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Ambulance Daily Inspection Form

by Sabir MN, from the Community

This ambulance daily inspection form helps EMS teams perform consistent shift change checks and document readiness. It covers vehicle cleanliness and damage, fluid levels, and leaks, plus verification of lights, sirens, and alarms. It includes patient care equipment checks for stretcher readiness and restraints, oxygen cylinder levels, heart monitor tests, stocked response bags, and patient compartment setup. The form also guides checks for portable and on board suction, ventilator and CPAP, safety equipment including fire extinguishers and road reflectors, and core basic life support supplies.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

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Ambulance Truck Inspection Checklist
This ambulance truck inspection checklist helps EMS teams perform thorough daily checks of vehicle fluids and tire pressures, verify oxygen levels and suction, confirm monitor readiness and battery status, and track drug box seals and temperatures. It covers linen and PPE stock, airway and IV supplies, decontamination, cockpit safety items, lights and sirens, and all interior and exterior compartments. Use it to note missing items, record tag numbers and PSI readings, and ensure the ambulance is stocked, compliant, and ready for service at the start of every shift.
by White Oak EMS, from the Community
Downloads: 20+
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Template
646 Ambulance Truck Check
This ambulance truck check helps EMS crews verify vehicle and patient care readiness before each shift. It covers daily fluid checks and tire pressures, cockpit and lighting systems, oxygen levels, suction, and essential medical equipment including BVMs, airways, IV supplies, monitor and defibrillator, CPAP, PPE, linens, and drug box tags. The checklist supports decontamination, documentation, inventory control, and safety compliance to ensure rapid response and consistent prehospital care. Originally published by White Oak EMS and revised 04/19/2016.
by White Oak EMS, from the Community
Downloads: 10+
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Template
Monthly Mechanical Inspection (Ambulance)
A detailed monthly mechanical inspection checklist designed for ambulance fleet maintenance and safety compliance. The checklist covers essential inspection points including under-hood components, exterior systems, emergency lights, interior cab features, and patient compartment equipment. It includes thorough checks of fluid levels, tire pressure specifications, lighting systems, emergency equipment, and vital patient care components. The form allows for documentation of vehicle details, mileage, and insurance information, ensuring complete maintenance records and compliance with safety standards. This systematic approach helps maintain ambulance readiness and reliability for emergency medical services.
by Joseph Nunes, from the Community
Downloads: 50+
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Ambulance Rig Check Checklist
Perform a thorough ambulance rig check before each shift. This checklist covers vehicle operation and safety systems, fluid levels, lights and sirens; EMS equipment including airway kits, oxygen, BVMs, CPAP, suction; IV supplies, diagnostics, BLS medications, and pediatric gear; interior and exterior tools, stretchers, splints, and PPE. Verify quantities, expirations, and functionality to ensure EMS readiness.
by Kody Hurd, from the Community
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Ambulance Daily Inspection Form

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Ambulance Truck Inspection Checklist

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