Use this AED checklist to do the following:
1. Verify AED operation by observing the status indicator after opening and closing.
2. Check if electrode pads are in the AED container, not expired, and have an extra set.
3. Log electrode pads expiration date and AED battery installation date for future checks.
4. Replace expired AED battery and electrode pads.
5. Inspect the PPE/ready kit (mask, scissors, razor, and gloves).
6. Test AED container tamper alarm.
Scan this QR code to use this paper checklist on your smartphone or tablet or
visit
https://safetyculture.com/
Title Page
Location of AED
Checked on
Checked by
AED Monthly Checklist
Is the AED secure in its container?
Check AED is on standby mode - flashing light
Does the cabinet alarm when opened?
Verify AED operation.
Verify AED Operation
Turn on AED to ensure its working.
Turn off AED
Wait 10 seconds to ensure no beeping (failure) tones are heard
Are the electrode pads in the AED container?
Are the Paedatric electrode pads in the AED container?
Check the expiration date of both electrode pads.
Electrode Pads Expiration Date:
Paediatric Pads Expiration Date
Does the unit say OK next to the battery?
Is the following equipment with the kit.
Mask
Scissors
Razor
Gloves
Comments
Did anything need replacing?
Any comments
Signature
Anonymous
CM005 AED Monthly Checklist - LifePak1000
Use this AED checklist to do the following:
1. Verify AED operation by observing the status indicator after opening and closing.
2. Check if electrode pads are in the AED container, not expired, and have an extra set.
3. Log electrode pads expiration date and AED battery installation date for future checks.
4. Replace expired AED battery and electrode pads.
5. Inspect the PPE/ready kit (mask, scissors, razor, and gloves).
6. Test AED container tamper alarm.
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.
