Barnard Monthly Equipment Check - duplicate

• Audit Title

• Unit ID

• Conducted on

  Date

• Prepared by

• Location
  Address

AED Inspection

• Is the AED unit located in its designated area? Identify serial number of unit below.

  Yes

  No

  N/A

• Is the AED unit clean, undamaged and if applicable in its carry case or cabinet?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the Status Indicator Blinking Green Light?

  Yes

  No

  N/A

• Are the electrodes attached to the unit?

  Yes

  No

  N/A

• Are the batteries within the expiration date?

  Yes

  No

  N/A

• Are you re-installing new electrodes or batteries?

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

Fire Extinguisher Inspection

• Mounted in an easily accessible place, no debris or material stacked in front of it.

  Yes

  No

  N/A

• Safety pin is in place and intact. Nothing else should be used in place of the pin.

  Yes

  No

  N/A

• Label is clear and extinguisher type and instructions can be read easily

  Yes

  No

  N/A

• California Fire Marshal Tag Present and Current

  Yes

  No

  N/A

• Handle is intact and not bent or broken

  Yes

  No

  N/A

• Pressure gauge is in the green and is not damaged or showing “recharge”

  Yes

  No

  N/A

• Discharge hoses/nozzle is in good shape and not clogged, cracked, or broken

  Yes

  No

  N/A

• Extinguisher was turned upside down at least three times (shaken)

  Yes

  No

  N/A

• It is not rusty, or has any type of corrosion build up.

  Yes

  No

  N/A

• Photos

  Media

Power Tools / Extension Cords

• All Outlets are GFCI

  Yes

  No

  N/A

• All extension cords used are three-pronged.

  Yes

  No

  N/A

• All extension cords will be in good working order

  Yes

  No

  N/A

• Each extension cord ground will be tested for continuity on at least a quarterly basis and marked to indicate when the inspection occurred. <br>Jan, Feb, March = White <br>April, May, June = Green<br>July, August, September = Red<br>October, November, December = Orange

  Yes

  No

  N/A

• All power tools will have three-pronged plugs unless double insulated.

  Yes

  No

  N/A

• Power tools have all Necessary Accessories, Handles, Guards

  Yes

  No

  N/A

First Aid Kits

• Fist aid Kit Easily accessable

  Yes

  No

  N/A

• Kit within Expatriation Date

  Yes

  No

  N/A

• Kit contains all necessary contents

  Yes

  No

  N/A

Additional Photos

• Add media

  Media

• Media

Signature

• Add signature

  Sign

Review

• Safety Manager Review

• Select date

  Date