CompletedVehicleGeneral InspectionForm
This document contains Crestline Coach Ltd. confidential information and shall not be
duplicated, disclosed or used for purposes other than to carry out the intent for which this
material isdeliveredunlesswrittenconsent isobtained.
802 – 57
th
Street East
Saskatoon, SK. Canada S7K 5Z1
ph 1(306)934-8844
fax 1(306)242-5838
?Procedure ?Work Instruction ¦ Form ?Other
ISO#
DOT#
QVM#
OTHER#
QMS -CompletedVehicleGeneral InspectionForm
r4.doc
Created……1/05/2002 Revised……. 15/12/03
QMS - CompletedVehicleGeneral InspectionForm r4.doc
7 of 7
COMPLIANCE
....................................................................................................................................................................
YES
.........
NO
..........
NA
Ambulance connect and oil pressureswitch ............................................................................
..........
..........
Master emergency....................................................................................................................................
..........
..........
Light bar.....................................................................................................................................................
..........
..........
Flashers .....................................................................................................................................................
..........
..........
Strobes ......................................................................................................................................................
..........
..........
Wigwags ....................................................................................................................................................
..........
..........
Scenes .......................................................................................................................................................
..........
..........
Fog / drivingLights...................................................................................................................................
..........
..........
Surestart ....................................................................................................................................................
..........
..........
Siren...........................................................................................................................................................
..........
..........
Siren/horn switch......................................................................................................................................
..........
..........
Ammeter....................................................................................................................................................
..........
..........
Voltmeter ..................................................................................................................................................
..........
..........
Anti-theft.....................................................................................................................................................
..........
..........
Back-upalarm...........................................................................................................................................
..........
..........
Rear temp..................................................................................................................................................
..........
..........
Interior lights..............................................................................................................................................
..........
..........
Backlighting...............................................................................................................................................
..........
..........
Map light....................................................................................................................................................
..........
..........
Hourmeter ................................................................................................................................................
..........
..........
B. Auto throttle functions test
.................................................................................................................
..........
..........
C. M.C.C.
.......................................................................................................................................................
..........
..........
12 volt plug................................................................................................................................................
..........
..........
Incubator plug...........................................................................................................................................
..........
..........
Laerdal plug...............................................................................................................................................
..........
..........
Cot lights....................................................................................................................................................
..........
..........
Cabinet lights............................................................................................................................................
..........
..........
þ
Exhaust vent..........................................................................................................................................
..........
..........
Intakevent ................................................................................................................................................
..........
..........
þ
Rear heater............................................................................................................................................
..........
..........
þ
RearA/C.................................................................................................................................................
..........
..........
þ
Suction....................................................................................................................................................
..........
..........
Backlighting...............................................................................................................................................
..........
..........
ElectricO2valve.......................................................................................................................................
..........
..........
RemoteO2 gauge ...................................................................................................................................
..........
..........
Rear speaker volume...............................................................................................................................
..........
..........
Map light....................................................................................................................................................
..........
..........
