WIGGINS LOGISTICS
MEDICAL COURIER PROCEDURE TEMPLATE PACK

Educational placeholders only. Adapt these with the contracting company, customer, safety professional,
insurer, attorney, and responsible agency. Do not use a template to package, mark, handle, or transport
regulated material without the required training, authorization, equipment, and instructions.

1. PICKUP VERIFICATION CHECKLIST
Date/time: ______  Courier: ______  Customer/site: ______  Route/order ID: ______
Authorized contact confirmed: [ ]  Package count confirmed: [ ]  Package integrity checked: [ ]
Labels/markings visible and match instructions: [ ]  Temperature requirement confirmed: [ ]
Discrepancy and action taken: ________________________________________________

2. CHAIN-OF-CUSTODY FORM
Item/order ID: ______  Origin: ______  Destination: ______
Released by / date / time: ______  Received by / date / time: ______
Condition, seal, temperature, or discrepancy notes: __________________________

3. TEMPERATURE LOG
Customer-defined range: ______  Device ID: ______  Container ID: ______
Pickup reading/time: ______  En-route reading/time: ______  Delivery reading/time: ______
Exception and escalation action: _____________________________________________

4. FAILED DELIVERY PROCEDURE
Do not abandon or redirect an item. Secure the item, protect information, document attempts,
contact the authorized dispatcher/customer, follow return or hold instructions, and record custody.

5. SPECIMEN SPILL / EXPOSURE PROCEDURE
Stop work, isolate the area, avoid unauthorized handling, follow trained spill and exposure steps,
notify the authorized contact, seek medical attention when indicated, and complete incident records.

6. VEHICLE BREAKDOWN PROCEDURE
Move to safety when possible, protect cargo and information, notify the authorized contact,
maintain required conditions, document custody, and use only approved recovery or transfer steps.

7. ACCIDENT AND INCIDENT REPORT
Date/time/location: ______  People involved: ______  Police/report number: ______
Vehicle/cargo condition: ______  Notifications: ______  Photos authorized: [ ]
Facts and immediate actions (no speculation): ________________________________

8. PRIVACY INCIDENT REPORT
Do not copy unnecessary protected information. Record the minimum needed: date/time, information type,
how discovered, who may have accessed it, containment actions, and authorized contacts notified.

9. PACKAGE DISCREPANCY FORM
Expected item/count: ______  Actual item/count: ______  Seal/condition: ______
Action taken and authorization: ______________________________________________

10. PROOF OF DELIVERY
Order ID: ______  Date/time: ______  Authorized recipient: ______
Signature/scan method required by customer: ______  Exception notes: ______

11. DAILY VEHICLE INSPECTION
[ ] Tires  [ ] Lights  [ ] Fluids  [ ] Glass/mirrors  [ ] Brakes/controls
[ ] Registration/insurance  [ ] Clean cargo area  [ ] Charging backup  [ ] Required equipment

12. VEHICLE CLEANING LOG
Date/time: ______  Area cleaned: ______  Product/method per procedure: ______
Reason/route: ______  Completed by: ______  Exception: ______

13. TRAINING RECORD
Person: ______  Topic: ______  Provider/customer: ______  Completion date: ______
Expiration/renewal: ______  Evidence location: ______  Function authorized: ______

14. DOCUMENT EXPIRATION TRACKER
Document: ______  Issuer/customer: ______  Number/reference: ______
Effective: ______  Expires: ______  Reminder date: ______  Renewal status: ______

Last reviewed: September 2, 2026