Information

  • AED Monthly Inspection

  • Conducted on

  • Prepared by

  • Location
  • Is the AED unit located in its designated area?

  • Is the AED unit clean, undamaged and in its carry case inside the cabinet?

  • Is the AED rescue kit present and either stored on the carry case or cabinet of the AED unit?

  • Does the AED rescue kit include: gloves, prep razor, scissors, CPR mask?

  • Are all electrode packages sealed and within the expiration date?

  • Are the electrodes attached to the unit?

  • Is the Status Indicator showing a green check mark?

  • Are the batteries within the expiration date?

  • Are you re-installing new electrodes or batteries?

  • If re-installing new electrodes or batteries, did you turn unit on to allow it to complete a full self-test to confirm a visible green check mark?

Additional Photos

  • Add media

Signature

  • Inspector Signature

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