Title Page

  • Conducted on

  • Prepared by

  • Location
  • Is the defibrillator stored in the correct location?

  • 'OK' symbol is showing on electronic display

  • Troubleshooting:
    CHARGE-PAK indicator displayed - replace battery charger and electrode packet
    ATTENTION indicator displayed - refer to operating manual
    WRENCH indicator displayed - contact supplier

  • Electrode packet in defibrillator is in date

  • If the date has passed, replace the electrode packet and battery charger.

  • Spare electrode packet is in date

  • Res-cue Mask and First Responder Kit are present and tie unbroken.

  • Defibrillator is clean and free from damage or cracks.

  • Any other comments.

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