1.1 Is there evidence that routine inspection are conducted? e.g. every 12 months NOTE: Ensure maintenance log has been filled out
Type of Equipment
List asset number
1.2 Is the Active Status Indicator (ASI) is flashing green?
1.3 Are the pads in good condition and within the expiry date?
1.4 Is the battery pack within expiry date?
2.1 Did the unit pass the self-test? NOTE: Refer to the specific operations manual for the self-test procedure
3.1 Are workers familiar with the use and maintenance of the defibrillator?
4.1 Are relevant signs displayed near equipment?
5.1 Is the operator manual available with the device?
Perform a self-test to ensure the defibrillator is functioning correctly. Refer to the operators manual.
Signature below is confirmation that the defibrillator and related equipment, including pads and battery, were checked/ tested and were functioning correctly at the time of inspection. The defibrillator was taken out of maintenance mode and left in a ready state. The green Active Status Indicator (ASI) light was operating when the equipment was put back into service.