CANVEY VILLAGE SURGERY
Defibrillator and Cabinet Check Sheet
| Name of Site: | CANVEY VILLAGE SURGERY |
| Name of Person carrying out check: | Gaynor Thompson |
| Date of Check: | 10/03/2021 |
| Time of Check: | 1430 |
| CABINET CHECK: OPEN CABINET to carry out checks | Yes |
| Is there any water or condensation inside the cabinet? | Â No |
| Does the door open and close correctly? | Â Yes |
| Is there any damage to the cabinet? | Â No |
| DEFIBRILLATOR CHECK: Remove AED before checking | Yes |
| Is the rescue ready indicator showing as operational (see manufactures guidelines for further information or | YES |
| Is the defibrillator casing clean and free from damage? | YES |
| Are the AED pads in date? Pad 1 expir date:31/07/2022 Pad 2 expiry date: On order | YES |
| Are the Face Towel, Razor, Scissors, Disposable Gloves and Face shield present? | YES |
| Is the battery indicator showing as operational (as per manufactures guidelines)? | YES |
| Does the voice prompts start when switching on the AED | YES |
COMMENTS (if any)
** This form to be filed and retained by site custodian for governance purposes
