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Northern Staff EMS
NJ BLS Rig Check · N.J.A.C. 8:40A
01Unit & Crew Information

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02Ambulance Photos — Exterior & Interior

REQUIRED AT BOTH SHIFT START AND SHIFT END · TAP EACH SLOT TO CAPTURE

Exterior — All 4 Quads

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Front
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Rear
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Driver Side
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Passenger Side

Interior

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Patient Compartment
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Driver Seat Area
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Passenger Seat Area
03Vehicle Standards
04Expiration Dates & Registrations
05Oxygen Systems

06AED & Cardiac Equipment

07Tech Bag
08General Patient Care
09Suction Equipment

Portable Suction


On-Board Suction

10Vital Sign Equipment

11Bleeding Control & Trauma
12Immobilization & Carrying Devices
13PPE & Infection Control
14Safety & Rescue Equipment
15NJ BLS Required Documentation
16Notes & Crew Attestation

By signing, crew attests this check was completed accurately per N.J.A.C. 8:40A and all deficiencies have been noted.

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