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Equipment Checklist Examples

Equipment Checklist Examples

Included below are examples of equipment checklists from across the country.

(section last updated August 26, 2021)

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Audience

Clinicians 1
Prehospital Practitioners 6

Domain

Prehospital 6

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6 Results

Document

Ambulance Equipment Lists by State

7 pages

Ambulance Equipment Lists by State

Hyperlinks to information on state requirements for ambulance equipment.

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Document

ALS Equipment Checklist (MA Office of EMS)

4 pages

ALS Equipment Checklist (MA Office of EMS)

From Massachusetts Office of EMS (effective 12/15/2016)

Advanced Life Support (ALS) Equipment List

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Document

BLS Equipment Checklist (MA Office of EMS)

7 pages

BLS Equipment Checklist (MA Office of EMS)

From Massachusetts Office of EMS (effective 12/15/2016)

Basic Life Support (BLS) Equipment List

Open Resource

Document

Texas EMSC Program EMS Recognition Equipment Checklist

9 pages

Texas EMSC Program EMS Recognition Equipment Checklist

The EMS for Children Voluntary Recognition Program is structured to be a multi-level system of recognition. The fundamental phase, required to obtain initial recognition, focuses on EMS agencies carrying pediatric-specific equipment on their EMS vehicles beyond what is currently required for ambulance licensure in Texas. From there, agencies may opt to attain higher levels of recognition through the program. As the program develops, additional levels may be added or enhanced.

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Document

Vehicle Inspection form (NH Bureau of EMS)

5 pages

Vehicle Inspection form (NH Bureau of EMS)

From New Hampshire Department of Safety, Division of Fire Standards & Training and EMS: Transporting Land or Water EMS Vehicle Inspection Form (includes equipment)

Effective November 1, 2010

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Document

Checklist for Pediatric Equipment (MO Bureau of EMS)

2 pages

Checklist for Pediatric Equipment (MO Bureau of EMS)

From the Missouri Bureau of EMS

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The EMS for Children Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

Equipment Checklist Examples

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Audience

Domain

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6 Results

Ambulance Equipment Lists by State

ALS Equipment Checklist (MA Office of EMS)

BLS Equipment Checklist (MA Office of EMS)

Texas EMSC Program EMS Recognition Equipment Checklist

Vehicle Inspection form (NH Bureau of EMS)

Checklist for Pediatric Equipment (MO Bureau of EMS)