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Form · MOB-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 13 (Mobile Clinic and Outreach), criterion 13.3
Purpose
Records the deployment site, the route to hospital, the transport, the communication and the briefing.
How to complete
- Complete before the deployment.
- Record the travel time.
- Record the briefing.
Checks
| Check | Entry |
|---|---|
| Site and date | Yes |
| Nearest hospital and route | Yes |
| Transport arranged (who and how) | Yes |
| Travel time | Yes |
| Communication method and back-up | Yes |
| Team briefed (names and date) | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on WHO classification and minimum standards for emergency medical teams (2013). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)