Automated External Defibrillator Inspection Checklist - Local

• Building, Floor, Room

• Conducted on

  Date

• Prepared by

• Location
  Address

• AED Contact Person (if applicable)

AED

• Is unit placement visible, unobstructed and signage near unit?

  Yes

  No

  N/A

• Is the green light illuminating?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there any cracks or loose parts on the unit or the housing?

  Yes

  No

  N/A

• Is the audible alarm activated?

  Yes

  No

  N/A

SUPPLIES

• Are there two sets of adult pads and one set of pediatric pads in sealed packages?

  Yes

  No

  N/A

• Are the pads within their listed expiration dates?

  Yes

  No

  N/A

• Is there a USB cord with the unit?

  Yes

  No

  N/A

• Are all of the items in the rescue kit present and serviceable (i.e. razor, gloves, mask, gauze, wipes)?

  Yes

  No

  N/A

MAINTENANCE/SERVICE

• Has there been any maintenance or service on the unit since the last inspection?

  Yes

  No

  N/A