Date FR 2 Monthlyfr2
User Manual: FR-2
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Prepared by Emergency Skills, Inc.
Daily, check AED status indicator.
Monthly, perform thorough check, Date and initial upon completion.
Please make copies of this form as needed. Store completed forms in a safe place.
To order supplies, call the Dept of Education - Sherry Fennessy (212) 374-2320 or Donovan Lauther at (212) 374-6757.
Date
AED MAINTENANCE CHECKLIST
AED Unit
Clean, no dirt or
contamination; no
damage present
Supplies Available:
a. 2 sets defibrillation pads,
within expiration date,
undamaged
b. 1 set of pediatric
defibrillation pads within
expiration date, undamaged
c. Ancillary supplies:
• Towel
• Scissors
• Razor
• CPR mask
• Gloves
d. Store unopened battery
within install before date
e. PC data card undamaged*
Status Indicator:
Inspected by:
Remarks, Problems,
Corrective Actions:
