Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Location

  • Stokes Basket - Plastic type, undamaged, operable condition

  • 4 Way Lifting Bridle - (1,000 lb. capacity with 5:1 Safety Factor) in operable condition

  • Tag Line - 50'

  • Blanket

  • Footplate

  • Patient Restraint Straps - Operable Condition

  • Weather Proof Storage Facility - should be protected from the weather.

  • Service Notes:

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