Defib Health Check

Serial Number:

Location:

Model:

Details to be physically checked: The Defib HealthCheck is an additional service provide by the Defibshop. It is not intended to replace regular checking, training and familiarisation of your AED	Checked? Yes / No
Casing of defibrillator is in good condition - undamaged.	Yes No
Carry case / cabinet is in good condition - undamaged.	Yes No
Cabinet alarm is in good working order - where applicable.	Yes No
Check Green ‘illuminated light or other unit “OK” indicator appears on front of the unit. If unit indicates a RED signal or indicator, please call Defibshop on 1300 729 575 immediately.	Yes No
Check expiry date of Adult defibrillation pads - record date here ->	Yes No
Check expiry date of Paediatric defibrillation pads - where applicable, and record date here —>	Yes No N/A
Check expiry date of Universal/Uni-pads (Adult/Paediatric) defibrillation pads - where applicable, and record date here —>	Yes No N/A
Battery / Batteries – Where possible, indicate the installed date.	Yes No Unknown