Defib Health Check

Customer Name:

Serial Number:

Location:

Brand:

Model:

Details to be physically checked:

The Defib HealthCheck is an additional service provide by the Defib HealthCheck. 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.
    
Carry case / cabinet is in good condition - undamaged.
    
Cabinet alarm is in good working order - where applicable.
    
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 Defib HealthCheck on 1300 729 575 immediately.
    
Check expiry date of Adult defibrillation pads - record date here ->
    
Check expiry date of Paediatric defibrillation pads - where applicable, and record date here —>
         
Check expiry date of Universal/Uni-pads (Adult/Paediatric) defibrillation pads - where applicable, and record date here —>
         
Battery / Batteries – Where possible, indicate the installed date.
         
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