EWI AED Monthly Check

• Conducted on

  Date

• Prepared by Chuck Rieser

UNIT LOCATION - High Bay

• Unit # 70419
  S/N A04C-00256
  

• Is the AED unit clean, undamaged and in its carry case or cabinet?

  Yes

  No

  N/A

• Is the Status Indicator blinking green?

  Yes

  No

  N/A

• Are electrode packs sealed or installed and within the expiration date?

  Yes

  No

  N/A

• Is the AED prep kit present and either stored in the cabinet or attached to the AED case?

  Yes

  No

  N/A

• Does the prep kit include gloves, razor, scissors and CPR mask?

  Yes

  No

  N/A

UNIT LOCATION - First Floor

• Unit # 71205
  S/N A10G-05181
  

• Is the AED unit clean, undamaged and in its carry case or cabinet?

  Yes

  No

  N/A

• Is the Status Indicator blinking green?

  Yes

  No

  N/A

• Are electrode packs sealed or installed and within the expiration date?

  Yes

  No

  N/A

• Is the AED prep kit present and either stored in the cabinet or attached to the AED case?

  Yes

  No

  N/A

• Does the prep kit include gloves, razor, scissors and CPR mask?

  Yes

  No

  N/A

UNIT LOCATION - Second Floor

• Unit # 70420
  S/N A05C-00833
  

• Is the AED unit clean, undamaged and in its carry case or cabinet?

  Yes

  No

  N/A

• Is the Status Indicator blinking green?

  Yes

  No

  N/A

• Are electrode packs sealed or installed and within the expiration date?

  Yes

  No

  N/A

• Is the AED prep kit present and either stored in the cabinet or attached to the AED case?

  Yes

  No

  N/A

• Does the prep kit include gloves, razor, scissors and CPR mask?

  Yes

  No

  N/A