Turnkey Operational Demo Plant Greenhouses
Contract # 4800000371
Ambulance Inspection
Operator Name: Date:
Operator Licence:
D1 D2 D3 D4 D5 D6 D7
S No. Description Remarks
Y/NY/NY/NY/NY/NY/NY/N
Ambulance should be physically in good
1
condition.
Tires should be free from damage (Air pressure,
2
cuts, cracks, etc.).
Side mirror should in good and in correct
3
position.
Windscreen and wipers should be in good
4
condition.
Emergency lights and Audible siren should be in
5
working condition.
Emergency contact number should be displayed
6
properly and at visible place.
Stretcher should be available and in good
7
condition.
Medical oxygen cylinder with pressure gauge
8 and availability of key to open the cylinder
should be available with canister mask.
First Aid Kit should be available in operator
9
cabin (with in expiry date).
Fire Extinguisher available (in good condition,
10
pressure within range)
A/C cooling should be available and in good
11
condition.
Front, Reverse horn, Indicator lights should be
12
in working condition.
13 Seat belt should be in working condition.
Normal and Emergency break (Hand Break)
14
should be in working condition.
Spare wheel should be available and in good
15
condition.
Driver should have valid and suitable license as
16
per legal requirement.
Remarks
Ambulance Driver Safety Officer Site Supervisor
Signature:
Name:
Date:
Turnkey Operational Demo Plant Greenhouses
Contract # 4800000371
Ambulance Inspection
Operator Name: Date:
Operator Licence:
S No. Description D1 D2 D3 D4 D5 D6 D7 Remarks
Y/N Y/N Y/N Y/N Y/N Y/N Y/N
1 Ambulance should be physically in good condition.
Tires should be free from damage (Air pressure,
2
cuts, cracks, etc.).
3 Side mirror should in good and in correct position.
Windscreen and wipers should be in good
4
condition.
Emergency lights and Audible siren should be in
5
working condition.
Emergency contact number should be displayed
6
properly and at visible place.
Stretcher should be available and in good
7
condition.
Medical oxygen cylinder with pressure gauge and
8 availability of key to open the cylinder should be
available with canister mask.
First Aid Kit should be available in operator cabin
9
(with in expiry date).
Fire Extinguisher available (in good condition,
10
pressure within range)
A/C cooling should be available and in good
11
condition.
Front, Reverse horn, Indicator lights should be in
12
working condition.
13 Seat belt should be in working condition.
Normal and Emergency break (Hand Break) should
14
be in working condition.
Spare wheel should be available and in good
15
condition.
Driver should have valid and suitable license as
16
per legal requirement.
