

  • Windscreen wipers checked

  • Headlights working

  • Indicators working

  • Blue lights working

  • Tyre pressure and tread visual check

Internal checks

  • Response bag visual check present

  • Photo of response bag

  • Zoll visual check

  • Self test printout photo

  • LSU visual check

  • LSU and consumables photo

  • AED visual check

  • AED self test passed photo

  • Drugs back check

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.