RRSC 4a. Quarterly RLSS Manikin Cleaning

• Site Location:-
  Andover Leisure Centre

• Conducted on

  Date

Resus Anne Cleaning

• Is the date the first Tuesday of March / June / September / December Or has there been an NPLQ Course within the last week?

  Yes

  No

Adult 1

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Adult 2

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Adult 3

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Adult 4

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Adult 5

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Adult 6

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Child 1

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Child 2

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Baby 1

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

Baby 2

• Disinfected

  Yes

  No

• Lunges Changed

  Yes

  No

• Faces Changed

  Yes

  No

• Are the dummies stacked neatly and the cupboard tidy?

  Yes

  No

• Signature

  Sign