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AED Inspection

  • Please indicate the below information with the condition that you are leaving the AED with - for example, if you've replaced pads or battery, indicate the new expiration date for these items.

    This form is automatically emailed to the on-site contact for the AED unit so that they have a record of the information.

  • Add a new row Remove this row
  • Be as specific/descriptive as possible.

  • Powerheart AED G3 Plus

    Powerheart AED G3 Pro
    (Has ECG Screen)

    Powerheart AED G5

  • Defibtech Lifeline

    Defibtech View
    (Has ECG Screen)

  • Heartsine Samaritan 350P & 450P

  • Heartstart OnSite AED

    Heartstart FRX

    HeartStart FR3

  • Lifepak Express AED

    Lifepak CR Plus

    Lifepak 1000

  • Zoll AED Plus

    Zoll AED Pro
  • A 3D sign is a triangular marker on the wall above the AED so that its location can be seen from either direction.
  • If kept in a locked office, select "No"
  • If not attached to AED, please attach it if possible and indicate that it is attached to the AED.
  • -Gloves
    -Gauze or Towel
    -CPR Pocket Mask or Barrier
    -Razor
    -Scissors or shears
  • Cardiac Science AEDs
  • Defibtech AEDs:
  • HeartSine AEDs:
  • Philips AEDs:
  • Physio-Control AEDs:
  • Zoll AEDs:

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