Ferno Mondial Stretcher ST64, ST70

• Ambulance

  OC768

  OLV706

• Conducted on

  Date

• Prepared by

• Location

  Lake Lindsay

  German Creek

Mondial Ambulance Stretcher

• The stretcher requires regular maintenance. Minimum maintenance intervals are set out in the maintenance section of the manual in pages 24 - 26.

Checklist

• Are all the components present?

  Yes

  No

• Is the stretcher free of excessive wear?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Are all the screws, nuts, bolts and rivets securely in place?

  Select Yes No

  • Yes
  • No

• Inspect all visible springs - Is there any visible damage?

  Select Yes No

  • Yes
  • No

• Do all moving parts operate smoothly and properly?

  Select Yes No

  • Yes
  • No

• Does the stretcher lock properly into each position?

  Select Yes No

  • Yes
  • No

• Does the bed attach securely to the stretcher?

  Select Yes No

  • Yes
  • No

• Does the stretcher load and unload properly?

  Select Yes No

  • Yes
  • No

• Does the stretcher roll smoothly?

  Select Yes No

  • Yes
  • No

• Are the wheels free of excessive wear?

  Select Yes No

  • Yes
  • No

• Do the wheels lock engage properly and stop wheel rotation?

  Select Yes No

  • Yes
  • No

• Is the ambulance properly prepared for the stretcher with an approved Ferno fastner system installed?

  Select Yes No

  • Yes
  • No

• Do installed accessories operate properly without interfering with the stretcher operation?

  Select Yes No

  • Yes
  • No

Lubrication of Stretcher

• Does the stretcher require lubrication?

  Yes

  No

• Please refer to page 26 as attached for instructions on how to lubricate the stretcher.