Information
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Audit Title
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Unit ID
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Conducted on
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Prepared by
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Location
AED Inspection
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Is the AED unit located in its designated area? Identify serial number of unit below.
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Is the AED unit clean, undamaged and if applicable in its carry case or cabinet?
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Is the AED rescue kit present and either stored on the carry case or cabinet or attached to the AED unit?
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Does the AED rescue kit include: gloves, prep razor, scissors, towel, moist towelettes, CPR mask?
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Are all electrode packages sealed and within the expiration date?
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Is the Status Indicator Blinking Green Light?
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Are the electrodes attached to the unit?
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Are the batteries within the expiration date?
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Are you re-installing new electrodes or batteries?
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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?
Fire Extinguisher Inspection
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Mounted in an easily accessible place, no debris or material stacked in front of it.
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Safety pin is in place and intact. Nothing else should be used in place of the pin.
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Label is clear and extinguisher type and instructions can be read easily
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California Fire Marshal Tag Present and Current
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Handle is intact and not bent or broken
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Pressure gauge is in the green and is not damaged or showing “recharge”
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Discharge hoses/nozzle is in good shape and not clogged, cracked, or broken
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Extinguisher was turned upside down at least three times (shaken)
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It is not rusty, or has any type of corrosion build up.
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Photos
Power Tools / Extension Cords
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All Outlets are GFCI
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All extension cords used are three-pronged.
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All extension cords will be in good working order
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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
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All power tools will have three-pronged plugs unless double insulated.
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Power tools have all Necessary Accessories, Handles, Guards
First Aid Kits
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Fist aid Kit Easily accessable
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Kit within Expatriation Date
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Kit contains all necessary contents
Additional Photos
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Add media
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Signature
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Add signature
Review
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Safety Manager Review
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Select date