Title Page
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Conducted on
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Prepared by
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Location
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Is the defibrillator stored in the correct location?
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'OK' symbol is showing on electronic display
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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
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If the date has passed, replace the electrode packet and battery charger.
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Spare electrode packet is in date
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Res-cue Mask and First Responder Kit are present and tie unbroken.
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Defibrillator is clean and free from damage or cracks.
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Any other comments.