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International Accreditation of Healthcare Facilities

Standards › Standard S5 › Forms

Form · AMT-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee

Supports: System S5 (Ambulance and patient transport), criterion S5.2

Purpose

Records the check of each partner’s certificates before first use and at each renewal.

How to complete

Checks

Check Entry
Agreement signed Yes
Aircraft or vehicle certificate valid Yes
Crew certificate valid Yes
Escort certificate valid Yes
Responsibilities at handover agreed Yes
Checked by and date Yes

Evidence

Reference Note
E-009 ASF Expert Committee consensus.
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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