AED Audit

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

Control Room AED (Installed September 2010)

• Is the Control Room AED serial number (X09K429748). If NO what is the serial number on the AED. Yes

  Yes

  No

  N/A

• Yes

• Does the Control Room AED show any signs of damage.no

  Yes

  No

  N/A

• Advise S2 & Email S1, M5 & M15 & advise of the damage to the Control Room AED.

• Does the Control Room AED contain Scissors, Shaving Razor, 2X Electrode Pads, Pedi Pads, CPR Face Mask, Swabs, Gloves & Paper Towel. If NO what items are missing.yes

  YES

  NO

• Is the Control Room AED in Its correct location. Yes

  YES

  NO

• If NO then return the Control Room AED to its correct location.

• Is the Control Room AED publicly accessible ? No

  YES

  NO

• Has the Control Room AED been deployed ? No0715

  YES

  NO

• Was Shock advised ?

  YES

  NO

• Have the Batteries been replaced since last use ?

  YES

  NO

• Have the Pads been replaced since last use ?

  YES

  NO

• Time that the Control Room AED was checked.0715

  Date

• Please Sign after all questions have been answered.

  Sign

Concierge Desk AED (Installed September 2010)

• Is the Concierge Desk AED serial number (X12F554370). If NO what is the serial number on the AED. Yes

  YES

  NO

• Does the Concierge Desk AED have a green Tick on the front of the AED. Yes

  YES

  NO

• If NO advise all staff that the Concierge Desk AED is out of service & Email S1, M5 & M15.

• Does the Concierge Desk AED show any signs of damage. No

  YES

  NO

• Advise S2 & Email S1, M5 & M15 & advise of the damage to the Concierge Desk AED.

• Does the Concierge Desk AED contain Scissors, Shaving Razor, 2X Electrode Pads, Pedi Pads, CPR Face Mask, Swabs, Gloves & Paper Towel. If NO what items are missing. Y

  YES

  NO

• Select what Items are missing & Email S1, M5 & M15 and advise what Items are missing.

• Scissors

• Shaving Razor

• Electro Pads

• CPR Face Mask

• Swabs

• Paper Towel

• Gloves

• Pedi Pads

• Is the Concierge Desk AED in Its correct location. Yes

  YES

  NO

• If NO then return the Concierge Desk AED to its correct location.

• Is the Concierge Desk AED publicly accessible ? Yes

  YES

  NO

• Has the Concierge Desk AED been deployed ? No

  YES

  NO

• Was Shock advised ?

  YES

  NO

• Have the Batteries been replaced since last use ?

  YES

  NO

• Have the Pads been replaced since last use ?

  YES

  NO

• Time that the Concierge Desk AED was checked. 0725

  Date

• Please Sign after all questions have been answered. Garry. Bricknell

  Sign

Centre Management AED (Installed September 2010)

• Is the Centre Management AED serial number (X09K429757). If NO what is the serial number on the AED. Yes

  YES

  NO

• Does the Centre Management AED have a green Tick on the front of the AED. Yes

  YES

  NO

• If NO advise all staff that the Centre Management AED is out of service & Email S1, M5 & M15.

• Does the Centre Management AED show any signs of damage. No

  YES

  NO

• Advise S2 & Email S1, M5 & M15 & advise of the damage to the Centre Management AED.

• Does the Centre Management AED contain Scissors, Shaving Razor, 2X Electrode Pads, Pedi Pads, CPR Face Mask, Swabs, Gloves & Paper Towel. If NO what items are missing. Yes

  YES

  NO

• Select what Items are missing & Email S1, M5 & M15 and advise what Items are missing.

• Scissors

• Shaving Razor

• Electro Pads

• CPR Face Mask

• Swabs

• Paper Towel

• Gloves

• Pedi Pads

• Is the Centre Management AED in Its correct location. Yes at csd2

  YES

  NO

• If NO then return the Centre Management AED to its correct location.

• Is the Centre Management AED publicly accessible ? Yes

  YES

  NO

• Has the Centre Management AED been deployed ? No0730

  YES

  NO

• Was Shock advised ?

  YES

  NO

• Have the Batteries been replaced since last use ?

  YES

  NO

• Have the Pads been replaced since last use ?

  YES

  NO

• Time that the Centre Management AED was checked. 0730 Garry Bracknell

  Date

• Please Sign after all questions have been answered. Garry . Bricknell

  Sign

• When the AED Audit is complete Email to S1, M5 & M15