AED Maintenance Inspection Log

• Date:

  Date

• AED Location:

  Kimberly Wash Plant

  MEF

  BRF

• Inspected By:

AED:

• Placement is Visible and Unobstructed:

  Yes

  No

• Battery is Properly Installed:

  Yes

  No

• Green LED Indicator Light flashes every 4-5 seconds:

  Yes

  No

• Are there Visual/Audible Service Alarms Present?

  Yes

  No

• Is AED clean (no dirt or contamination)?

  Yes

  No

• Is AED or accessories free of Damage?

  Yes

  No

Supplies (Found in Red AED Case):

• One cartridge set of AED electrode pads in AED and one set in a sealed package in the case?

  Yes

  No

• Have the Cartridge Sets passed their Expiry Dates?

  Yes

  No

• Scissors are present?

  Yes

  No

Fast Response Kit (Red Bag Attached to Case): The following Items are present and in acceptable condition:

• Pocket Mask with one-way valve:

  Yes

  No

• Examination Gloves:

  Yes

  No

• Scissors:

  Yes

  No

• Razors:

  Yes

  No

• Absorbent gauze or hand towels:

  Yes

  No