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Children’s Health Express Mobile Medical Unit. Ava Wood, BSN, RN, NE,BC Director, Ambulatory Care Lisa Butterworth, BSN, RN Clinical Program Manager. Children’s Health Express. Primary Care. DATE: _________________ DAILY PRE-TRIP INSPECTION ITEMS AREA COMPONENTINSPECTION
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Children’s Health Express Mobile Medical Unit Ava Wood, BSN, RN, NE,BC Director, Ambulatory Care Lisa Butterworth, BSN, RN Clinical Program Manager
DATE: _________________ • DAILY PRE-TRIP INSPECTION ITEMS AREA COMPONENTINSPECTION • HEADLIGHTS Check operation • TURN SIGNAL LIGHTS Check operation • BRAKE LIGHTS Check operation • PARK BRAKE Check operation • REAR AXLE Check for leaks • SERVICE BRAKES Check operation • AIR TANKS W/AUTOMATIC EJECTORS Check operation • AIR DRYER OPERATION Check for operation • AIR CLEANER AIRFLOW RESTRICTION GUAGE Restriction indicator reading • MECHANICAL FAN DRIVE GEAR BOX Check for leaks • FUEL/WATER SEPARATOR Drain checking for presence of water • HYDRAULIC STEERING SYSTEM Check for leaks • STEERING WHEEL Check for excessive play • BODY DAMAGE INSPECTION Inspect body damage and note below • Notes: • Driver Signature:_____________________________
DATE: _________________ • WEEKLY MOBILE VEHICLE INSPECTION ITEMS AREA COMPONENT INSPECTION • FRONT AXLE WHEEL BEARINGS Check oil level • BATTERIES/BATTERY CABLES Check for corrosion, loose connections • VISUAL INSPECTION OF FUSE PANELS Check for corrosion, blown fuses • ENGINE COOLING FAN Check for nicks, cracks, loose pieces • ENGINE OIL Check fluid level • ENGINE COOLANT LEVEL Check coolant level • ENGINE DRIVE AND ACCESSORY BELTS Check for wear • RADIATOR AND CHARGE AIR COOLER Presence of debris/damage • COOLANT HOSES, PIPES, AND CLAMPS Check for leaks, loose clamps, chafing • CHECK EXHAUST PIPING & MUFFLER Check that all components are secure • HYDRAULIC RESERVOIR Check fluid level • FRONT AIR SPRINGS Check wear and/or leaks • REAR AIR SPRINGS Check wear and/or leaks • FRONT SHOCKS Inspect for leaks • REAR SHOCKS Inspect for leaks • RIDE HEIGHT Check level • TRANSMISSION FLUID Check fluid level • TIRES Check and adjust air pressure, check for wear, damage • WHEELS Check wheel nuts • Notes: • Driver Signature:_____________________________