Ambulance Inspection Checklist: Vehicle & Medical Readiness

By Alex Rowan on October 24, 2026

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An ambulance has to be ready the moment a call comes in, at any hour. If the battery is flat, a tyre is soft or the oxygen cylinder is nearly empty, minutes are lost when they matter most. Unlike most fleet vehicles, an ambulance must pass two kinds of check every shift: the vehicle must be ready to drive, and the patient compartment must be ready to treat. This checklist covers both, for 108 services, hospitals and private fleets, and shows how operators track ambulance readiness shift by shift in HVI.

Shift checklist for 108, hospital and private ambulance fleets in India

Ambulance Inspection Checklist: Vehicle and Medical Readiness

Engine, tyres, battery, lights and siren, oxygen, stretcher, medical equipment and hygiene, checked at the start of every shift.

Ready only when both checks pass: a sample shift start
12/12checksVehicleReady to drive
+
9/10checksPatient compartmentOxygen low
=
Not readyRefill oxygen before going on call

The Shift Start Checklist

The driver checks the vehicle and the medical crew checks the patient compartment. Both sign off before the ambulance goes on call.

Vehicle checks
  • Engine oil, coolant and fuel at least half
  • Battery starts the engine first time
  • Tyres, wheel nuts and spare
  • Brakes and parking brake
  • Beacon lights, siren and horn
  • Headlights, indicators and reverse lights
  • Tracking device and radio or phone working
Patient compartment checks
  • Main and portable oxygen cylinder levels
  • Stretcher and its locks secure
  • Suction unit working
  • Medical equipment present and charged
  • Medicines and consumables in date
  • Compartment lights and power sockets
  • Compartment cleaned and disinfected

Oxygen Checks

Oxygen is one of the items most likely to stop an ambulance from treating a patient. Check it every shift and after every call.

ItemWhat to checkAction if not right
Main cylinderPressure or level, securing strapsReplace or refill before going on call
Portable cylinderLevel, carrier and strapSwap for a full cylinder
Regulator and flowmeterReads correctly, no leaksReplace faulty unit
Pipeline and outletsLeaks and connectionsRepair before use
Masks and tubingSizes available, sealed packsRestock from stores
Safety warning

Keep oil and grease away from oxygen fittings, secure every cylinder so it cannot move while driving, and never allow smoking or flames near oxygen. Close cylinder valves when not in use.

Know Which Ambulances Are Truly Ready

HVI gives drivers and medical crews their own shift checklists, records defects with photos and shows control rooms which ambulances are fully ready for the next call.

Equipment Depends on the Ambulance Type

AIS-125, the National Ambulance Code, sets requirements by ambulance type. Check the list that applies to each vehicle in your fleet.

Patient transport

Stretcher, oxygen and basic first aid for stable patients.

Basic life support

Adds suction, airway kits, splints and more equipment.

Advanced life support

Adds monitors, defibrillator and advanced medicines.

Cleaning After Every Patient

Infection control protects the next patient and the crew. Follow your hospital or service protocol.

1

Remove waste

Dispose of used items as biomedical waste.

2

Clean surfaces

Wipe the stretcher, rails and touch points.

3

Disinfect

Use the approved disinfectant and contact time.

4

Restock

Replace used items before the next call.

Ambulance Readiness in HVI

A sample control room view across a service's ambulances.

AmbulanceTypeVehicle checkMedical checkStatus
AMB-03Basic life supportPassedPassedReady
AMB-06Advanced life supportPassedOxygen lowRefill oxygen
AMB-08Basic life supportSiren not workingPassedOff duty

Ambulance Inspection FAQs

What should be checked on an ambulance every shift?

The vehicle's fluids, battery, tyres, brakes, lights, siren and communication, plus the oxygen supply, stretcher, suction, medical equipment, medicines and the cleanliness of the patient compartment.

How often should ambulance oxygen be checked?

At the start of every shift and after every call. Refill or replace main and portable cylinders before the ambulance goes back on call if levels are low.

What is AIS-125?

AIS-125 is the National Ambulance Code, which sets design, safety and equipment requirements for road ambulances in India by type. Check which type each ambulance is built and registered as.

How should an ambulance be cleaned between patients?

Remove waste, clean and disinfect all touched surfaces and restock used items, following your service's protocol. Teams that log cleaning in HVI keep a record for audits.

Can ambulance readiness be tracked digitally?

Yes. Drivers and medical crews complete their checklists on a phone, and the control room sees which ambulances are fully ready. Book a demo to see ambulance checklists in HVI.

Ready for Every Call

Check every ambulance's vehicle and medical readiness at each shift, keep oxygen topped up and track every defect in HVI. Fewer delays and better care when it matters most.


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