Public Access AED Inspection

• Conducted on

  Date

• Conducted By

• Asset ID

• Is the Defib Machine in its intended location ?

  Yes

  No

  N/A

• Is there at least 3 months until the change date displayed ?

  Yes

  No

  N/A

• Is there any sign of damage to the unit ?

  Yes

  No

  N/A

• Are Pads unused and in date ?

  Yes

  No

  N/A

• Are Disposable gloves present ?

  Yes

  No

  N/A

• Are Scissors present ?

  Yes

  No

  N/A

• Is a razor present ?

  Yes

  No

  N/A

• Is Paper towel present ?

  Yes

  No

  N/A

• Has the Circuit Website been updated?

  Yes

  No

  N/A

Checked By

• Checked By

  Sign