Ambulance Safety Inspection Checklist

Ambulance Safety Inspection Checklist

Definition: Ambulance is a vehicle used to transport sick or injured people to a treatment facility, mostly in case of Emergency.

Ambulance should be equipped with all first aid treatment facility within the vehicle.

It is also known to be first responder in case of emergencies.

Ambulance can be vans, buses or other vehicles used as an ambulance.

It is our moral responsibility to give side to emergency vehicle in any case.

Company Name                     :
Date of Inspection                 :
Make                                       :
Model                                     :
Number                                  :
Owned/Hired/Contractor      :

SN	Details
1	Ambulance should be physically in good condition.
2	Tires should be free from damage (Air pressure, cuts, cracks, etc.).
3	Side mirror should in good and in correct position.
4	Windscreen and wipers should be in good condition.
5	Emergency lights and Audible siren should be in working condition.
6	Emergency contact number should be displayed properly and at visible place.
7	Stretcher should be available and in good condition.
8	Medical oxygen cylinder with pressure gauge and availability of key to open the cylinder should be available with canister mask.
9	First Aid Kit should be available in operator cabin (with in expiry date).
10	Fire Extinguisher available (in good condition, pressure within range)
11	Fan for ventilation should be available and in good condition.
12	Front, Reverse horn, Indicator lights should be in working condition.
13	Seat belt should be in working condition.
14	Normal and Emergency break (Hand Break) should be in working condition.
15	Stepneys or spare wheel should be available.
16	Driver should have valid and suitable license as per legal requirement.

Fit for use: Yes/No

Inspection Done By:

Name:

Department:

Designation:

Signature:

Date:

Review Done By:

Name:

Department:

Designation:

Signature:

Date: