Ambulance Inspection Form PDF Details

The Ambulance Inspection Form, as mandated by the Ohio Medical Transportation Board (OMTB), serves as a crucial document in ensuring that ambulances operating within Ohio adhere to the highest standards of vehicle safety, operational readiness, and equipment maintenance. It encompasses a comprehensive checklist that spans various categories, from vehicle specifics such as service name, service code, and reasons for inspection—covering scenarios like new service application, renewal, new vehicle induction, reinspection, and unannounced checks—to minute details regarding the vehicle's year, make, model, odometer readings, and identification numbers. Inspectors rigorously assess operational facets including lighting, tires, wheels, brakes, steering, suspension, windshield, windows, mirrors, and warning devices to confirm compliance with Ohio Administrative Code (OAC) regulations. Essential ambulance equipment undergoes a meticulous review, ensuring lifesaving tools from oxygen and suction equipment to airway management, bleeding control, burn gear, immobilization devices, and definitive onboard care equipment meet prescribed standards. This all-encompassing evaluation not only guarantees the physical and functional integrity of emergency medical transport vehicles but also solidifies the framework for the provision of exceptional pre-hospital care, aligning with OMTB's commitment to patient safety and service excellence.

QuestionAnswer
Form NameAmbulance Inspection Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesambulance rig check sheets, ambulance checklist pdf, ambulance inventory checklist, ambulance checklist format

Form Preview Example

OHIO MEDICAL TRANSPORTATION BOARD

AMBULANCE INSPECTION FORM

SERVICE NAME:

 

SERVICE CODE:

 

 

 

6 DIGITS

REASON FOR INSPECTION:

NEW SERVICE

 

 

 

 

 

RENEWAL

 

 

 

 

 

NEW VEHICLE

 

REINSPECTION

 

 

 

UNANNOUNCED

 

 

 

TEMP. PERMIT NUMBER

 

 

 

 

 

 

 

 

 

DESCRIPTION OF VEHICLE

 

 

 

 

OMTB VEHICLE DECAL NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAST THREE DIGITS ONLY

YEAR

 

 

MAKE

 

 

 

MODEL

 

 

 

 

 

ODOMETER

 

VEHICLE IDENTIFICATION NUMBER (VIN)

 

 

 

 

 

 

 

 

 

LICENSE PLATE NUMBER

 

 

 

 

EMS

 

TEMP

 

OHIO

 

OUT OF STATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ABBREVIATE STATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVEL OF SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

WHEN INSPECTED

BASIC

INTERMEDIATE

 

 

PARAMEDIC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSPECTION DATA

Date of Inspection

 

Inspector Name

Was a violation notification issued for this vehicle?

Is the copy of the Violation Notification attached to this form?

Is a reinspection required?

YES NO N/A

Inspector Signature

VEHICLE SAFETY INSPECTION

LIGHTING

YES

NO

N/A

High and Low Beam Headlights operational

 

 

 

[OAC 4766-2-08(D)(1)(a)]

 

 

 

 

 

 

 

Clearance, Marker lights, and Reflectors

 

 

 

operational [OAC 4766-2-08(D)(1)(b)]

 

 

 

 

 

 

 

High beam indicator light (on dashboard)

 

 

 

operational [OAC 4766-2-08(D)(1)(c)]

 

 

 

Dashboard lights and interior lights

 

 

 

operational [OAC 4766-2-08(D)(1)(d)]

 

 

 

Left and right tail lights operational

 

 

 

[OAC 4766-2-08(D)(1)(e)]

 

 

 

Left and right front turn signals operational

 

 

 

[OAC 4766-2-08(D)(1)(f)]

 

 

 

Left and right rear turn signals operational

 

 

 

[OAC 4766-2-08(D)(1)(g)]

 

 

 

Left and right brake lights operational

 

 

 

[OAC 4766-2-08(D)(1)(h)]

 

 

 

License plate light operational

 

 

 

[OAC 4766-2-08(D)(1)(i)]

 

 

 

 

 

 

 

LIGHTING

YES

NO

N/A

Back-up lights operational

 

 

 

[OAC 4766-2-08(D)(1)(j)]

 

 

 

 

 

 

 

Emergency Lighting Operational

 

 

 

[OAC 4766-2-08(D)(1)(ii)]

 

 

 

 

 

 

 

 

 

 

 

TIRES/WHEEL/BRAKES

YES

NO

N/A

Tread depth 1/16 in minimum on all tires

 

