Standards › Standard 13 › Standard operating procedures (SOPs)
Standard operating procedure (SOP) · MOB-SOP-004 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 13 (Mobile Clinic and Outreach), criterion 13.9
At a glance
- The vehicle is checked daily (PTR-FRM-006) and maintained on a recorded schedule (PTR-REG-002).
- The vehicle is covered by insurance for its use (PTR-POL-002).
- The safety equipment is checked before each deployment.
- A vehicle with a fault that affects safety does not leave.
- Stop and get help straight away if: a vehicle with a safety fault leaves, or the vehicle is used without current insurance for its use.
1. Purpose
To keep the vehicle roadworthy, insured and equipped for each deployment (13.9).
2. Scope
| Applies to | Clinical and support staff in the hospital |
| Locations | All wards, clinics and departments of the facility |
| When | Whenever the activity described is carried out |
| Does not apply to | Activities covered by another document listed in section 15 |
3. Definitions
| Term | Meaning |
|---|---|
| Clinical lead | The doctor or nurse in charge of the area at the time |
4. Background
A vehicle that breaks down on the road strands the team and the patients. The vehicle must be roadworthy, insured for its use, and equipped before it leaves.
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Transport lead | Owns the maintenance and insurance records | Driver |
| Driver | Runs the daily check and the safety check | Driver |
6. Materials and equipment
| Item | Requirement | Condition |
|---|---|---|
| Records and forms named in this document | Current version | Checked before use |
7. Safety
- Stop and call for help if a patient is at immediate risk. Do not delay urgent care to complete paperwork.
8. Before you start
- Confirm the forms and equipment named in this document are available and current.
9. Procedure
Step 1. Daily check.
- Run the daily vehicle check on PTR-FRM-006 before each day’s use.
Key point: Every day.
Step 2. Maintain.
- Keep the maintenance schedule on PTR-REG-002 and record each service.
Key point: On schedule.
Step 3. Insure.
- Confirm the insurance covers the vehicle’s use, as PTR-POL-002 sets out.
Key point: Covered for use.
10. Decision points
- No decision points in this procedure.
11. Special situations
| Situation | Action |
|---|---|
| Out of hours | Follow the same steps. Use the on-call contact on the wall of the area. |
12. Escalation
- Any serious problem goes to the duty clinical lead at once and to the clinical director the same day.
13. Monitoring
| Measure | Target | Frequency | Owner | If not met |
|---|---|---|---|---|
| Deployments with a current daily check | 100% | Each deployment | Transport lead | Escalate to clinical director |
14. Records
| Record | Kept in | Retention |
|---|---|---|
| Record named in this document | Patient record or the area file | the period set by the facility’s records policy years |
15. Training
- Staff are trained in this document at induction and refreshed each year, with a recorded competency check.
16. Related documents
| ID | Title | Use |
|---|---|---|
| PTR-FRM-006 | Vehicle daily check record (existing, reused) | Record |
| PTR-REG-002 | Vehicle maintenance register (existing, reused) | Register |
17. 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. |
18. 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)