STANDARD MARINE PROCEDURES FORMS SMF 05-27

AED DAILY INSPECTION RECORD

MONTH : June, 2023 AED DEVICE SERIAL # : X08A144515

DAY CASE INTACT GREEN INDICATOR ALL SUPPLIES IN CASE?

PADS/ BATTERY EXPIRY DATE SIGNATURE

YES NO YES NO YES NO

1 * * 08,03,2024 // 12,2030 * Ranjeet Malik

2 * * 08,03,2024 // 12,2030 * Ranjeet Malik
3 * * 08,03,2024 // 12,2030 * Ranjeet Malik
4 * * 08,03,2024 // 12,2030 * Ranjeet Malik
5 * * 08,03,2024 // 12,2030 * Ranjeet Malik
6 * * 08,03,2024 // 12,2030 * Ranjeet Malik
7 * * 08,03,2024 // 12,2030 * Ranjeet Malik
8 * * 08,03,2024 // 12,2030 * Ranjeet Malik
9 * * 08,03,2024 // 12,2030 * Ranjeet Malik
10 * * 08,03,2024 // 12,2030 * Tarudin
11 * * 08,03,2024 // 12,2030 * Tarudin
12 * * 08,03,2024 // 12,2030 * Tarudin
13 * * 08,03,2024 // 12,2030 * Tarudin
14 * * 08,3,2024//12,2030 * Tarudin
15 * * 08,3,2024//12,2030 * Tarudin
16 * * 08,3,2024//12,2030 * Tarudin
17 * * 08,3,2024//12,2030 * Tarudin
18 * * 08,3,2024//12,2030 * Tarudin
19 * * 08,3,2024//12,2030 * Tarudin
20 * * 08,3,2024//12,2030 * Tarudin
21 * * 08,3,2024//12,2030 * Tarudin
22 * * 08,3,2024//12,2030 * Tarudin
23 * * 08,3,2024//12,2030 * Tarudin
24 * * 08,3,2024//12,2030 * Tarudin
25 * * 08,3,2024//12,2030 * Tarudin
26 * * 08,3,2024//12,2030 * Tarudin
27 * * 08,3,2024//12,2030 * Tarudin
28 * * 08,3,2024//12,2030 * Ibrar
29 * * 08,3,2024//12,2030 * Tarudin
30 * * 08,3,2024//12,2030 * Ibrar

REVISION NO: 00
MUBARAK MARINE LLC. Page 1 of 1
DATE: 01/05/2022