| Date | Facility | Safety zone placards in place | Fire Extinguisher damage | All interior lighting operable | Safety cones are setup around the trailer | Water and Glycol levels checked | Trailer lights / reflectors operable | Any visual interior water damager or glycol leakage | Compartments on the drivers side of the trailer are locked | Physical Inspection Comments | Electronic Signature |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 10/2022 | Mt.Grant General Hospital | Yes | No | Yes | Yes | Yes | Yes | No | Yes | Sean Berendt | |
| 10/2022 | Mt.Grant General Hospital | Yes | No | Yes | Yes | Yes | Yes | No | Yes | Sean Berendt | |
| 09/2022 | Battle Mountain General Hospital, Mt.Grant General Hospital, South Lyon Medical Center | Yes | No | Yes | Yes | Yes | Yes | No | Yes | Sean Berendt | |
| 08/2022 | Mt.Grant General Hospital | Yes | No | Yes | Yes | Yes | Yes | No | Yes | I am reporting that both data cables are installed and operable. The Maintenance staff at Battle Mountain installed an aluminum pedestrian plate over the drainage ditch that runs through the sidewalk. We will use that drainage ditch to safely and successfully run the shore cable and data cables to the hospital power source. This will allow pedestrians to walk on the sidewalk without encountering obstacles. |
Sean Berendt |
| 06/2022 | Mt.Grant General Hospital | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes | The broken bubble level located on the driver's side of the trailer has been replaced. | Sean Berendt |
| 05/2022 | Mt.Grant General Hospital, South Lyon Medical Center | Yes | No | Yes | Yes | Yes | Yes | No | Yes | At the time of the actual physical inspection, the Magnet Warning Sign was not available for installation. Is was reported to me on 5.26.22, the Sign had been successfully installed. Additional inspection notes: I climbed onto the roof of the trailer and completed an inspection. Nothing of note to report. On 5.19.22 I brought the trailer to Reno. The trailer successfully completed it's yearly annual inspection. The trailer also passed a chassis/suspension alignment. |
Sean Berendt |
| 05/2022 | South Lyon Medical Center | Yes | No | Yes | Yes | Yes | Yes | No | Yes | The MRI warning sign that was removed from the primary entry door, still has not yet arrived to SLMC. Once the sign arrives, I will ensure that it is properly installed. I performed an inspection of the roof and found everything to be satisfactory. |
Sean Berendt |
| 04/2022 | South Lyon Medical Center | No | No | Yes | No | Yes | Yes | No | Yes | Outside looks good. | Richard Krey |
| 04/2022 | South Lyon Medical Center | No | No | Yes | No | Yes | Yes | No | Yes | Outside looks good. | Richard Krey |
| 04/2022 | South Lyon Medical Center | Yes | No | Yes | No | Yes | Yes | No | Yes | Outside looks good. | Richard Krey |
| 03/2022 | South Lyon Medical Center | Yes | No | Yes | Yes | Yes | Yes | No | Yes | I observed pealing from trailer's wrap. Location: One vertical seam on the driver's side (left) near the rear of the trailer. Photo documentation was taken and forwarded to my contact at AMST. |
Sean Berendt |
| 01/2022 | Pershing General Hospital, Battle Mountain General Hospital, Mt.Grant General Hospital, South Lyon Medical Center | Yes | No | Yes | Yes | Yes | Yes | No | Yes | Humidifier filled in Hawthorne. Fire Extinguishers are not damaged and still holding a positive charge. I believe the fuel gauge problem was mis reported. I ran the generator for two straight days. I found that the fuel guage was/is calibrated to the amount of fuel I could visually see inside of the tank. |
Sean Berendt |
| 12/2021 | Pershing General Hospital, Battle Mountain General Hospital | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | Fuel gage is inaccurate. | KW |
| 12/2021 | South Lyon Medical Center | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | Fuel gage is inaccurate. | KW |
| 12/2021 | South Lyon Medical Center | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | Fuel gage is inaccurate. | KW |
| 12/2021 | Mt.Grant General Hospital | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | Fuel gage is inaccurate. | KW |
| Date | Facility | Any visible exterior damage | Power cable is securely hooked to the power supply when parked | Main door is locked when not in use | Any visual exterior water damage or leakage | Any visible wear or damage to the power cable? | Compartments on the driver side of the trailer locked | Any visible damage to external wrap | Safety cones are setup around the trailer | Physical Inspection Comments | Electronic Signature |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 12/2021 | Mt.Grant General Hospital | Raul Gutierrez | |||||||||
| 12/2021 | Battle Mountain General Hospital | Yes | Roy Campbell | ||||||||
| 12/2021 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 01/2022 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 01/2022 | Pershing General Hospital | No | Yes | No damage noted | Loren Bianchi | ||||||
| 02/2022 | Pershing General Hospital | No | Yes | No damage noted. | Loren Bianchi | ||||||
| 02/2022 | Pershing General Hospital | No | Yes | No damage noted - L. Bianchi | Loren Bianchi | ||||||
| 01/2022 | Pershing General Hospital | No | Yes | No damage noted. L. Bianchi | Loren Bianchi | ||||||
