Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Ensure that the alarm on AED cabinet works
    To check, open the cabinet door. Do not turn off alarm with key.

  • Main Hallway

  • Main Gym

  • Life Guard Office

  • MAC Gym

  • Second Floor Hallway (across from PV room)

  • Beach Balance

  • Check AED for damage or foreign substances
    If it appears that unit was tampered with, immediately notify: Building Operations Manager

  • Main Hallway

  • Main Gym

  • Life Guard Office

  • MAC Gym

  • Second Floor Hallway (across from PV room)

  • Beach Balance

  • Check the status/service light indicator
    As long as the green READY light is blinking, it is NOT necessary to test the defibrillator by initiating a battery insertion self-test on a weekly basis.
    Check the expiration date on the batteries

  • Main Hallway

  • Main Gym

  • Life Guard Office

  • MAC Gym

  • Second Floor Hallway (across from PV room)

  • Beach Balance

  • Check to make sure the Adult AED pads (1 set) plugged into the AED connector
    If loose, reconnect pads to AED connector

  • Main Hallway

  • Main Gym

  • Life Guard Office

  • MAC Gym

  • Second Floor Hallway (across from PV room)

  • Beach Balance

  • Check expiration date on the Adult AED pads (1 set)
    If pads expire within 1 month, immediately notify the Building Operations Manager to order new pads

  • Main Hallway

  • Main Gym

  • Life Guard Office

  • MAC Gym

  • Second Floor Hallway (across from PV room)

  • Beach Balance

  • Monthly clean exterior and interior of AED unit with soft damp cloth using either soapy water, 70% isopropyl alcohol, or ammonia based cleaner such as Windex if needed (1st Monday of every month)

  • Main Hallway

  • Main Gym

  • Life Guard Office

  • MAC Gym

  • Second Floor Hallway (across from PV room)

  • Beach Balance

  • On 1st Monday of February and September, remove the battery, reinstall and run battery insertion self-test; follow prompt

  • Main Hallway

  • Main Gym

  • Life Guard Office

  • MAC Gym

  • Second Floor Hallway (across from PV room)

  • Beach Balance

Signature

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