 

 

[OAC 4766-2-08(D)(1)(l)]

 

 

 

Tread and sidewall free of major deformities

 

 

 

[OAC 4766-2-08(D)(1)(m)]

 

 

 

Rims/wheels free of significant damage

 

 

 

[OAC 4766-2-08(D)(1)(n)]

 

 

 

Brake Pedal Travel 2/3 for non-assisted

 

 

 

brakes [OAC 4766-2-08(D)(1)(p)(i)]

 

 

 

Brake Pedal Travel 4/5 for power brakes

 

 

 

[OAC 4766-2-08(D)(1)(p)(ii)]

 

 

 

Emergency/parking brake operational

 

 

 

[OAC 4766-2-08(D)(1)(q)]

 

 

 

 

 

 

 

OMTB Form 16

April 16, 2012

1 of 4

STEERING/SUSPENSION

YES

NO

N/A

Steering shaft secure; no more that 1/4

 

 

 

turn play [OAC 4766-2-08DB)(1)(v)]

 

 

 

Power steering operational

 

 

 

[OAC 4766-2-08(D)(1)(w)]

 

 

 

Tires have full range of motion without

 

 

 

rubbing [OAC 4766-2-8(D)(1)(o)]

 

 

 

Shocks/Springs mounted and intact

 

 

 

[OAC 4766-2-08(D)(1)(ff)]

 

 

 

Air ride suspension properly

 

 

 

inflates/deflates [OAC 4766-2-08(D)(1)(kk)]

 

 

 

 

 

 

 

 

 

 

 

WINDSHIELD/WINDOWS/MIRRORS

YES

NO

N/A

 

 

 

 

Windshield without breach, unobstructed

 

 

 

[OAC 4766-2-08(D)(1)(r)]

 

 

 

Windshield wipers and washers

 

 

 

operational [OAC 4766-2-08(D)(1)(s)]

 

 

 

Windows without breach and consistent

 

 

 

with OEM [OAC 4766-2-08(D)(1)(t)]

 

 

 

Rear view mirrors without breach and IAW

 

 

 

OEM [OAC 4766-2-08(D)(1)(x)]

 

 

 

 

 

 

 

WARNING DEVICES

YES

NO

N/A

Horn operational and audible

 

 

 

[OAC 4766-2-08(D)(1)(y)]

 

 

 

Audible back up alarms operational

 

 

 

[OAC 4766-2-08(D)(1)(k)]

 

 

 

 

 

 

 

Siren Operable and audible

 

 

 

[OAC 4766-2-08(D)(1)(jj)]

 

 

 

 

 

 

 

MISCELLANEOUS

YES

NO

N/A

Driver and passenger safety belts

 

 

 

operational [OAC 4766-2-08(D)(1)(dd)]

 

 

 

Driver and passenger safety belts free of

 

 

 

visible damage [OAC 4766-2-08(D)(1)(dd)]

 

 

 

Seats securely fastened to floor

 

 

 

[OAC 4766-2-08(D)(1)(aa)]

 

 

 

Floor intact and free of holes

 

 

 

[OAC 4766-2-08(D)(1)(bb)]

 

 

 

Interior free of protrusions, trash, and

 

 

 

debris [OAC 4766-2-08(D)(1)(cc)]

 

 

 

Structural integrity without breach (body

 

 

 

and frame) [OAC 4766-2-08(D)(1)(ee)]

 

 

 

 

 

 

 

Heater, defroster, and A/C installed and

 

 

 

operational [OAC 4766-2-08(D)(1)(z)]

 

 

 

Exhaust System secured and without

 

 

 

breach [OAC 4766-2-08(D)(1)(u)]

 

 

 

Fuel tank free of leaks and securely

 

 

 

mounted [OAC 4766-2-08(D)(1)(gg)]

 

 

 

License plates front and rear

 

 

 

[OAC 4766-2-08(D)(1)(hh)]

 

 

 

Two-way communications with dispatch

 

 

 

and medical control [OAC 4766-2-06(B)]

 

 

 

Service name/logo permanently on vehicle

 

 

 

[OAC 4766-2-08(D)(3)]

 

 

 

Conformance placard, sticker, or affidavit

 

 

 

[OAC 4766-2-08(D)(2)]

 

 

 

 

 

 

 

AMBULANCE EQUIPMENT CHECKLIST

Disposable equipment is acceptable where applicable;

equipment/supplies shall not be expired.

