Les Quennevais Sports Centre - Quarterly Manikin Check

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

  Select
• Location
  Address

• Personnel

Manikin checks - Quarterly

• Adult Manikins - Check condition and in working order

  Yes

  No

  N/A

• Child manikins - Check condition and in working order

  Yes

  No

  N/A

• Infant manikins - Check condition and in working order

  Yes

  No

  N/A

• Check stock of manikin wipes and report if order needed

  Yes

  No

  N/A

• Check training pocket masks - log number available

  Yes

  No

  N/A

• Check choking Charlie is in working order

  Yes

  No

  N/A

• Check training AED's in working order

  Yes

  No

  N/A

• Check Adult Spare Lungs - report if order needed

  Yes

  No

  N/A

• Check Child Spare Lungs - report if order needed

  Yes

  No

  N/A

• Check Infant Spare Lungs - report if order needed

  Yes

  No

  N/A