Form 4 — Paramedic Status
Complete before start of shift. Guided run-through highlights one item at a time.
Total: 11 •GOOD: 8 •BAD: 3 •Issues: 9 •Unresolved: 4
ACRc
ACR Completion
Item Type
ACR Completion
Description
Number of ACRs/PCRs that are unfinished
Issues
Status
BAD
Notes
ACEr
ACE Response
Item Type
ACE Response
Description
Number of ACE reviews requiring comment
Issues
Status
GOOD
Notes
CERT-DL
Drivers License
Item Type
Drivers License
Description
Drivers License Validity
Issues
Status
GOOD
Notes
CERT-Va
Vaccinations
Item Type
Vaccinations
Description
Required vaccinations up to date
Issues
Status
BAD
Notes
CERT-CE
Education
Item Type
Education
Description
Continuous Education Status
Issues
Status
GOOD
Notes
UNIF
Uniform
Item Type
Uniform
Description
Uniform credits
Issues
Status
GOOD
Notes
CRIM
CRC
Item Type
CRC
Description
Criminal Record Check
Issues
Status
GOOD
Notes
ACP
ACP Status
Item Type
ACP Status
Description
If ACP, cert valid
Issues
Status
GOOD
Notes
VAC
Vacation
Item Type
Vacation
Description
Vacation requested and approved
Issues
Status
GOOD
Notes
MEALS
Missed Meals
Item Type
Missed Meals
Description
Missed meal claims
Issues
Status
GOOD
Notes
OVER
Overtime Req.
Item Type
Overtime Req.
Description
Overtime requests outstanding
Issues
Status
BAD
Notes
Checklist Footer
Rev 20260225 • Demo checklist • Complete before shift start. Outstanding items must be addressed per your service guidelines.