Cerise AED Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Break Room

• Is the cabinet in good condition (clean, doors easy to open)

  Yes

  No

  N/A

• Is the green light flashing on the AED visible through the cabinet doors

  Yes

  No

  N/A

• First aid supply pouch available?

  Yes

  No

  N/A

• Are the shock pads expired?

  Yes

  No

  N/A

• Are the batteries expired?

  Yes

  No

  N/A

• Date of Inspection

  Date