EMS Shift Log Form
Complete this form to document your EMS shift activities, calls, operational notes, and end-of-shift handoff.
Date of Shift
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shift Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Shift End Time
*
Hour Minutes
AM
PM
AM/PM Option
Crew Members (First Names Only)
*
Unit or Vehicle Number
*
Number of Calls Responded To
*
Types of Calls Handled
*
Medical Emergency
Trauma
Cardiac Arrest
Respiratory Distress
Fire Support
Motor Vehicle Accident
Other
Number of Patients Transported
*
Operational or Equipment Issues Noted
None
Vehicle Maintenance Needed
Medical Equipment Issue
Supply Restock Needed
Radio/Communication Issue
Other
Shift Observations, Incidents, or Handoff Notes
Submit Shift Log
Should be Empty: