Vehicles

Winter Vehicle Checklist for NEMT Vans: Fall Prep, Lifts in the Cold, and a Storm-Day Driver Card

A winter vehicle checklist gets each NEMT van ready before the first freeze and keeps it ready on storm days. Each fall, check the tires, battery, coolant, heat, defrosters, wipers, lights, and exhaust. Test the lift and ramp in the cold, load traction devices and a winter kit, and give every driver a storm-day card for skids, breakdowns, and getting stuck.

  • Do the fall check on every van before the first freeze, so each one starts winter with good tires, a tested battery, and heat that reaches the back seats.
  • Working heat is a rule in several programs. Minnesota requires every heating unit to work, and Virginia Medicaid measures 74 degrees at the rear of the van.
  • Cycle the lift or ramp after a cold night, keep ice off the platform and floor track, and stop using any lift that jerks, leaks, or fails an interlock.
  • Carry the winter kit your state and broker name. Minnesota requires an ice scraper from October 1 to April 30 and a blanket all year.
  • If a van gets stuck, the driver stays with the riders, runs the engine about 10 minutes each hour, and keeps the exhaust pipe clear of snow.

Only the title and the template print.

Cold weather finds every weak part of a van at once: a tired battery, a heater that never reaches the back seats, a lift that moves slowly after a night outside. Your riders feel it first. Many are older adults headed to dialysis, and CDC lists older adults with too little food, clothing, or heat among the people most likely to get hypothermia. This checklist gets each van ready before the first freeze and gives each driver a card for storm days.

How to use this template

  1. Pick a date before the first freeze. Do Parts 1 to 5 once for each van each fall. In Minnesota, finish by October 1, the day the state starts requiring an ice scraper in every NEMT vehicle (Minnesota Rules 8840.5925, as of September 2026).
  2. Split the work. A driver can check the lights, wipers, tire pressure, and kit. Send the battery test, coolant test, exhaust check, and brake work to your mechanic, and lift service to an authorized lift technician.
  3. Measure, do not guess. Write the tread depth of each tire in 32nds of an inch, and the cabin temperature at the rear seats with the heater on full.
  4. Fix before the season. Any item marked Fix is repaired before the van carries riders in winter. Copy each repair into the vehicle maintenance log.
  5. Keep the daily check going. This form does not replace the daily vehicle inspection. On winter mornings, add the lines in Part 3 marked “each cold morning” to that check.
  6. Put the Part 6 card in every van. Clip it to the visor or keep it with the registration, and go over it with each driver before the first storm.
  7. Check again after the season. In spring, look for salt damage on the lift and floor track, and take off studded tires where your state sets an end date.

The template

Part 1: Van details

Field Write it here
Van or fleet number, and plate
Year, make, and model
VIN
Vehicle type (sedan, minivan, wheelchair van, stretcher van, electric)
Lift or ramp make and model
Odometer and lift cycle count today
Checked by, and date

Part 2: Fall shop check

Item What to check OK Fix
Battery and charging system Load tested, terminals clean and tight, alternator belt in good shape
Coolant Tested for freeze protection and filled to the maker’s spec, no leaks
Heater Heat reaches the rear seats (write the temperature)
Defrosters Front and rear clear the glass
Wipers Blades replaced if worn, winter blades if your area gets heavy snow
Washer fluid Winter fluid with de-icer, reservoir full
Tires Tread depth on each tire (write it), no cuts or bulges, age checked
Tire pressure Set cold to the label on the driver’s door frame
Spare tire and jack Spare inflated, jack and wrench on board
Brakes Even braking, fluid at the right level
Lights Headlights, brake lights, turn signals, flashers, interior and lift door lights
Exhaust system Checked for leaks, clamps and hangers snug
Oil The grade the maker lists for cold weather
Floor mats Rubber or heavy mats, right size, held by the retention clips
Doors and windows Open, close, and latch in the cold, including the lift door
Open recalls VIN checked at nhtsa.gov/recalls, lift and securement recalls checked too
Electric vans Plan for winter range, charger working, cabin preheat set while plugged in

