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Form · MOB-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 13 (Mobile Clinic and Outreach), criterion 13.2
Purpose
Records the check of the equipment, medicines and emergency items before each deployment.
How to complete
- Check against the list before departure.
- Record each missing or expired item.
- Sign before the vehicle leaves.
Checks
| Check | Entry |
|---|---|
| Emergency items present (oxygen, airway, adrenaline, resuscitation equipment) | Yes |
| Medicines present and in date | Yes |
| Cold chain working (where used) | Yes or N/A |
| Clinical equipment working | Yes |
| Missing or expired items and action | Yes |
| Checked by 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 |
E-learning for this document
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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)