Aim: To maximize availability of Ambulance equipment before dispatch. Design: Retrospective observational study. Material and Methods: A team of doctors, nurses and paramedics of our tertiary care central government hospital of capital city in a lower middle income economy background country were assigned the task of inspection of ambulances prior to sending these for a national event. These ambulances were inspected for preparedness for patient care. The tertiary care center was the nodal center for inspection where ambulances from different organizations like CATS and corporate tertiary care hospitals were assembled for inspection on day 1, day 3 and day 7, while on the 8th day these ambulances were dispatched for patient care. Ambulances were checked consequetively for three days according to existing standardized check list [3]. A separate logistic cell was managed by the inspection team for procurement and maintenance of equipment. The ambulance pilot supervisor was responsible for checking the mechanical component of ambulances. Statistical Analysis: Quantitative variables were compared using Wilcoxon signed- rank test (as the data sets were not normally distributed) across follow up. A p value of <0.05 was considered statistically significant. Results: In between series of inspections, the task of functional completion of ambulance equipment significantly improves thereby pointing out to the success of methods employed in the present study. Our inspection was successful in terms of maximizing the availability of life saving equipment. Conclusions and Recommendation: A series of Ambulance inspection is essential for ascertaining the availability of disposable and consumable items in a fully equipped ACLS ambulance. The Ambulance team should be open to adding new evidence-based life- saving equipment to the existing standardized checklist.