Part 3: Lift, ramp, and securement in the cold

Item What to check OK Fix
Full cycle, each cold morning Deploys, lowers, rises, and stows with no jerking, grinding, or slow spots
Interlocks, each cold morning Van will not shift out of park with the lift out, lift will not run until the van is parked
Manual backup Pump handle on board, backup lowers and raises the platform
Hydraulic fluid At the level the lift maker lists, the maker’s fluid only
Platform and ramp surface, each cold morning Free of ice and snow, antiskid surface not worn, edge stripe visible
Threshold and steps Slip-resistant, no ice at the door
Floor track and anchors No ice, salt, or grit, fittings click in and hold
Tie-down and belt webbing Clean and dry, not frozen stiff, stored off the floor
Service due Cycle count checked against the lift maker’s schedule

Part 4: Traction for your roads

Item What to check OK Fix
Winter tires Winter or mud and snow tires where your roads or traction laws call for them
Chains or approved traction devices Fit this van’s tire size, allowed by the van maker, stored in the van
Chain practice Each driver has put them on once, in daylight, before the first storm
Studded tires Only in the months your state allows
Road condition line The state 511 number or road conditions site written on the Part 6 card

Part 5: Winter kit (on board from fall to spring)

Item On board Checked
Ice scraper and snow brush
Small shovel
Sand or cat litter for traction
Jumper cables or a charged jump pack
Blankets, enough for the driver and a full load of riders
Extra hats, gloves, and a dry change of clothes
Flashlight with extra batteries
Phone charger and portable battery
Water and snacks
First aid kit
Three warning triangles
Bright cloth or flag to signal for help
Tow strap
Canned tire sealant with air
Insulated boots with good tread for the driver

Part 6: Storm-day driver card (cut out, one per van)

Dispatch After hours Road conditions line Van number
When Do this
Before you leave the lot Clear all snow and ice from the whole van, roof and lights too. Fuel near full, phone charged. Tell dispatch your route.
Warming up Drive off gently after about 30 seconds. Never run the van in an attached garage.
On the road Slow down. Leave extra room to stop. Stay well back from snowplows.
If you skid Steer into the skid, toward where you want the front to go. With antilock brakes, press firmly and hold. Do not pump.
You cannot see Pull off the road and stop until you can.
At the pickup Park on the flattest, clearest ground. Clear or salt the path and the ramp. Walk with the rider and hold on. Keep the rider inside until the van is ready.
Lift will not move Use the manual backup on the decal. If it still fails, call dispatch for another van.
Van stalls or slides off Flashers on. Triangles out. Call dispatch, and 911 if anyone is hurt or in danger.
Stuck in snow Stay in the van with your riders. Run the engine about 10 minutes each hour, window cracked, exhaust pipe clear. Dome light on at night while running. Bright cloth on the door. Hood up once the snow stops. Leave only if help is in sight within 100 yards.
Rider shivering, confused, slurring, or very drowsy Call 911. Get the rider warm and dry. Take off wet clothing. Wrap in dry blankets.
End of the shift Park with fuel near full. Plug in electric vans. Report every defect on the inspection form.

Part 7: Sign-off

Field Write it here
Items marked Fix (list each)
Repaired by, and date
Van ready for winter service (yes or no)
Driver card placed in the van (date)
Owner or manager signature

What the cold does to a van and a schedule

Cold weather cuts range and adds time. As of September 2026, FuelEconomy.gov says a gas car’s city mileage runs about 15% lower at 20°F than at 77°F, and up to 24% lower on trips of 3 to 4 miles, which is the short hop between many pickups. Hybrids drop about 30% to 34%. Electric vehicles can lose about 41% of their range, with about two-thirds of the extra energy going to cabin heat. Plan charging around that if you run an electric wheelchair van.

The same page says battery performance drops in the cold, which makes it harder for the alternator to keep the battery charged, and tire pressure falls as it gets colder. NHTSA says to set tires to the pressure on the driver’s door frame label, not the number on the tire, which is the tire’s maximum. Check them at least once a month and when they are cold, meaning not driven for at least three hours.

Snow also slows every trip. FHWA says average speeds on arterial roads fall 30 to 40 percent on snowy or slushy pavement. Build that into pickup times on storm days, and tell riders and facilities early, as your bad weather policy should say. NHTSA counts 320 fatal crashes and an estimated 22,293 injury crashes in 2023 that happened in snow or sleet.

State and broker rules for winter equipment

Most winter items are good practice, but some are written rules. These are the ones a van inspector can hold you to, as of September 2026.

Rule What it requires
Minnesota Rules 8840.5925 An ice scraper in every vehicle from October 1 to April 30, a blanket at all times, three warning triangles, and ramps with a slip-proof surface
Minnesota Rules 8840.5950 Every heating and air conditioning unit the vehicle has must work. A vehicle stopped or disabled outside a business or residential district when lights are required gets a triangle 10 feet behind it on the traffic side and another about 100 feet back, plus one about 200 feet back on a one-way road.
Wisconsin DHS 105.39 An inspection at least every 7 days that covers the heater and defroster, the lifts and ramps, and tires inflated to the maker’s pressure with at least 1/8 inch of tread. Deficiencies are fixed before any rider is carried.
Virginia DMAS (updated May 26, 2026) Heating that reaches 74 degrees and cooling to 68 degrees, measured at the rear of the vehicle
Oregon OAR 410-141-3925 For coordinated care organization trips: tire traction devices when appropriate, roadside warning devices, and working heat and ventilation
CareOregon manual (version 1.3, February 2024) Tire traction devices when appropriate, any seasonally appropriate equipment, a spare tire or repair kit and a jack, and a written adverse weather policy
Federal rules for commercial vans A working defroster (49 CFR 393.79), no portable heaters in any space where people ride (49 CFR 393.77), and at least 4/32 inch of tread on each front tire (49 CFR 393.75)

Federal motor carrier rules reach only commercial motor vehicles: a van used in interstate commerce that is rated at 10,001 pounds or more, or is designed or used to carry more than 8 people, driver included, for pay. The vehicle inspection checklist explains that test.

Tires, chains, and snow laws by state

Traction rules are set by each state’s transportation department and legislature, and they change the day a storm hits. These examples are current as of September 2026. Check them against your own state.

Where Rule
Colorado During a passenger vehicle traction law, a vehicle needs four-wheel or all-wheel drive with mud and snow, winter, or all-weather rated tires with 3/16 inch of tread, or chains or an approved traction device. The chain law, the last step before a closure, requires chains or an approved device on every vehicle. The fine is $100 plus a $33 surcharge, or $500 plus $157 if the violation closes a lane.
California Chain controls run from R-1 to R-3. At R-2, every vehicle needs chains or traction devices except four-wheel or all-wheel drive vehicles with snow-tread tires on all four wheels, which must still carry devices. At R-3, every vehicle needs them. Snow-tread tires carry MS, M/S, M+S, or MUD AND SNOW on the sidewall.
Washington Metal studs are unlawful from April 1 to November 1, unless the state transportation department adds dates (RCW 46.37.420). Chains and other traction devices are allowed when snow or ice makes them needed.
Connecticut Drivers must clear ice and snow from the hood, trunk, and roof. The fine is $75, or $200 to $1,000 if flying snow or ice hurts someone or damages property. For a commercial vehicle, that higher fine is $500 to $1,250 (General Statutes 14-252a).

Caltrans also tells drivers to check the vehicle maker’s specifications before using chains or traction devices. Buy the type the owner’s manual allows, and write the van number and tire size on the bag.

Lifts, ramps, and securement in cold weather

Federal ADA rules require every transportation company, public or private, to keep lifts, securement devices, and other access features working and to repair them promptly (49 CFR 37.161). Floors where people walk, steps, and securement areas must have slip-resistant surfaces (49 CFR 38.25), and Minnesota requires a slip-proof surface on ramps. Snow and ice on a platform undo both.

The BraunAbility Century 2 lift manual (33702 Rev. G) says exposure to harsh weather may require more frequent maintenance and lubrication than its standard schedule. It also says to stop using the lift at any sign of wear, damage, or improper operation, and to stop right away if any interlock does not work. Check the lift maker’s schedule for your model and have an authorized technician service it before winter if it is close to due. The wheelchair lift inspection log keeps that record.

Salt and slush end up in the floor track and on the straps. Q’Straint’s QRT Series instructions say to keep belts clean and off the floor, to clean webbing with mild soap and water, and to let it dry fully extended so water does not get into the retractors. See wheelchair securement for the steps at each station.

Check recalls on the lift and securement gear, not only the van. Ricon reported a recall of S-Series and K-Series lifts to NHTSA on June 23, 2026, because a failed contactor could keep the controls from stopping the lift. Q’Straint reported recalls of QRT-Deluxe and QRT-Max restraints on September 30, 2025, and of QRT-3 retractors on April 20, 2026, because the retractors may not lock. Each remedy is free through a dealer.

Keeping riders and drivers safe in the cold

Riders. CDC says hypothermia can happen even above 40°F when a person gets wet and chilled. Warning signs in adults are shivering, exhaustion, confusion, fumbling hands, memory loss, slurred speech, and drowsiness, and a temperature below 95°F needs medical attention right away. Until help comes, CDC says to get the person somewhere warm, remove wet clothing, and warm the center of the body under dry blankets. Keep riders indoors until the van is ready, and keep a heated van for the ride home from dialysis. For the rest of the storm plan, use the NEMT emergency plan template.

Carbon monoxide. CDC says to have a mechanic check the exhaust system every year, because a small leak can build up carbon monoxide inside the vehicle. Never run a van in an attached garage, even with the door open. When a van is stuck, the weather service says to keep the exhaust pipe clear of snow and open a window a little while the engine runs.

Drivers. OSHA says employers should make sure drivers recognize winter driving hazards and are trained for them. It advises insulated, water-resistant boots with good rubber treads, short steps on ice, and no overexertion, because shoveling or pushing a stuck vehicle can bring on a heart attack. Clear and salt your own lot before the first shift.

Frequently asked questions

What should be on a winter vehicle checklist?

Start with CDC's fall list: service the radiator or test the antifreeze, switch to winter washer fluid, check tread and tire pressure, and check the heater, defroster, brakes, brake fluid, ignition, flashers, exhaust, oil, and battery (page updated December 2, 2025). For a NEMT van, add a cold test of the lift or ramp, the securement stations, traction devices, a winter kit for riders, and a card that tells the driver what to do on storm days.

How much tire tread does a van need in winter?

NHTSA says tread should be at least 2/32 inch on all tires, and some rules ask for more. Wisconsin requires 1/8 inch on specialized medical vehicles. Colorado's traction law, when in effect, asks for 3/16 inch on mud and snow, winter, or all-weather tires on four-wheel or all-wheel drive vehicles. Federal motor carrier rules require 4/32 inch on the front tires of a van that counts as a commercial motor vehicle. Measure each tire in the fall and write it down.

Do NEMT vans need snow chains?

Where the roads or your contracts call for them. Oregon's rule for coordinated care organization trips lists tire traction devices, when appropriate, as required safety equipment (OAR 410-141-3925). California chain controls can require chains or traction devices on all vehicles, and Colorado's chain law, its last step before closing a highway, requires them on every vehicle. Buy chains or approved devices that fit the van's tire size and that the van maker allows.

What should a driver do if the van gets stuck in snow with riders on board?

Stay in the van with the riders and call dispatch, and 911 if anyone is in danger. The National Weather Service says to run the engine about 10 minutes each hour for heat, open a window a little while it runs, keep the exhaust pipe clear of snow, and turn on the dome light at night. OSHA says not to leave the vehicle unless help is visible within 100 yards.

How warm does a NEMT van have to be?

It depends on your state and broker. Virginia's fee-for-service rules (updated May 26, 2026) require heating that reaches 74 degrees and cooling to 68 degrees, measured at the rear of the vehicle. Minnesota requires every heating and air conditioning unit a vehicle has to work. Wisconsin puts the heater and defroster on the inspection it requires at least every 7 days.

Should drivers warm up the van before the first ride?

Only briefly. FuelEconomy.gov says most makers recommend driving off gently after about 30 seconds, because the engine warms faster when driven and idling gets zero miles per gallon. Never run a van inside an attached garage, even with the door open, CDC warns. Electric vans keep more range when the cabin is warmed while still plugged in.

Does cold weather hurt wheelchair lifts?

It can shorten the time between services. BraunAbility's Century 2 lift manual says harsh weather may call for more frequent maintenance and lubrication, and says to stop using the lift at any sign of wear, damage, or improper operation. Federal ADA rules require you to keep lifts working and repair them promptly. Cycle the lift after a cold night and check the manual backup before the first ride.

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