Emergency Vehicle Decontamination Checklist Form
Complete this checklist to ensure all decontamination steps for emergency vehicles are thoroughly performed and documented.
Date of Decontamination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Identification Number or Plate
*
Operator Full Name
*
First Name
Last Name
Exterior surfaces washed and rinsed
*
Completed
Interior surfaces wiped and disinfected
*
Completed
Equipment and tools cleaned and disinfected
*
Completed
Waste materials removed and disposed of properly
*
Completed
Personal protective equipment (PPE) removed and disposed of
*
Completed
Vehicle ventilated thoroughly after cleaning
*
Completed
Final inspection completed
*
Completed
Submit Checklist
Should be Empty: