Standards › Standard S6 › Forms
Form · PTR-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: System S6 (Patient transfers and referrals), criterion S6.5, S6.11
Purpose
The hands-on assessment by qualified crew that confirms the patient is fit to travel, done before departure.
How to complete
- Examine the patient at the sending facility before departure.
- Record each observation and the crew member’s name and qualification.
- Do not rely on the sending facility’s paperwork alone.
Checks
| Check | Entry |
|---|---|
| Hands-on assessment by qualified crew | Yes |
| Observations recorded (vital signs, consciousness, airway, breathing) | Yes |
| Fitness for transport confirmed | Yes or no |
| Care level matches assessed need | Yes |
| Crew name and qualification | Yes |
| Date and time | 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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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)