OXYGEN EQUIPMENT

YES

NO

N/A

Permanently installed main oxygen system

 

 

 

(current hydrostatic testing)

 

 

 

[OAC 4766-2-10(A)(1)]

 

 

 

Permanent variable flow regulator (0-15 LPM

 

 

 

minimum)(1) [OAC 4766-2-10(A)(2)]

 

 

 

Two Portable oxygen tanks secured in

 

 

 

appropriate Tank storage mechanism

 

 

 

(minimum "D")[OAC 4766-2-10(A)(3)]

 

 

 

 

 

 

 

One Portable variable flow regulator (0-15

 

 

 

LPM minimum) [OAC 4766-2-10(A)(4)]

 

 

 

Bag mask resuscitator with reservoir capable

 

 

 

of 100% oxygen flow (self-Inflating)

 

 

 

[OAC 4766-2-10(A)(5)]

 

 

 

Transparent masks for bag mask resuscitator

 

 

 

(Adult-Child-Infant)(1 each) OR (adult,

 

 

 

combo child/pediatric) [OAC 4766-2-10(A)(6)]

 

 

 

 

 

 

 

Transparent oxygen masks [Adult (2);

 

 

 

Pediatric (2); Infant (2)]

 

 

 

[OAC 4766-2-10(A)(7)]

 

 

 

Nasal cannulas (Adult-Child)(2 each)

 

 

 

[OAC 4766-2-10(A)(8)]

 

 

 

 

 

 

 

 

 

 

 

SUCTION EQUIPMENT

YES

NO

N/A

Permanently installed suction unit

 

 

 

[OAC 4766-2-10(B)(1)]

 

 

 

 

 

 

 

Portable suction unit (powered or hand

 

 

 

operated) [OAC 4766-2-10(B)(2)]

 

 

 

Rigid pharyngeal curved suction catheters

 

 

 

wide-bore tubing (2) [OAC 4766-2-10(B)(3)]

 

 

 

Soft tip suction catheter (2 sizes)1 between

 

 

 

6.0 and 10 French and 1 between 12 and16

 

 

 

French [OAC 4766-2-10(B)(4)]

 

 

 

Sterile water and/or NS (4) minimum 1000 ML

 

 

 

excluding IV solutions [OAC 4766-2-10(B)(5)]

 

 

 

Sterile gloves (2 pair)[OAC 4766-2-10(B)(6)]

 

 

 

Suction tubing (2) [OAC 4766-2-10(B)(7)]

 

 

 

Suction bags (2 extra disposable liners or

 

 

 

containers) [OAC 4766-2-10(B)(8)]

 

 

 

 

 

 

 

 

 

 

 

AIRWAY EQUIPMENT

YES

NO

N/A

Complete set, oropharyngeal airway devices

 

 

 

infant through adult [OAC 4766-2-10(C)(1)]

 

 

 

Complete set, nasopharyngeal airway devices

 

 

 

infant through adult [OAC 4766-2-10(C)(2)]

 

 

 

Complete intubation kit, per protocol only

 

 

 

Extra batteries and bulbs

 

 

 

[OAC 4766-2-10(C)(3)(a)]

 

 

 

Syringes (assorted sizes)

 

 

 

[OAC 4766-2-10(C)(3)(b)]

 

 

 

Adult Stylet[OAC 4766-2-10(C)(3)(c)]

 

 

 

Pediatric Stylet [OAC 4766-2-10(C)(3)(d)]

 

 

 

Adult Magill Forceps[OAC 4766-2-10(C)(3)(e)]

 

 

 

 

 

 

 

OMTB Form 16

April 16, 2012

2 of 4

AIRWAY EQUIPMENT

YES

NO

N/A

Pediatric Magill Forceps

 

 

 

[OAC 4766-2-10(C)(3)(f)]

 

 

 

Booted hemostat or device appropriate

 

 

 

clamp [OAC 4766-2-10(C)(3)(g)]

 

 

 

 

 

 

 

Adult Endotracheal Tubes (one each

 

 

 

cuffed) 6.0mm, 7.0mm, 8.0mm

 

 

 

[OAC 4766-2-10(C)(3)(h)]

 

 

 

Pediatric Endotracheal Tubes (1 ea. Cuffed

 

 

 

or uncuffed 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5)

 

 

 

[OAC 4766-2-10(C)(3)(i)]

 

 

 

Water soluble lubricant

 

