[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-363634-105":59,"doc-detail-363634-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","transport-ambulance-inspection-checklist-and-deficiency-notification","Transport Ambulance Inspection Checklist and Deficiency Notification","","Pennsylvania Department of Health, Bureau of EMS, provides a transport ambulance inspection checklist and deficiency notification form. The document supports EMS agencies in recording vehicle identification details, inspection date, inspector names, and regional EMS council information. It includes exterior and interior verification items covering licensing decals, emergency lighting, audible warning signals, safety concerns, battery and power systems, fire extinguishers, oxygen and suction equipment, and BLS supplies, with structured fields to mark verified, deficient, and corrected items.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/transport-ambulance-inspection-checklist-and-deficiency-notification/363634/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/transport-ambulance-inspection-checklist-and-deficiency-notification/363634.png","ImageObject",300,407,{"name":92,"@type":93},"awa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What deficiency codes are used on the inspection form?","Question",{"text":112,"@type":113},"Deficiency codes include B for Broken, E for Expired, M+# for Missing where # indicates the number of items missing (e.g., M1), and O for Other with a note required.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What columns are provided for each inspection item?",{"text":117,"@type":113},"Each checklist item is recorded with status fields for VERIFIED, DEFICIENT, CORRECTED, and a NOTES area to document additional details.",{"name":119,"@type":110,"acceptedAnswer":120},"What types of equipment does the checklist cover inside the ambulance?",{"text":121,"@type":113},"Inside items include dual battery/power capability, fire extinguishers with inspection timing, non-skid flooring, patient area partitioning, storage security, IV hangers, stretcher mounting, door condition hardware, and operational heating/cooling and ventilation/exhaust equipment.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},363634,1790429582,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41},3985747858093,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Pennsylvania Department of Health  \nBureau of EMS  \nTransport Ambulance Inspection Checklist and Deficiency Notification (If required)  \n\n| Name of EMS Agency: |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| Dominant Lettering (as displayed on EMS unit): |  |  |  |  |\n|  |  |  |  |  |\n| License Plate \\# : | Year: |  |  |  |\n| Vehicle Identification \\# (VIN): | Make: |  |  |  |\n|  | Model: |  |  |  |\n| Vehicle Level of Service: | Unit Number (if applicable): |  |  |  |\n| Date Inspected: | Deficiency Key*:\u003Cbr>B = Broken\u003Cbr>E = Expired\u003Cbr>M+\\# = Missing- \\# indicates how many items are\u003Cbr>missing (Ex. M1)\u003Cbr>O = Other- include a note if using other |  |  |  |\n| Regional EMS Council: |  |  |  |  |\n| Name of Inspector(s): |  |  |  |  |\n| Critical Criteria for Out-of-Service (OOS) consideration (noninclusive list) -Contact BEMS to place vehicle OOS |  |  |  |  |\n| VEHICLE | VERIFIED | DEFICIENT* | CORRECTED | NOTES |\n| Meets the requirements of Federal Specifications KKK 1822 |  |  |  |  |\n| Current Pennsylvania Vehicle Safety Inspection |  |  |  |  |\n| Current Vehicle Insurance-digital copy is acceptable, if on tablet or computer that remains in vehicle |  |  |  |  |\n| Current Vehicle Registration-digital copy is acceptable, if on tablet or computer that remains in vehicle |  |  |  |  |\n| General Vehicle Safety Concerns |  |  |  |  |\n| Exterior Markings |  |  |  |  |\n| Mirrored image \"Ambulance\" 4 inches high and centered above grill |  |  |  |  |\n| \"Ambulance\" on rear of vehicle |  |  |  |  |\n| Star of Life: |  |  |  |  |\n| 2-3\" on each side of \"Ambulance\" on the front of vehicle |  |  |  |  |\n| 2-16\" on the right and left exterior sides |  |  |  |  |\n| 2-12\" on the rear of the vehicle |  |  |  |  |\n| 1-32\" on the vehicle rooftop |  |  |  |  |\n| DOH licensure decals on right and left exterior sides |  |  |  |  |\n| Legal name or registered fictitious name in 3\"+ letters on both right and left exterior sides |  |  |  |  |\n| \"Ambulance\", \"Emergency Medical Services\", \"EMS and Rescue\" or similar words on both right and left exterior sides |  |  |  |  |\n| Audible Warning Signal |  |  |  |  |\n| Lights |  |  |  |  |\n| Exterior Emergency Lights (Chapter 45-Title 75 § 4571(a),(b)(3),(3.2)) |  |  |  |  |\n| Permitted: 1 or more revolving or flashing red lights; flashing red lights in reverse lamp assemblies; flashing headlamps, flashing or revolving white or clear lights, steady burning lights, traffic-control emergency directional lights, amber lights and intersection lights |  |  |  |  |\n| Not permitted: combination red & blue lights; flashing or revolving lights mounted internally (with the exception of fire based agencies) |  |  |  |  |\n\nJuly 1, 2025 Bureau of EMS Ver 1.0 1  \nPennsylvania Department of Health  \nBureau of EMS  \nTransport Ambulance Inspection Checklist and Deficiency Notification (If required)  \n\n| Interior | VERIFIED | DEFICIENT* | CORRECTED | NOTES |\n| --- | --- | --- | --- | --- |\n| Dual Battery System (if equipped) |  |  |  |  |\n| Power Supply to operate all accessories |  |  |  |  |\n| Fire Extinguisher (1) (5\\# ABC dry chem. or CO2) (located in either the driver/cab compartment or in body of ambulance reachable from outside the vehicle) . Inspected within the previous 12\u003Cbr>months with appropriate inspection tag attached. |  |  |  |  |\n| Fire Extinguisher (1) (5\\# ABC dry chem. or CO2) (located in the patient compartment) Inspected within the previous 12 months with appropriate inspection tag attached. |  |  |  |  |\n| Non-skid floor |  |  |  |  |\n| Patient area partition |  |  |  |  |\n| Storage Cabinets with ability to secure when vehicle is in motion |  |  |  |  |\n| Ability to secure all bulky items when vehicle is in motion |  |  |  |  |\n| IV Hangers flush with ceiling (2) |  |  |  |  |\n| Patient litter compliant with 4 or 5 manufacturer approved straps, including a minimum of two shoulder straps |  |  |  |  |\n| Stretcher is securely mounted |  |  |  |  |\n| Doors (side and rear gasket, latches and hinges) |  |  |  |","cbCaitHG8t6N5pbd","https://ap.wps.com/l/cbCaitHG8t6N5pbd","pdf",531843,12,"English","# Transport Ambulance Inspection Checklist and Deficiency Notification\n## Vehicle and inspection information\n## Exterior criteria and emergency warning equipment\n## Interior criteria and patient compartment systems\n## BLS equipment checklist","[{\"question\":\"What deficiency codes are used on the inspection form?\",\"answer\":\"Deficiency codes include B for Broken, E for Expired, M+# for Missing where # indicates the number of items missing (e.g., M1), and O for Other with a note required.\"},{\"question\":\"What columns are provided for each inspection item?\",\"answer\":\"Each checklist item is recorded with status fields for VERIFIED, DEFICIENT, CORRECTED, and a NOTES area to document additional details.\"},{\"question\":\"What types of equipment does the checklist cover inside the ambulance?\",\"answer\":\"Inside items include dual battery/power capability, fire extinguishers with inspection timing, non-skid flooring, patient area partitioning, storage security, IV hangers, stretcher mounting, door condition hardware, and operational heating/cooling and ventilation/exhaust equipment.\"}]","Transport Ambulance Inspection Checklist and Deficiency Notification | PDF",1790152303]