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In the cab and engine start up

 seat and mirrors are adjusted properly 

 seat belt is adjusted and fastened properly 

 all gauges and warning lights work 

 fuel level is adequate 

 radio equipment and P. A. system work 

 siren works in all modes 

 windshield wipers work, washer has adequate fluid and sprays well 

 horn works 

 defroster and heater work properly 

 there are no unusual engine noises.

Defensive driving factors
 

Headlights

Always use headlights along with the emergency overhead lights.

Lights and sirens

Sirens are required by law when an ambulance is operating during an emergency. Using the red flashing overhead lights alone is not sufficient. Do not let the emergency sirens and lights give you a false sense of security. These warning devices are for the benefit of the public. Most drivers will clear the path if they know the ambulance is there. Do not assume that other drivers have seen your vehicle or that they will move out of the way. The responsibility for safe driving rests on you, the emergency medical operator.

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