Weekly Defibrillator Inspection

• Site conducted on

  Select

• Which Defibrillator

• Inspection Carried Out On

  Date

• Inspection Carried Out By

• Location of Defibrillator
  Address

• Has Defibrillator had it's Annual Certification by a Qualified Technician

  Yes

  No

Defibrillator Pads

• Have Pads Been Used

  No

  Yes

• Are Pads still in Date

  Yes

  No

Defibrillator Battery

• Is Battery still in Date

  Yes

  No

• Is Battery showing any signs of Corrosion

  No

  Yes

Sounder & Display

• Is the White Box Sounder Working Correctly

  Yes

  No

• Is the Green Light On

  Yes

  No

Signed Off

• Action Required:

• Signature:

  Sign