| 02/2022 | Mt.Grant General Hospital | No | Yes | There are some scuff marks up at the top looks like tree branches scuffed the wrap/banner as trailer was pulled by trees. The banner/wrap is peeling apart at the seams on the left side (if sitting in the drivers seat) towards the back of the trailer. |
Randy Canady | ||||||
| 03/2022 | Pershing General Hospital | No | Yes | Scratches on wrap previously idendified | Loren Bianchi | ||||||
| 03/2022 | Battle Mountain General Hospital | No | Yes | Roy campbell | |||||||
| 03/2022 | South Lyon Medical Center | No | No | Billy Ogden | |||||||
| 03/2022 | Mt.Grant General Hospital | No | Yes | Hi, Just to let you know we will normally be doing the monthly inspection that is being sent in to you around the third week of the month. I see that you made a note that someone will be fixing the wrap, I will still make a quick note about it just for general purposes, not to be a pest. Thank you have a great weekend!!! Randy |
Randy Canady | ||||||
| 04/2022 | Pershing General Hospital | No | Yes | no damage | Loren Bianchi | ||||||
| 04/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 04/2022 | Mt.Grant General Hospital | No | Yes | **OVER SPRAY ON TIRES ** SIGN BROKEN OVER MAIN DOOR |
CODY BURKE | ||||||
| 04/2022 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 04/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 05/2022 | South Lyon Medical Center | No | Yes | Sign on walk door missing. | Billy Ogden | ||||||
| 05/2022 | Pershing General Hospital | No | Yes | none | Loren Bianchi | ||||||
| 05/2022 | South Lyon Medical Center | No | Yes | Flex covering on CAT6 wire bad. Door sign still missing. |
Billy Ogden | ||||||
| 05/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 06/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 06/2022 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 06/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 07/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 07/2022 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 07/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 08/2022 | Mt.Grant General Hospital | Yes | Yes | MC cable jacketing from the trailer to the power supply damaged in two spots. Discovered upon arrival. | Cody Burke | ||||||
| 08/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 08/2022 | South Lyon Medical Center | No | No | #3 door on the drivers side unlocked and open. I closed the door, did not lock it. |
Billy Ogden | ||||||
| 08/2022 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 08/2022 | Pershing General Hospital | No | Yes | None | Loren Bianchi | ||||||
| 08/2022 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 08/2022 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 09/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 10/2022 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 10/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 10/2022 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 10/2022 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 10/2022 | Mt.Grant General Hospital | No | Yes | Small scratches in the wrap on the right side of the door. | Cody Burke | ||||||
| 10/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 11/2022 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 11/2022 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 11/2022 | Battle Mountain General Hospital | No | Yes | roy | |||||||
| 12/2022 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 12/2022 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 12/2022 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 12/2022 | Mt.Grant General Hospital | No | Yes | Cones are placed correctly, but due to strong winds I have on call personnel that will check twice a day when they come in. | Cody Burke | ||||||
| 01/2023 | Mt.Grant General Hospital | No | Yes | The scratches on the roll up door were there before I ever worked here which is why I don't continue to list them. | Cody Burke | ||||||
| 01/2023 | Mt.Grant General Hospital | No | Yes | The power cable is fine, but the other smaller cable in the silver flexible conduit has some torn jacketing which has exposed the wires due to the conduit being stretched and torn. Pictures will be sent to Tatiana within the hour. | Cody Burke | ||||||
| 01/2023 | Pershing General Hospital | No | Yes | We have had computer, email issues lately. sorry for not getting this to you sooner, Loren | Loren Bianchi | ||||||
| 01/2023 | Mt.Grant General Hospital | No | Yes | Generator fuel level is 3/4 could use a top off. | Cody Burke | ||||||
| 02/2023 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 02/2023 | South Lyon Medical Center | No | Yes | I sent a photo to Tatiana at 09:30 today showing scratches to the left of NRH name on the drivers side of the unit. | Billy Ogden | ||||||
| 02/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 02/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 02/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 02/2023 | Battle Mountain General Hospital | No | Yes | The third compartment from the front on the drivers side was left unlocked. All of the compartments on the passenger side were left unlocked. This inspection speaks about a green light. I was not able to find a green light indicating shore power. The two lights on the driver side are orange. |
Jason Bleak | ||||||
| 02/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 02/2023 | Mt.Grant General Hospital | No | Yes | Fuel level was full. | Cody Burke | ||||||
