Cylinder Storage and Handling

Secure Storage:

• All cylinders (portable and onboard spares) must be secured using approved brackets or straps.

• Portable cylinders not in use must be secured in designated storage areas in the ambulance.

Valve Safety:

• Always keep valve protection caps on spare cylinders when not in use.

• Never oil, grease, or lubricate valves or regulators. This can cause combustion with oxygen.

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Handling:

• Never drag, roll, or drop a cylinder.

• Use caution when lifting and moving; use a cart for heavy cylinders.

Use and Operation

Check Before Use:

• Inspect tanks for damage, proper labeling, and fill level.

• Ensure regulators and flowmeters are in good condition.

• Never use a cylinder with a damaged valve or no label.

Proper Connections:

• Use only oxygen-compatible equipment for oxygen tanks.

• Ensure regulators are tightly connected and not cross-threaded.

Replacement Guidelines:

• Do not allow onboard oxygen to fall below 500 psi unless in active use.

• Replace low or empty tanks before placing the unit back in service.

• Tag empty or partially full tanks using the provided tags.

Safety Precautions

Fire Hazard:

• Oxygen-enriched environments are a serious fire risk.

• Keep oxygen and medical air systems away from open flames, heat sources, or smoking.

Emergency Procedures

Leaks or Malfunctions:

• Shut off the cylinder immediately.

• Ventilate the area and remove ignition sources.

• Notify a supervisor and tag the equipment as “Out of Service.”

Fire:

• Activate emergency response protocols.

• If safe, turn off the gas supply and evacuate the vehicle.

• Use a fire extinguisher only if trained and it is safe to do so.

Final Reminders

• Always treat oxygen as a hazardous material.

• Never bypass safety checks or attempt makeshift repairs.

• When in doubt—shut it down, step away, and call for help.