 

 

[OAC 4766-2-10(C)(3)(j)]

 

 

 

Laryngoscope handle

 

 

 

[OAC 4766-2-10(C)(3)(k)]

 

 

 

Laryngoscope blades (curved and straight)

 

 

 

0,1,2,3, and 4 [OAC 4766-2-10(C)(3)(l)]

 

 

 

Secondary confirmation device for ET tube

 

 

 

(End-tidal CO2 detector or capnometer)

 

 

 

[OAC 4766-2-10(C)(3)(m)]

 

 

 

Commercial ET tube securing device

 

 

 

[OAC 4766-10(C)3)(n)]

 

 

 

Cricothyrothomy kit/set per protocol

 

 

 

[OAC 4766-2-10(C)(4)

 

 

 

 

 

 

 

Supraglottic airway devices (adult and

 

 

 

pediatric per protocol)

 

 

 

[OAC 4766-2-10(C)(5)]

 

 

 

 

 

 

 

 

 

 

 

BLEEDING CONTROL/BURN EQUIPMENT

YES

NO

N/A

Adhesive dressing strips (10)

 

 

 

[OAC 4766-2-10(D)(1)]

 

 

 

Sterile gauze pads (20)(assorted sizes)

 

 

 

[OAC 4766-2-10(D)(2)]

 

 

 

Surgi pads/sterile sponge pads (4)

 

 

 

[OAC 4766-2-10(D)(3)]

 

 

 

Assorted standard gauze rolls (4)

 

 

 

[OAC 4766-2-10(D)(4)]

 

 

 

Sterile universal trauma dressing

 

 

 

[OAC 4766-2-10(D)(5)]

 

 

 

Sterile nonporous dressing (4)

 

 

 

[OAC 4766-2-10(D)(6)]

 

 

 

Assorted tape (4) [OAC 4766-2-10(D)(7)]

 

 

 

 

 

 

 

ISOLATION EQUIPMENT

YES

NO

N/A

Kits (4) [OAC 4766-2-10(E)(1)] OR

 

 

 

Isolation goggles and mask or mask/shield

 

 

 

combo (4)[OAC 4766-2-10(E)(1)(a)]

 

 

 

Isolation gowns (4)

 

 

 

[OAC 4766-2-10(E)(1)(b)]

 

 

 

Isolation gloves (4)

 

 

 

[OAC 4766-2-10(E)(1)(c)]

 

 

 

High particulate filter mask (HEPA or N95)

 

 

 

(4 assorted sizes) [OAC4766-2-10(E)(2)]

 

 

 

Containers (bags) for infectious medical

 

 

 

waste (4) [OAC 4766-2-10(E)(3)]

 

 

 

ISOLATION EQUIPMENT

YES

NO

N/A

Sharps container [OAC 4766-2-10(E)(4)]

 

 

 

Disinfectant/germicidal [OAC 4766-2-10(E)(5)]

 

 

 

Waterless hand cleaner

 

 

 

[OAC 4766-2-10(E)(6)]

 

 

 

 

 

 

 

 

 

 

 

IMMOBILIZATION EQUIPMENT

YES

NO

N/A

Extremity immobilization devices (board, air,

 

 

 

vacuum, ladder, or equivalent)

 

 

 

[OAC 4766-2-10(F)(1)]

 

 

 

Traction splint (adult & child - 1 each) OR

 

 

 

(adjustable for adult and child - 1)

 

 

 

[OAC 4766-2-10(F)(2)]

 

 

 

Backboard or equivalent (2)

 

 

 

[OAC 4766-2-10(F)(3)]

 

 

 

Backboard straps (3 each per board)

 

 

 

[OAC 4766-2-10(F)(4)]

 

 

 

Commercial cervical immobilization device (2)

 

 

 

Adult [OAC 4766-2-10(F)(5)]

 

 

 

Rigid extrication collar (Infant-Child-Adult)

 

 

 

(small-medium-large) [OAC 4766-2-10(F)(6)]

 

 

 

Stairchair and/or combo stairchair/folding

 

 

 

cot (1) [OAC 4766-2-10(F)(7)]

 

 

 

 

 

 

 

ADJUNCT EQUIPMENT

YES

NO

N/A

Trauma Shears (1) [OAC 4766-2-10(G)(1)]

 

 

 

Stethoscope (1) [OAC 4766-2-10(G)(2)]

 

 

 

 

 

 

 

