Automatic External Defibrillator - installation location report

• Building

• Conducted on

  Date

• Prepared by

• Location
  Address

Name of first aider(s) and / or other people who were consulted regarding the location

• Enter names

General location of defib

• Description of location that has been selected

• Photo of the location

  Media

Maximum time to point of furthest use (measured at walking speed)

• Less than 1 minute

• 1 to 2 minutes

• 2 to 3 minutes

• 3 to 4 minutes

• 5 minutes or more

Security measures for minimising chance of theft