Title Page
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Conducted on
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Inspected by
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Building & Location
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Brand & Model
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Serial Number
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Battery Date (expires 5 yrs from date)
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Defib pad expiration date
AED INSPECTION
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AED secure in the case, in the designated location
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AED operation verified (indicator light is flashing green)
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AED is clean with no damage
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AED has the electrodes connected
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PPE/Ready Kit in the back pocket of the AED & stocked (kit includes: 1 pocket mask; 1 trauma shear; 2 pairs of gloves; 2 - 4x4 gauze pads; 1 razor; 2 alcohol wipes)
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Test cabinet alarm
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Did you change the 9v battery for the cabinet alarm? (must be done every 6 months)
Untitled Page
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Conducted by: