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Ambulance Checklist

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haqzakir021
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50 views1 page

Ambulance Checklist

Uploaded by

haqzakir021
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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52 MW - Bash Wind Farm Project, Uzbekistan

AMBULANCE CHECKLIST

Vehicle No.: -----------------------------

Name of Driver: -----------------------------

Month / Year: -----------------------------

WEEKS

SATISFACTION

SATISFACTION

SATISFACTION

SATISFACTION
SR.

(YES/NO)

(YES/NO)

(YES/NO)

(YES/NO)
N CHECKLIST POINTS REMARKS

2ND

3RD

4TH
1ST
O

Check the driving license is available with


01
driver?
02 Check the Driver fitness certificate is available?

03 Ambulance clutch & breaks is properly works?

04 Check is there head lights is properly works?

Check ambulance headlight and tail light is


05
properly working?
06 All horns are properly sound?

Is there fire extinguisher is available with


07 ambulance? Fire extinguisher is refilled? Green
colors indicate on it?
Ambulance having a first aid box? Stricture is
08
available?
09 Check the tire air is proper pressurized?

Check on the vehicle on Rear side


“AMBULANCE” & Front side is clearly
10 readable (front side check with mirror) –
Word’s dull color, any word is scratched not
acceptable.

Inspected By:

Date:

***

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