Vehicle Defect Inspection Form
PLEASE COMPLETE ALL PARTS FULLY BEFORE YOU DEPART
Person Completing
Grade
First Name
Last Name
Event
Event
Date
-
Month
-
Day
Year
Date
Vehicle Registration
Vehicle Check
Defective
Not Defective
Body and Windscreen
Wheels & Tyres
Lights and Horns
Mirrors
Warning Beacons
Washers & Wipers
Doors
Side step
Rear Door
TailLift
Aerials
Service Next due
Drivers Compartment
Defective
Not Defective
Cleanliness
Seats and Belts
Torch
Warning lights
Gauges
Maps
Fire Extinguisher
Fuel card
Patient Compartment
Defective
Not Defective
Condition
Cleanliness
Lights
Ventilation
Heater
Air con
Seat belts
Seats
Stretcher
Stretcher straps
Carry chair
Manage elk
Pat slide
Helmets
Fire Extinguisher
Bags and Consumables
All Present & in date
Not present
Bags
Cupboards
Oxygen
Entonox
Drugs
Present and In date
Not present
Drugs Bag
Entonox
Penthrox
Oxygen
Defibrillator
Defective
Not Defective
Bracket
Date/Time Correct
Bridge Test
Cleanliness
Battery
Spare Battery
ECG Cable
Pads
Charging Cable
Spare ECG Paper
Operation
Child cuff
Adult cuff
Suction Unit
Defective
Not Defective
Cleanliness
Canister
Tubing
Pump Test
Bracket
AED
Defective
NOT Defective
Cleanliness
AED
ECG cables
Adult pads
Paeds Pads
Battery
Ventilator
defective
Not Defective
Cleanliness
Trigger
O2 connector
O2 concentrator
Schrader Valve
Fuel Amount
FULL
3/4
HALF
1/4
Any further notes
Signature
Take Photo of Any Damage
Take Photo of Any Damage
Submit
THANK YOU AND HAVE A GREAT EVENT
Should be Empty: