AED Condition Audit 1.0

AED - Automatic External Defibrillator Audit

• Document No:

• AED Audit at: ( example of entry: AED + Building Name + Room No or Name )

• Client / Site: (example of entry: Campus or Site + Grid Reference )

• Brand and Model

  Philips Heartstart (Blue)

  Zoll AED Plus (Green)

  Other

• If Other, enter Brand, Model and Colour below

• Asset No: ( or Barcode No )

• Serial No/s:

• Conducted on:

  Date

• Audit undertaken by:

  Select Scott Massie Barry Russell Alan Mason Troy Finearty Roger Wallis Greg Chandler Andrew Southorn Other Person

  • Scott Massie
  • Barry Russell
  • Alan Mason
  • Troy Finearty
  • Roger Wallis
  • Greg Chandler
  • Andrew Southorn
  • Other Person

• Enter name of auditor here:

Security and Alarms

• Before opening the cabinet, ring security, advise them you are about to test and check the AED and for them to stay on the phone, monitor for an alarm when you open the cabinet.

• Did the alarm work in security when the cabinet was opened ?

  Yes

  No

  N/A

• From the alarm only, could security tell where the AED is located ?

  Yes

  No

  N/A

Add Photo of the AED unit

• Add media

  Media

Signage and Instructions

• Is there a triangular AED sign located above the cabinet and can be easily seen ?

  Yes

  No

  N/A

• Does the cabinet / unit contain written instructions for use ?

  Yes

  No

  N/A

• Are the locations of first aid officers or first aid kits provided near the cabinet ?

  Yes

  No

  N/A

AED UNIT Audit

• Is the AED unit located in its designated security box ?

  Yes

  No

  N/A

• Is the AED unit clean, undamaged ?

  Yes

  No

  N/A

• Is the Status Indicator showing a green check mark or the word 'OK'?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• What is the expiry date marked on the electrodes in the unit ? Enter date below.

• Are the electrodes attached to the unit?

  Yes

  No

  N/A

• Are the batteries in the unit within the expiration date?

  Yes

  No

  N/A

• What is the expiry date marked on the batteries in the unit ? Enter date below.

• Are you re-installing new electrodes or batteries?

  Yes

  No

• What did you install ?

  Select Batteries Electrodes

  • Batteries
  • Electrodes

• 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?

  No

  Tested OK

• Enter reason not tested:

• What is the expiry date marked on the new electrodes or batteries ? Enter date below.

• Before placing the unit back in the cabinet, is the Status Indicator showing a green check mark or the word 'OK'?

  Yes

  No

  N/A

Signature

• Select the Name of person signing and then select "Sign"

  Select Scott Massie Barry Russell Alan Mason Troy Finearty Roger Wallis Greg Chandler Andrew Southorn Other Person

  • Scott Massie
  • Barry Russell
  • Alan Mason
  • Troy Finearty
  • Roger Wallis
  • Greg Chandler
  • Andrew Southorn
  • Other Person

• If Other Person, then enter name of that person in the space below then select "Sign"

• Add signature

  Sign