Ambulance Shift Change Inspection

Updated: over a week ago

Ambulance Shift Change Inspection

General Vehicle Condition

1. Is the exterior of the vehicle clean and free of damage?


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2. Is the interior cab of the truck clean and free off damage?


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3. Is the patient compartment clean and free of damage?


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4. Is the protocol book available?


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Fuel And General Engine Fluids Check

1. Fuel level at checkout? (Indicate the closest amount)


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2. Are engine oil levels acceptable?


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3. Are windshield wiper fluid levels acceptable?


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4. Is there any indication of leaking fluids?


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Emergency Alert Systems And General Lights

1. Are the headlights functional?


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2. Are clearance lights functional?


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3. Are emergency lights functional?


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4. Are scene lights functional?


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5. Are the sirens functional?


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6. Is the backup alarm functional?


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7. Are the brake lights functional?


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8. Are the tail lights functional?


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9. Are the turn lights functional?


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General Vehicle Section Narrative

1. Enter additional detail as necessary for any negative findings above.


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Stretcher/Response Bags/Monitor

1. Is the stretcher present and fully functional?


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2. Are the stretcher batteries charged?


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3. Stretcher patient restraints including shoulder straps present?


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4. Is the airway bag present, stocked correctly with a charged oxygen cylinder?


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5. What is the portable oxygen pressure level? (Indicate to the nearest hundred)


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6. Heart Monitor present, clean, fully charged, with spare batteries on the charger?


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7. Monitor passed user test?


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8. Response bag present, clean and fully stocked with no expired items?


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Patient Compartment

1. Are the linens stored and clean?


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2. Is a regular trash can present?


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3. Is a bio-hazard trash can present?


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4. Is a portable suction present and functional?


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5. Onboard suction present and functional?


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6. Is transport ventilator present, clean and functional?


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7. Is CPAP present, clean and functional?


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Safety Equipment

1. Hard hats with goggles


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2. Gauntlet gloves


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3. Safety Vests


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4. Flashlights


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5. BSI Kits


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6. Window Punch


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7. Sharps Container


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8. Road Reflectors


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9. Hand Sanitizer


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10. 1 Fire Extinguisher in the Cab, 1 Fire Extinguisher outside compartment, 1 Fire Extinguisher in patient compartment?


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Basic Life Support Supplies

1. Adult Nasal Cannula Count


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2. Paediatric Nasal Cannula Count


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3. Adult Non-Rebreather Count


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4. Paediatric Non-Rebreather Count


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5. Adult Nebulizer Count


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6. Paediatric Nebulizer Count


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7. Oropharyngeal Airway, 1 each size


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8. Advanced Airway Supplies


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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