• Tourniquet Inspection Checklist Form

    Document the results of your routine tourniquet inspection using this checklist.
  • Date of Inspection*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the tourniquet clean and free of visible contamination?*
  • Are all straps and buckles intact and undamaged?*
  • Does the windlass rod rotate smoothly and lock securely?*
  • Checklist: Select all issues found during inspection
  • Overall Condition*
  • Should be Empty:
Select theme: