The Ohio Medical Transportation Board (OMTB) requires this ambulance inspection form to verify that each vehicle meets strict safety, equipment, and operational standards before service authorization.
Inspectors review vehicle details such as service name, inspection type, year, make, model, odometer readings, and VIN. They check operational systems including headlights, tires, brakes, steering, suspension, windshield, mirrors, and warning devices for compliance with Ohio Administrative Code (OAC) regulations.
The form also covers essential EMS equipment, from oxygen and suction tools to airway management devices, bleeding control supplies, burn gear, and immobilization equipment. Both Basic and Paramedic level requirements are addressed. For related EMS documents, see the ambulance permit form or the ambulance report.
| Question | Answer |
|---|---|
| Form Name | Ambulance Inspection Form |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | ambulance rig check sheets, ambulance checklist pdf, ambulance inventory checklist, ambulance checklist format |