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AMBULANCE MEDICAL EQUIPMENT CHECKLIST

Project : Date :
Checked by :
Signature :

Weekly Ending: Remarks


No. Item To check

1 Oxygen (Tank, regulator, meter, oxygen tube and mask)

2 Suction Machine

3 Stretcher (Roller)

4 Stretcher (Folding)

5 Backboard

6 Gloves

7 Splints (Various size)

8 Parenteral Solutions (I.V. Fluids)

9 Blanket

10 First Aid Kit

11 Flashlight

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