Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Is the AED unit located in its designated area?

  • Is the AED unit clean, undamaged and if applicable in its carry case or cabinet?

  • Is the AED rescue kit present and either stored on the carry case or cabinet or attached to the AED unit?

  • Does the AED rescue kit include: gloves, prep razor, scissors, towel, moist towelettes, CPR mask?

  • Are all electrode packages sealed and within the expiration date?

  • Does alarm on AED cabinet in working order? Note: Batteries should be replaced annually.

  • Is the Status Indicator showing a green blinking light?

  • Are the electrodes attached to the unit?

  • Are the batteries within the expiration date?

  • Are you re-installing new electrodes or batteries?

  • If re-installing new electrodes or batteries, did you turn unit on to allow it to complete a full self-test to confirm a visible green check mark?

Additional Photos

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Signature

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