The 2018 Ford E-350 has 4 recalls, the most serious affecting vehicles modified with Freedman GO-ES foldaway seat back cushions, which can unlock under load in a crash or sudden stop and leave an occupant without proper support.
All four recalls apply to specialty-built vehicles rather than standard E-350s. On ambulance variants equipped with Whelen brake lights, the brake lights can illuminate even when the pedal is not pressed, which can confuse following drivers about whether the vehicle is slowing. On shuttle bus variants equipped with ASA Electronics Voyager backup monitors, the screen can revert to factory default settings and display a mirror-reversed camera image, causing the driver to steer the wrong direction when backing up.