AED Inspection

• Site conducted

  Select

• AED Serial Number / Make / Model

  Media

• Conducted on

  Date

• Prepared by

• Site/Location

• Personnel

Inspection

• Any obvious physical damage to AED?

  No

  Yes

• Is the AED unit clean and free from contamination?

  Yes

  No

• Is the connector socket free of cracks or any other signs of damage? (Pads should be disconnected from unit).

  Yes

  No

• Does the response kit contain the necessary accessories? (Air mask, nitrile gloves, scissors, razor, & paper towels).

  Yes

  No

  N/A

• Does the AED need to be serviced? (Message saying "Service Required")

  No

  Yes

Maintenance

• Open the AED lid and wait for the AED to indicate status:

• Did the indicator light change to red?

  Yes

  No

• After 5 seconds did the indicator status return to green?

  Yes

  No

• Are the electrodes expired?

  No

  Yes

• Can you hear the voice prompts?

  Yes

  No

• Close the lid, did the indicator light change to red?

  Yes

  No

• After 5 seconds did the indicator status return to green?

  Yes

  No

• Inspectors Signature.

  Sign