• Ambulance 155 / 156 Inspection Form

    Ambulance 155 / 156 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. If any seal is broken, please inspect to ensure cabinet is properly stocked and then reseal. Green seals indicate that cabinet was sealed by supervisory staff, red seal is for any other paramedic employee.
  • Date*
     - -

  • General Vehicle Condition

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

  • Passenger Compartment

  • Exterior Compartments

  • Patient Compartment

  • Stretcher and mount functional?*
  • Sharps container present and usable?*
  • Garbage receptacle present and usable?*

  • Basic Life Support Bag

  • Oxygen Bag

  • Advanced Life Support Bag

  • Cardiac Monitor

  • Secured in mount?*
  • Charging?*

  • Cabinet One

  • Status of seal for cabinet one?*

  • Cabinet Two

  • Status of seal for cabinet two?*

  • Cabinet Three

  • Status of seal for cabinet three?*

  • Cabinet Four

    This cabinet is not to be sealed.

  • Cabinet Five

  • Status of seal for cabinet five?*

  • Cabinet Six

  • Status of seal for cabinet six?*

  • Cabinet Seven

    This cabinet is not to be sealed.

  • Cabinet Eight

    This cabinet is not to be sealed.

  • Cabinet Nine

  • Status of seal for cabinet nine?*

  • Cabinet Ten

    This cabinet is not to be sealed.

  • Cabinet Eleven

    This cabinet is not to be sealed.

  • Cabinet Twelve

    This cabinet is not to be sealed.
  • Should be Empty: