02. Ambulance Check List

CCE SADARA PROJECT

DAILY CHECK LIST FOR AMBULANCE PLATE No: SL NO

DRIVER NAME : CHECK POINT

1

CONDITION OF TYRE / FRONT WHEEL

2

CONDITION OF TYRE / REAR WHEEL

3

CONDITION OF SIDE MIRROR

4

CONDITION OF HORN

5

CONDITION OF EMERGENCY ALARM&LIGHT

6

CONDITION OF REVERSE ALARM

7

CONDITION OF STEERING

8

CONDITION OF BRAKE

9

CONDITION OF CLUTCH

10

CONDITION OF WINDSHEILD

11

CONDITION OF HEAD LIGHT &INDICATOR

12

CONDITION OF WIPER BLADE

13

CONDITION OF DOOR

14

CONDITION OF SEAT BELT

15

CONDITION OF FLEENET RADIO

1

2

3

4

Month:5

6

7

8

9

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

ENGINE COMPONENTS 16

CONDITION OF BATTERY

17

CONDITION OF ENGINE BELT

18

RADIATOR COOLANT LEVEL

19

ENGINE OIL LEVEL

20

BRAKE FLUID LEVEL

21

AIR FILTER

22

FIRE EXTINGUSHER

AMBULANCE DRIVER SIGNATURE

MALE NURSE SIGNATURE