This template follows the flow most crews already use: vehicle first, then O2 and airway, then meds, then equipment. ALS-only items are marked — strike them for BLS units.
1. Cab & Vehicle
- Fuel level, engine oil, coolant
- Emergency lights, scene lights, headlights
- Siren and PA
- Mobile radio check; portable radios charged
- MDT/tablet on and logged in
- Tires, mirrors, wipers, horn
- Module climate control and interior lighting
2. Oxygen
- Main O2 cylinder pressure above department minimum
- Portable O2 pressure; regulator and flowmeter function
- Spare cylinders full and secured
- Delivery devices stocked: NC, NRB, nebulizer kits (adult & pedi)
3. Airway & Breathing
- BVM adult and pediatric with masks
- Onboard suction reaches vacuum; portable suction charged
- Suction catheters, yankauers stocked
- OPAs/NPAs full size range
- Supraglottic airways in date (sizes per protocol)
- Laryngoscope blades light; ET tubes, stylets, bougie (ALS)
- ETCO2 circuits stocked (ALS)
- CPAP setup complete (per protocol)
4. Medications
- Med bag inventory matches list
- All expiration dates checked — flag anything within 30 days
- Temperature-sensitive meds within range
- IV fluids: quantity and dates (ALS)
- IV start supplies, IO kit (ALS)
- Narcotics count: quantities verified, seals intact, two signatures (ALS)
- Epi, naloxone, aspirin, glucose in date (BLS minimum)
5. Cardiac Monitor / AED
- Monitor self-test passes; batteries charged + spare
- Defib pads (adult & pedi) in date
- ECG electrodes, razors stocked
- SpO2, NIBP, ETCO2 sensors present and functional
- 12-lead cable complete (ALS)
6. Stretcher, Immobilization & Bandaging
- Stretcher raises, lowers, locks into mount; straps serviceable
- Stair chair present and functional
- Scoop, backboard, straps, head blocks
- C-collars full size range
- Splints: rigid, traction, vacuum (per rig list)
- Trauma dressings, 4x4s, tape, tourniquets, hemostatic gauze
- Burn sheets, OB kit, cold packs
7. Infection Control & Misc
- Gloves all sizes, gowns, N95s, eye protection
- Sharps container not past fill line
- Surface disinfectant stocked; module cleaned per schedule
- Linens, blankets, emesis bags
- Pedi kit / length-based tape
- Run report supplies or ePCR tablet charged
The part paper can't do
The two most failure-prone items on this list — med expirations and narcotics counts — are exactly the ones a paper sheet handles worst. A digital rig check counts down expirations before they bite and timestamps every narc count with both signatures. If your agency also wants its run data flowing to the receiving hospital, read our article on fixing the EMS-to-hospital handoff.
Want this as software built for your rigs?
Barcode-scan checks, expiration alerts, narc logs, and automatic supply reorders — built free for your agency, one flat subscription when you go live.
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