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.
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 Defib HealthCheck 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
Update
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