CPR AED Equipment Checklist Form
Complete this form to verify CPR and AED equipment readiness and report any issues found during inspection.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Equipment
*
Inspector Name
*
AED Unit Status
*
Ready for use
Requires maintenance
Not operational
Battery Condition
*
Good
Low
Needs replacement
Electrode Pads Condition
*
Present and sealed
Expired
Missing/damaged
Are all required accessories present? (e.g., scissors, gloves, razor)
*
Yes, all present
Some missing
All missing
Is the AED unit visibly clean and undamaged?
*
Yes
No, needs cleaning
No, damaged
Any issues found during inspection?
*
No issues
Yes (describe below)
If issues were found, describe them and indicate required follow-up actions
Submit Checklist
Should be Empty: