AED Inspection Checklist
Monthly Automated External Defibrillator (AED) Inspection
AED Model
Serial Number #
Inspected Date and Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
AED Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Inspector Name
First Name
Last Name
Verify AED operation, check all that works respectively
Open AED lid / Turn on AED
Wait for status indicator to change from RED to GREEN after five seconds
Close AED lid / Turn off AED
Wait for status indicator to change from RED to GREEN after five seconds
Check expiration date of electrode pads
Are the electrode pads in the AED container?
Yes
No
Electrode pads expiration date
-
Month
-
Day
Year
Date
Is the AED battery properly charged?
Yes
No
AED battery installation date
-
Month
-
Day
Year
Date
AED battery expiration date
-
Month
-
Day
Year
Date
Are the AED pads and a spare set present, and in good condition?
Yes
No
AED pads expiration date
-
Month
-
Day
Year
Date
Automated External Defibrillator Inspection
Rows
Yes
No
Notes
Is the AED case accessible and highly visible? There should be nothing that obstructs or obscures the AED from quickly finding and accessing it for use.
1
2
Does the AED case alarm properly? Check that the case sounds the alarm if opened, and if provided, sends a signal to a monitoring location.
3
4
Is the AED intact and free of damage? Inspect the overall condition of the AED. Pay particular attention to connector sockets. AED should be clean.
5
6
Is the AED and case clean? The outside of the AED can be cleaned with a soft cloth dampened with soapy water or a 10% bleach solution. Clean the case with soapy water.
7
8
Is the green Ready light blinking? A blinking green light indicates the AED passed its last self-test. A steady green Ready light indicates the AED is running a self-test or is in use. If the Ready light is off, see the troubleshooting guide in the Owner’s Manual.
9
10
Are 2 pairs of rubber gloves, 1 barrier face piece, scissors, razor, and cloth / gauze pad present?
11
12
Are the Quick Reference Guide present and all labels legible? The Quick Reference Guide should be visible in the clear window of the case. Check that all warning and informational labels are legible.
13
14
Any comments
Inspector signature
Submit
Should be Empty: