WGC Internal Audit: Medical Evacuation Operations

• Conducted on

  Date

• Audit No.

• Audit Title

• Auditor

• Auditee

Standard, Purpose and Scope

• Standard: NAM CARs Part 135, WWC FOM Part 1 Chapter 9 Annexure C

• Purpose: To ensure compliance of Medevac operation, Ambulance Aircraft condition, dispatch, training of paramedics.

• Scope: WWC & E-Med Medical Evacuation Operation

1 Documentation and Procedures

• 1.1 Is there a procedure manual published and distributed for the Medevac Flight Operations?

  Yes

  No

  N/A

• 1.1.1 Is the procedure manual approved and up to date?

  Yes

  No

  N/A

• 1.1.2 Is the procedure manual distributed and amendments up to date?

  Yes

  No

  N/A

• 1.2 Is there a procedure manual for the paramedics and their activities?

  Yes

  No

  N/A

• 1.2.1 Is the procedure manual approved and up to date?

  Yes

  No

  N/A

• 1.2.2 Is the procedure manual distributed and amendments up to date?

  Yes

  No

  N/A

• 1.3 Is there a published Flight and Duty Scheme for Medevac Pilots?

  Yes

  No

  N/A

• 1.3.1 Is there a procedure to manage Flight and Duty period records?

  Yes

  No

  N/A

• 1.3.2 Is there a procedure to deal with Flight and Duty exceedances?

  Yes

  No

  N/A

• 1.4 Is there published crew requirements for Medevac pilots?

  Yes

  No

  N/A

• 1.4 Is the crew requirements taken into consideration when crew is rostered for Medevac duty?

  Yes

  No

  N/A

• 1.5 Is there training records for flight crew and medical personnel?

  Yes

  No

  N/A

• 1.6 Is there a procedure published for dealing with contagious and infectious diseases?

  Yes

  No

  N/A

• 1.6.1 Is protective gear available for flight crew and medical personnel for use when transporting infectious or contagious patients?

  Yes

  No

  N/A

• 1.6.2 Is there a quarantine and cleaning procedure for aircraft after a infectious or contagious patient have been transported?

  Yes

  No

  N/A

• 1.7 Is there a published policy regarding transporting next of kin of a patient if the patient is not a minor?

  Yes

  No

  N/A

• 1.8 Is there a published procedure for flight following and a Emergency Response Plan?

  Yes

  No

  N/A

• 1.9 Is there a published procedure for cleaning the ambulance aircraft after a medical flight?

  Yes

  No

  N/A

• 1.10 Is there a published procedure for filling the oxygen bottles in the Life Port?

  Yes

  No

  N/A

2 Training Records

• 2.1 Is there a training record for each flight crew member on Medevac duty?

  Yes

  No

  N/A

• 2.1.1 Does the training records comply with the requirements of WWC FOM Part 1, Chapter 9, Annexure C: Curriculum for Flight crew?

  Yes

  No

  N/A

• 2.2 Is there a training record for each medical crew member on Medevac duty?

  Yes

  No

  N/A

• 2.2.1 Does the training records comply with the requirements of WWC FOM Part 1, Chapter 9, Annexure C: Curriculum for Medical crew?

  Yes

  No

  N/A

• 2.3 Is there a training record for each ground crew member on Medevac duty?

  Yes

  No

  N/A

• 2.3.1 Is there a record of training for the personnel that fills the oxygen bottles in the Life Port installed in the aircraft?

  Yes

  No

  N/A

3 Equipment and Aircraft

• 3.1 Is there an approved STC or modification of the installed Life Port and other equipment in the aircraft file and/or the POH?

  Yes

  No

  N/A

• 3.2 Is there in the aircraft copies of the relevant procedures for dealing with infectious or contagious diseases?

  Yes

  No

  N/A

• 3.3 Is there a means to secure all loose equipment not used by the medical crew in the cabin during flight?

  Yes

  No

  N/A

• 3.4 Is there an alternate means for providing light in the cabin that does not rely on the aircraft electrical system?

  Yes

  No

  N/A

• 3.4.1 Are spare batteries readily available and checked regularly?

  Yes

  No

  N/A

• 3.5 Are any extra fire extinguishers fitted in the ambulance aircraft and are they checked regularly?

  Yes

  No

  N/A

• 3.6 Is each medical crew member issued with a bag/s of medical supplies and equipment and are they checked regularly?

  Yes

  No

  N/A

• 3.6.1 Are records kept to which medical crew member medical supplies and equipment are issued?

  Yes

  No

  N/A

• 3.6.2 Are records kept of medical supplies dispensed to patients?

  Yes

  No

  N/A

General Observations and Recommendations

• Observations

• Recommendations

Acceptance

• Auditor Signature

  Sign

• Auditee Signature

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