BP Cuff (Pediatric, Adult, Large Adult)

 

 

 

(1 each) [OAC 4766-2-10(G)(3)]

 

 

 

Non-mercury thermometer (oral or

 

 

 

equivalent) (1) [OAC 4766-2-10(G)(4)]

 

 

 

Penlight (1) [OAC 4766-2-10(G)(5)]

 

 

 

Large flashlight (1) [OAC 4766-2-10(G)(6)]

 

 

 

Tongue blades (2) [OAC 4766-2-10(G)(7)]

 

 

 

Eye protector pads (2) [OAC 4766-2-10(G)(8)]

 

 

 

Packaged obstetrical kit (1)

 

 

 

[OAC 4766-2-10(G)(9)]

 

 

 

Exam gloves (minimum 2 full boxes; various

 

 

 

sizes) [OAC 4766-2-10(G)(10)]

 

 

 

Patient cot (1) (with 3 straps)

 

 

 

[OAC 4766-2-10(G)(11)]

 

 

 

Pillows and cases (2) [OAC 4766-2-10(G)(12)]

 

 

 

 

 

 

 

Sheets (2) [OAC 4766-2-10(G)(12)]

 

 

 

 

 

 

 

Heavy Blankets (2) (bath blankets shall not be

 

 

 

substituted) [OAC 4766-2-10(G)(12)]

 

 

 

Towels (2) [OAC 4766-2-10(G)(13)]

 

 

 

Emesis basins or equivalent (2)

 

 

 

[OAC 4766-2-10(G)(14)]

 

 

 

Urinal or equivalent (1) [OAC 4766-2-10(G)(15)]

 

 

 

Bedpan (1)[OAC 4766-2-10(G)(16)]

 

 

 

Personal towelettes or equivalent (10)

 

 

 

[OAC 4766-2-10(G)(16)]

 

 

 

ABC fire extinguishers (2) (5lb minimum each)

 

 

 

(front & back)[OAC 4766-2-10(G)(17)]

 

 

 

OMTB Form 16

April 16, 2012

3 of 4

ADJUNCT EQUIPMENT

YES

NO

N/A

Extinguishers mounted per current national

 

 

 

standard [OAC 4766-2-10(G)(17)(a)]

 

 

 

Annual extinguisher maintenance check

 

 

 

per OSHA [OAC 4766-2-10(G)(17)(b)]

 

 

 

Patient restraints (4)

 

 

 

[OAC 4766-2-10(G)(18)]

 

 

 

ANSI II high visibility vest (1 for each crew

 

 

 

member) 29 CFR 634 [OAC 4766-2-10(G)(19)]

 

 

 

Age/weight appropriate pediatric restraint

 

 

 

per MTO protocol [OAC 4766-2-10(G)(20)]

 

 

 

 

 

 

 

 

 

 

 

ONBOARD DEFINITIVE CARE EQUIPMENT

 

 

 

BLS

YES

NO

N/A

Approved medications as shown on

 

 

 

State Board of Pharmacy License/

 

 

 

Addendum [OAC 4766-2-10(H)(1)(a)]

 

 

 

Automated external defibrillator (Adult and

 

 

 

Pediatric Pads) [OAC 4766-2-10(H)(1)(b)]

 

 

 

 

 

 

 

ONBOARD DEFINITIVE CARE EQUIPMENT

 

 

 

INTERMEDIATE

YES

NO

N/A

Approved medications as shown on

 

 

 

State Board of Pharmacy License/

 

 

 

Addendum [OAC 4766-2-10(H)(2)(a)]

 

 

 

Approved I.V. solutions as shown on

 

 

 

State Board of Pharmacy License/

 

 

 

Addendum [OAC 4766-2-10(H)(2)(b)]

 

 

 

Automated External Defibrillator

 

 

 

(Adult and Pediatric Pads)

 

 

 

[OAC 4766-2-10(H)(2)(d)]

 

 

 

 

 

 

 

Intravenous Equipment

 

 

 

Alcohol and povidone iodine preps

 

 

 

(10 each) [OAC 4766-2-10(H)(2)(c)(i)]

 

 

 

 

 

 

 

Arm boards (1)

 

 

 

[OAC 4766-2-10(H)(2)(c)(ii)]

 

 

 

IV Administration sets (4)

 

 

 

[OAC 4766-2-10(H)(2)(c)(iii)]

 

 

 

IV Catheters (assorted sizes)

 

 

 

