Information

Vehicle Checklist

  • Unit #

  • Conducted on

  • Shift

  • Medic

Vehicle

  • Unit #

  • Mileage of unit?

  • Due for scheduled maintenance?

  • Fuel Level

  • Mirrors/Windshield Inspection

  • Oil, transmission and wiper fluid?

  • Noticeable damage to vehicle?

  • Take a picture.

  • Comms-Radio Check Front

  • Comms-Radio Check Back

  • Comms-Radio Check Portable

  • Visual Tire Check and Air Pressure

  • Exterior Lights and Emergency Flashers

  • Backup Alarm

  • Parking Brake engages high idle

  • Unit Clean - inside and out

  • Flares

  • Fire Extinguisher

Cab

  • iPad?

  • Sufficient PCR's?

  • PPE kit present in Driver and passenger door of unit?

  • On car cellphone

  • Charger

  • GPS System

  • 2 Fuel Cards?

  • Key Ring?

  • Map Book

  • Helmets with visor

  • Binoculars

Medical equipment

Outer Cabinet

  • 2 Spineboards

  • Scoop strecher

  • Collar Kit

  • KED

  • Bag of clips

  • Spider Straps

  • Headblocks

Inside Cabinet

  • Spider Straps

  • Headblocks

Box

  • Guidelines binder

  • Inventory binder

  • ZOLL check

  • Day shift take picture of test strip

  • Main Stretcher/Bracket

  • Sharps full?

  • New sharps container placed and full container disposed of properly?

  • #9

  • Stair Chair

  • Tray stocked

  • Adult BVM

  • Paediatric BVM

  • Neonatal BVM

  • Cabinet/Overhead Lighting

  • Manta Lift Sheet

  • Extra Linen

  • Onboard suction functioning?

  • Portable suction functioning?

  • PPE-Back shelf-min 5 small and regular masks and gowns

  • BLS Jump Bag

  • Jump Bag

  • IV Kit

  • Airway Kit

  • Vital acquisition equipment

  • BVM & Masks

  • Sharps full?

  • New sharps container placed and full container disposed of properly?

Under Bench

  • Vacuum Splint Set, present and complete?

  • Sager Splint

  • Pedi-Pac

  • Pedi-Mate

  • Tool Kit, present and complete?

Medical Gas Levels

  • M Tank

  • Replace O2 Tank

  • E Tank

  • Replace O2 Tank

  • D Tank

  • Replace O2 Tank

  • Entonox Tank

  • Replace Entonox Tank

Full Check

  • Wednesday?

Full check

  • Deep clean

  • All medications within expiration dates?

  • Glucometer test - Tray

  • Glucometer test - Bag

Crew info

  • Crew member #1

  • Crew member #2

  • Ground Supervisor

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.