NEMT Restraint System Verification

Pre-movement inspection for non-emergency medical transportation to confirm lap and shoulder belt application for every passenger and wheelchair occupant, and to document securement on each trip leg.

Inspection Details

• Inspection date and time recorded
• Vehicle identifier recorded
  Enter unit number, fleet number, or license plate identifier.
• Driver or inspector name recorded
• Trip leg identified
• Reference procedure or SOP available
  Confirm the applicable NEMT restraint and securement procedure is available to the inspector.

Passenger Restraint Verification

• Lap belt applied to every ambulatory passenger
• Shoulder belt applied to every ambulatory passenger when equipped
• Seat belt webbing free of twists, cuts, fraying, or visible damage
• Buckle engages, latches, and releases properly

Wheelchair Occupant Securement

• Wheelchair tiedown securement points engaged at all required anchor locations
• Wheelchair occupant lap belt applied
• Wheelchair occupant shoulder belt applied when required or equipped
• Wheelchair brakes set and wheelchair positioned to prevent movement
• Securement straps are not crossed, tangled, or over-tensioned

Trip Leg Re-Verification

• Restraints re-checked before vehicle movement on this leg
• Any passenger or wheelchair occupant position change re-secured before departure
• Deficiency or non-conformance documented and corrected before movement

Closeout and Sign-Off

• Corrective actions documented for any failed restraint item
• Unsafe occupant transport prevented when restraint verification failed
• Inspector signature captured