• Paramedic Response Vehicle 1599 Inspection Form

    Paramedic Response Vehicle 1599 Inspection Form

    If something is missing, broken or unusable, please replace it as needed. If any issues are encountered, please contact the supervisor or assistant supervisor.
  • Date*
     - -

  • General Vehicle Condition

  • Fuel*
  • Lights and sirens functional?*
  • Vehicle plugged in and charging?*
  • Damage to vehicle?*
  • Dashboard warning lights?*

  • Front Seat Passenger Compartment

  • Driver's Side Rear Door

  • Rows
  • Rows

  • Rear Compartment

  • Rows
  • Rows
  • Rows
  • CO Meter Present?*
  • Rows
  • Cleaning Supplies Present?*
  • Command Board Present?*
  • Assorted Rigid Splints Present?*
  • Rechargeable Flashlight Present?*
  • I-Gel Kit Present (Contains Adult and Pediatric Sizes 1, 1.5, 2, 2.5, 3, 4, 5, Lubrication Packets And Securement Devices)?*
  • Assorted Restock Supplies Present (To Use In Case Of Emergency) ?*
  • Spare Medication Kit Present (Contains Full Set Of Medications To Use In Case Of Emergency) ?*

  • Passenger Side Rear Door

  • Rows
  • Short Board And Cervical Collars Present?*
  • Linens Present? (At Least Two Blankets)*
  • Personal Protective Equipment Bag With Assorted PPE Present? (Contains Assorted Masks, Gowns, Goggles, Etc.)*
  • Incident Command Bag Present? (Contains Helmets, Foldable Stretcher, Triage Tags, Extrication Gloves, Etc.)*
  • Junctional Tourniquet Present?*
  • Cyanokit Present? (Contains Two With All Equipment Needed To Administer)*

  • Comments

  • Should be Empty: