LifePak 15 & ZOLL AED

• Date

  Date

• Inspection Completed By

• Complete Accessory Pouch

  Yes

  No

  N/A

• Green Check mark on AED

  Yes

  No

  N/A

• Non Expired Pad installed

  Yes

  No

  N/A

LifePak15 Left Compartment

• SPO2 Probe

  Yes

  No

  N/A

• Adult BP Cuff

  Yes

  No

  N/A

• 4 Lead with Attached Electrodes

  Yes

  No

  N/A

• Extra Electrodes

  Yes

  No

  N/A

LifePak15 Right & Top Compartments

• Adult Pacing/Defib Pad x1

  Yes

  No

  N/A

• Ped Pacing/Defib Pad x1

  Yes

  No

  N/A

• 12 Lead Cables with Attached electrodes

  Yes

  No

  N/A

• Pacing/Defib Cable Attached

  Yes

  No

  N/A

• Large Long Adult BP Cuff

  Yes

  No

  N/A

• Large Adult BP Cuff

  Yes

  No

  N/A

• Child BP Cuff

  Yes

  No

  N/A

• Infant BP Cuff

  Yes

  No

  N/A

• Extra Paper x1

  Yes

  No

  N/A

• Abdominal Pad x2

  Yes

  No

  N/A

LifePak15 Rear Compartment

• Razor x4

  Yes

  No

  N/A

• PED SPO2 Probe

  Yes

  No

  N/A

• Pack of Electrodes

  Yes

  No

  N/A

• Etco2 probe NC

  Yes

  No

  N/A

• Etco2 probe BVM

  Yes

  No

  N/A