AED/OXYGEN KIT CHECKLIST

Location: Assistant Manager Office Serial #: B20F-03420

Brand: Philips FRx Date/Time: Shift: Day

QTY DAMAGE INITIALS NOTES

Green Light
1 N DA N/A
Self Test
Primary
1 N DA N/A
Pad
Spare Pad 1 N DA N/A

Spare
1 N DA N/A
Battery
Pedi Key 1 N DA N/A

Response
1 N DA N/A
Kit
O2 PSI 2000 N DA N/A

1 O2 Key Chuck 1 N DA N/A

6 OPA's
6 N DA N/A
(50mm - 100mm)
2 Adult
2 N DA N/A
Non-Rebreather
2 Pediatric
2 N DA N/A
Non-Rebreather
1 Adult Bag
1 N DA N/A
Valve Mask (BVM)
1 V-Vac
1 N DA N/A
Manuel Suction
1 Replacement
1 N DA N/A
V-Vac Cartridge
1 CPR Mask 1 N DA N/A

1 Pulse Oximeter 1 N DA N/A

Gloves Box N DA N/A

Biohazard Bags Box N DA N/A