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Audit: Defib
ID
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User
Defib Name
Location
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Schedule
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Today
DD slash MM slash YYYY
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Next Audit Due
DD slash MM slash YYYY
Serial Number
Brand
Model
Check Unit
Defib Appears Clean & Undamaged
(Required)
Yes
No
Red light still flashing
(Required)
Yes
No
Case still sealed (with no cracks)
(Required)
Yes
No
UNIT EXPIRY
DD slash MM slash YYYY
Battery expiry date
Replace Unit?
(Required)
Yes
No
BATTERY EXPIRY
DD slash MM slash YYYY
Battery expiry date
BATTERY BARS
(Required)
1
2
3
4
Defib Turns On Ok
(Required)
Yes
No
Replace Battery?
(Required)
Yes
No
Check Consumerables
ADULT PAD EXPIRY
(Required)
DD slash MM slash YYYY
Adult pads expiry date
Adult Pad Packet Sealed & Undamaged
(Required)
Yes
No
Replace Adult Pads?
(Required)
Yes
No
PAED PAD EXPIRY
(Required)
DD slash MM slash YYYY
Paediatric pads expiry date
PAED Pad Packet Sealed & Undamaged
(Required)
Yes
No
Replace PAED Pads?
(Required)
Yes
No
PREP PACK EXPIRY
DD slash MM slash YYYY
Battery expiry date
Prep Pack Sealed & Undamaged
(Required)
Yes
No
Replace Prep Pack?
(Required)
Yes
No
Record Notes
Notes / Comments