/depts/,/depts/uwhealth/,/depts/uwhealth/ambulatory-education/,/depts/uwhealth/ambulatory-education/ambulatory-emergency/,/depts/uwhealth/ambulatory-education/ambulatory-emergency/resources/,

/depts/uwhealth/ambulatory-education/ambulatory-emergency/resources/Additional-AED-Audit-Form.pdf

201711333

page

100

UWHC,UWMF,

Learning and Development,

Departments & Programs,UW Health,Ambulatory Education,Ambulatory Emergency,Resources

Additional AED Audit

Additional AED Audit - Departments & Programs, UW Health, Ambulatory Education, Ambulatory Emergency, Resources


Additional AED Audit Form 2017.doc Page 1 of 1

UW Health Additional AED Audit












Daily Checks:
Da
te

AE
D
in
d
ic
at
o
r

li
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t
o
n

Su
p
p
li
e
s

Pr
e
se
n
t

Action Taken for Variances Noted: Signature:
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Monthly checks:

AED Location: __________________________________ AED Battery Expiration Date: __________________________________

Month/Year: __________________________________ AED Adult Pads Expiration Date: ______________________

= Ok AED Peds Pads Expiration Date: ______________________
* = Action Taken
Signature: __________________________

Keep these records for 3 years.