[OAC 4766-2-10(H)(2)(c)(iv)]

 

 

 

Needles (assorted sizes)

 

 

 

[OAC 4766-2-10(H)(2)(c)(v)]

 

 

 

Comments:

ONBOARD DEFINITIVE CARE EQUIPMENT

ALS

YES NO N/A

Approved medications as shown on

State Board of Pharmacy License/Addendum [OAC 4766-2-10(H)(3)(a)]

Approved I.V. solutions as shown on

State Board of Pharmacy License/Addendum [OAC 4766-2-10(H)(3)(b)]

Cricothyroidotomy-needle or surgical, per protocol [OAC 4766-2-10(H)(3)(c)(vii)]

Monitor/defibrillator (with EKG Trace) external cardiac pacing capability

[OAC 4766-2-10(H)(3)(d)]

Defibrillator gel or pads [OAC 4766-2-10(H)(3)(d)(i)]

Adult paddles/pads if applicable [OAC 4766-2-10(H)(3)(d)(ii)]

EKG leads [OAC 4766-2-10(H)(3)(d)(iii)]

External pacing pads

[OAC 4766-2-10(H)(3)(d)(iv)]

Pedi-paddles/Pads[OAC 4766-2-10(H)(3)(d)(v)]

Intravenous Equipment

Alcohol and povidone iodine preps (10 each) [OAC 4766-2-10(H)(3)(c)(i)]

Arm boards (1 each)

[OAC 4766-2-10(H)(3)(c)(ii)]

IV Administration sets (4) [OAC 4766-2-10(H)(3)(c)(iii)]

IV Catheters (assorted sizes) [OAC 4766-2-10(H)(3)(c)(iv)]

Intraosseous Needles or kit, per protocol (2) [OAC 4766-2-10(H)(3)(c)(v)]

Needles (assorted sizes) [OAC 4766-2-10(H)(3)(c)(vi)]

OMTB Form 16

April 16, 2012

4 of 4

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1. It is crucial to fill out the ambulance inventory checklist accurately, so be mindful while filling out the parts that contain these blank fields:

Part # 1 of submitting ambulance checklist pdf

2. Once your current task is complete, take the next step – fill out all of these fields - Inspector Signature, VEHICLE SAFETY INSPECTION, LIGHTING, YES NO NA, LIGHTING, YES NO, High and Low Beam Headlights, OAC Da, Clearance Marker lights and, operational OAC Db, High beam indicator light on, operational OAC Dc, Dashboard lights and interior, operational OAC Dd, and Left and right tail lights with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Writing part 2 in ambulance checklist pdf

3. This next step is normally easy - complete all the empty fields in OAC Dh, License plate light operational, OAC Di, OAC Dpii, Emergencyparking brake operational, OAC Dq, OMTB Form , April , and of to complete this part.

Completing section 3 of ambulance checklist pdf

4. The subsequent section needs your attention in the subsequent places: STEERINGSUSPENSION, YES NO NA, AMBULANCE EQUIPMENT CHECKLIST, Steering shaft secure no more that , turn play OAC DBv Power steering, OAC Dw, Tires have full range of motion, rubbing OAC Do, ShocksSprings mounted and intact, OAC Dff Air ride suspension, inflatesdeflates OAC Dkk, Disposable equipment is acceptable, equipmentsupplies shall not be, OXYGEN EQUIPMENT, and YES NO. Make certain to fill out all of the requested info to go further.

A way to fill in ambulance checklist pdf portion 4

As for OAC Dff Air ride suspension and YES NO, make sure you take another look here. These two are considered the most significant ones in this document.

5. Finally, the following last part is what you need to finish before finalizing the PDF. The fields at issue are the following: OAC Dk, Siren Operable and audible, OAC Djj, SUCTION EQUIPMENT, YES NO, Permanently installed suction unit, OAC B, MISCELLANEOUS, YES NO NA, Portable suction unit powered or, Driver and passenger safety belts, operational OAC Ddd, Driver and passenger safety belts, visible damage OAC Ddd Seats, and OAC Daa Floor intact and free of.

ambulance checklist pdf conclusion process shown (part 5)

Step 3: After proofreading your fields, hit "Done" and you are good to go! Try a free trial account with us and get immediate access to ambulance inventory checklist - downloadable, emailable, and editable inside your FormsPal account page. FormsPal offers secure form editor with no personal data recording or sharing. Rest assured that your details are in good hands with us!