Stretcher Inspection Checklist
Complete this checklist to verify the condition and readiness of the stretcher for use.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Stretcher Identification Number
*
Inspection Location
*
Overall Inspection Status
*
Ready for Use
Requires Maintenance
Out of Service
Check all that apply: Stretcher is clean and free from contamination
*
Cleanliness verified
Check all that apply: Wheels and brakes function properly
*
Wheels roll smoothly
Brakes engage and release correctly
Check all that apply: Frame and structure are free of damage
*
No visible cracks or bends
All fasteners secure
Check all that apply: Safety straps and buckles are intact and operational
*
All straps present
Buckles latch and release properly
Check all that apply: Mattress, headrest, and accessories are present and in good condition
*
Mattress free from tears or stains
Headrest present and secure
All required accessories present
Submit Checklist
Should be Empty: