Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Building A Cabinet 1 Unit # X151785645

  • Was the AED Cabinet secured and armed at time of inspection?

  • Please check for the green check (✓) in the status indicator window showing that the AED Plus is ready to use.<br>

  • Please verify that electrodes pads are within their expiration date.<br>

  • Please verify that batteries are within their expiration date. Typically 5 years from<br> date of installation.<br>Note: there is not an expiration date printed on the batteries. Only an install by date.<br>

  • Please verify that electrodes are pre-connected to the input connector.

  • Please verify that supplies are available for use (razor, mask, gloves.)<br>

  • Is the unit clean, undamaged, free of excessive wear?

  • Are there any cracks or loose parts in the housing?

Building A Cabinet 2 Unit # X151786743

  • Was the AED Cabinet secured and armed at time of inspection?<br>

  • Please check for the green check (✓) in the status indicator window showing that the AED Plus is ready to use.<br>

  • Please verify that electrodes pads are within their expiration date.<br>

  • Please verify that batteries are within their expiration date. Typically 5 years from<br> date of installation.<br>Note: there is not an expiration date printed on the batteries. Only an install by date.<br><br>

  • Please verify that electrodes are pre-connected to the input connector.<br>

  • Please verify that supplies are available for use (razor, mask, gloves.)<br>

  • Is the unit clean, undamaged, free of excessive wear?<br>

  • Are there any cracks or loose parts in the housing?<br>

Building B Cabinet 1 Unit # X151786733

  • Was the AED Cabinet secured and armed at time of inspection?<br>

  • Please check for the green check (✓) in the status indicator window showing that the AED Plus is ready to use.<br>

  • Please verify that electrodes pads are within their expiration date.<br>

  • Please verify that batteries are within their expiration date. Typically 5 years from date of installation. Note: there is not an expiration date printed on the batteries. Only an install by date.

  • Please verify that electrodes are pre-connected to the input connector.<br>

  • Please verify that supplies are available for use (razor, mask, gloves.)<br>

  • Is the unit clean, undamaged, free of excessive wear?<br>

  • Are there any cracks or loose parts in the housing?<br>

Building B Cabinet 2 Unit # X151785618

  • Was the AED Cabinet secured and armed at time of inspection?<br>

  • Please check for the green check (✓) in the status indicator window showing that the AED Plus is ready to use.<br>

  • Please verify that electrodes pads are within their expiration date.<br>

  • Please verify that batteries are within their expiration date. Typically 5 years from date of installation. Note: there is not an expiration date printed on the batteries. Only an install by date.<br>

  • Please verify that electrodes are pre-connected to the input connector.<br>

  • Please verify that supplies are available for use (razor, mask, gloves.)<br>

  • Is the unit clean, undamaged, free of excessive wear?<br>

  • Are there any cracks or loose parts in the housing?

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