Title Page

  • Conducted on

  • Inspected by

  • Building & Location
  • Brand & Model

  • Serial Number

  • Battery Date (expires 5 yrs from date)

  • Defib pad expiration date

AED INSPECTION

  • AED secure in the case, in the designated location

  • AED operation verified (indicator light is flashing green)

  • AED is clean with no damage

  • AED has the electrodes connected

  • 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)

  • Test cabinet alarm

  • Did you change the 9v battery for the cabinet alarm? (must be done every 6 months)

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  • Conducted by:

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