| 03/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 02/2023 | South Lyon Medical Center | No | Yes | Wrap damage is from before. | Billy Ogden | ||||||
| 02/2023 | South Lyon Medical Center | No | Yes | Old damage | Billy Ogden | ||||||
| 03/2023 | South Lyon Medical Center | No | Yes | Old damage on Driver side. Roll up door has some wrap wear. |
Billy Ogden | ||||||
| 03/2023 | Battle Mountain General Hospital | No | Yes | Not all of the compartments under trailer locked. | Jason Bleak | ||||||
| 03/2023 | Battle Mountain General Hospital | No | Yes | One of the locks will not lock | Roy Campbell | ||||||
| 03/2023 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 03/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 03/2023 | Battle Mountain General Hospital | No | Yes | Lock on one of the doors will not lock. | Roy Campbell | ||||||
| 03/2023 | South Lyon Medical Center | No | Yes | Only (1) door was unlocked on the drivers side. It was the door to the main breaker. |
Billy Ogden | ||||||
| 03/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 03/2023 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 03/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 03/2023 | South Lyon Medical Center | No | No | All doors unlocked and the one where the power cable enters the rig was left wide open all the way. | Billy Ogden | ||||||
| 04/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 04/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 04/2023 | Battle Mountain General Hospital | Yes | Yes | Roy Campbell | |||||||
| 04/2023 | Mt.Grant General Hospital | No | Yes | Fuel level is full. | Cody Burke | ||||||
| 04/2023 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 04/2023 | South Lyon Medical Center | No | Yes | No compartment doors were locked. | Billy Ogden | ||||||
| 04/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 04/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 04/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 04/2023 | South Lyon Medical Center | No | No | Billy Ogden | |||||||
| 05/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 05/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 05/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 05/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 05/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 05/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 05/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 05/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 05/2023 | Pershing General Hospital | Yes | Yes | tatiana olivar | |||||||
| 06/2023 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 06/2023 | Mt.Grant General Hospital | Yes | Yes | All pictures were emailed to Tatiana this morning. Damage is to right front driver side of trailer. | Cody Burke | ||||||
| 06/2023 | Mt.Grant General Hospital | Yes | Yes | Nothing has changed, no leaks, or other damage discovered this afternoon. Generator is working great. | Cody Burke | ||||||
| 06/2023 | Battle Mountain General Hospital | No | Yes | Driver side front corner | Roy Campbell | ||||||
| 06/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 06/2023 | South Lyon Medical Center | No | Yes | No new damage. | Billy Ogden | ||||||
| 06/2023 | Mt.Grant General Hospital | No | Yes | Helium pressure was low in the morning, GE experienced an error on their side with the monitoring system resulting in no warning. I followed instruction given by Neil at GE everything appears to be normal. | Cody Burke | ||||||
| 06/2023 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 06/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 06/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Billy Ogden | |||||||
| 07/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 07/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 07/2023 | Mt.Grant General Hospital | No | Yes | Front driver side is still damaged. | Cody Burke | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Front left lower corner pre-existing damage. Tatiana is aware. | Rick Quist | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Front left lower corner pre-existing damage. Tatiana is aware. | Rick Quist | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Front left lower corner pre-existing damage. Tatiana is aware. | Rick Quist | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Front left lower corner pre-existing damage. Tatiana is aware. | Rick Quist | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Front left lower corner pre-existing damage. Tatiana is aware. | Rick Quist | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Front left lower corner pre-existing damage. Tatiana is aware. | Rick Quist | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Front left lower corner pre-existing damage. Tatiana is aware. | Rick Quist | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Pre-existing damage to lower left front corner. Tatiana is aware. | Rick Quist | ||||||
| 07/2023 | South Lyon Medical Center | No | Yes | Pre-existing damage to front lower left corner. Tatiana is aware. | Rick Quist | ||||||
| 08/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 08/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 08/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 08/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 08/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 08/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 08/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 09/2023 | Pershing General Hospital | No | No | front left corner still wrinkled up | Loren Bianchi | ||||||
| 09/2023 | Pershing General Hospital | No | Yes | safety cones are getting pretty beat up. | Loren Bianchi | ||||||
| 10/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 10/2023 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 10/2023 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 11/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 11/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 11/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 11/2023 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 12/2023 | Pershing General Hospital | No | Yes | data armored cable has a crack/separation where it comes out of the trailer. | Loren Bianchi | ||||||
| 12/2023 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 12/2023 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 01/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 01/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 01/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 01/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 01/2024 | Mt.Grant General Hospital | No | Yes | Rear small amber marker light cover missing. | Cody Burke | ||||||
| 01/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 01/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 01/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 01/2024 | South Lyon Medical Center | No | Yes | Daniel Cazares | |||||||
| 02/2024 | South Lyon Medical Center | No | Yes | DANIEL CAZARES | |||||||
| 02/2024 | Pershing General Hospital | No | No | one compartment door was open, and the safety cones were not set upl | Loren Bianchi | ||||||
| 02/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 02/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 02/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 02/2024 | South Lyon Medical Center | No | Yes | Generator fuel level is not accurate, the compartment door was locked. I apologize for the inconvenience. |
DANIEL CAZARES | ||||||
| 02/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 02/2024 | South Lyon Medical Center | No | Yes | The main power cable was not secured to the power inlet. | Scott Baker | ||||||
| 02/2024 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 02/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 02/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 02/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 03/2024 | Pershing General Hospital | No | Yes | armored cable for the data is separated in at least 3 places. | Loren Bianchi | ||||||
| 03/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 03/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 03/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 03/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 03/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 03/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 03/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 03/2024 | Pershing General Hospital | No | Yes | Loren Bianchi | |||||||
| 04/2024 | Battle Mountain General Hospital | No | Yes | Roy Campbell | |||||||
| 04/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 04/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 04/2024 | South Lyon Medical Center | No | Yes | Daniel C | |||||||
| 04/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 04/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 05/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 05/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 05/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 05/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 05/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 06/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 06/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 06/2024 | South Lyon Medical Center | No | Yes | DANIEL CAZARES | |||||||
| 06/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 07/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 07/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 07/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 07/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 08/2024 | South Lyon Medical Center | No | Yes | some compartment doors unlocked and unlatched. | Scott Baker | ||||||
| 08/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 08/2024 | South Lyon Medical Center | No | Yes | tony beeks | |||||||
| 08/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| 08/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 09/2024 | South Lyon Medical Center | No | Yes | Scott Baker | |||||||
| 09/2024 | Mt.Grant General Hospital | No | Yes | Cody Burke | |||||||
| Date | Facility | Any visible exterior damage | Power cable is securely hooked to the power supply when parked | Main door is locked when not in use | Any visual exterior water damage or leakage | Any visible wear or damage to the power cable? | Compartments on the driver side of the trailer locked | Any visible damage to external wrap | Safety cones are setup around the trailer | Physical Inspection Comments | Electronic Signature |
