Stretcher Maintenance Checklist Form
Document routine inspection and maintenance for stretchers. Complete this checklist for each maintenance session.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Last Name
Stretcher ID or Serial Number
*
Frame and Structure Condition
*
No damage or defects
Minor damage (cosmetic)
Major damage (requires repair)
Cleanliness
*
Clean
Needs cleaning
Wheels and Casters
*
Good condition
Worn or damaged
Require lubrication
Safety Straps and Restraints
*
Functional and intact
Worn or damaged
Missing
Moving Parts (Locks, Levers, Hinges)
*
Operate smoothly
Stiff or sticking
Require lubrication/repair
Actions Taken or Repairs Needed
Additional Comments
Submit Checklist
Should be Empty: