Equipment and Training Supplies

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

CPR Adult Manikins

• Are the CPR manikins properly maintained and functional?

  Yes

  No

  N/A

• Number of Adult Manikin

• How would you rate the condition of the CPR Adult Manikins?

  Good

  Fair

  Poor

  N/A

Infant Manikins

• Are the CPR manikins properly maintained and functional?

  Yes

  No

  N/A

• Number of Infant Manikins

• How would you rate the condition of the infant manikins

  Good

  Fair

  Poor

  N/A

First Aid Training Supplies

• Adult Lungs - packs

• Infant Lungs- packs

• Dog lungs

• Cleaning wipes - packs

• Gloves- boxes

• Gauze (4x4)-Packs

• Roller Bandages - Boxes (12 pack)

• Training Face Shields - Rolls

• Training Face Shields - Each (Boxes)

• Pocket masks - Each

• One - way Valves - Each

Equiptment

• AEDs-Trainers

• Condition of AEDs

  Good

  Fair

  Poor

  N/A

• Knee Pads

• Condition of Knee Pads

  Good

  Fair

  Poor

  N/A

• Epi-Pen trainer

• Condition of Epi-Pen

  Good

  Fair

  Poor

  N/A

• Auvi-Q Trainer

• Condition of Auvi-Q Trainer

  Good

  Fair

  Poor

  N/A

• Narcan Trainer

• Condition of Narcan trainer

  Good

  Fair

  Poor

  N/A

• Tourniquet

• Condition of tourniquets

  Good

  Fair

  Poor

  N/A

• Pool noodles

• Condition of pool noodles

  Good

  Fair

  Poor

  N/A

• Adult BVM (bag-masks)

• Condition of Adult BVM (bag-masks)

  Good

  Fair

  Poor

  N/A

• Infant BVM (bag-masks)

• Condition of Infant BVM (bag-Masks)

  Good

  Fair

  Poor

  N/A

• Asthma Inhaler-trainer

• Condition of Asthma Inhaler- trainer

  Good

  Fair

  Poor

  N/A

• Triangular Bandage

• Condition of Triangular Bandage

  Good

  Fair

  Poor

  N/A

Misc

• Arise Safety Keychain - Each

• Protective Face Mask- boxes