Defibrillator Monthly Functional Check Log

Monthly inspection log for each AED/defibrillator to verify self-test status, pad condition, battery readiness, and overall emergency readiness.

Inspection Details

• Device ID / Asset Tag
  Enter the AED or defibrillator identifier used by your site.
• Location
  Record the exact mounted location or room where the device is stored.
• Inspection date
  Date and time the monthly functional check was completed.
• Inspector name
  Name of the person completing the inspection.

Device Self-Test and Status

• Self-test indicator shows normal/ready status
  Verify the AED status indicator shows a normal or ready condition with no fault alert.
• Audible or visual alarms present
  Confirm there are no active alarms, warning tones, or fault signals.
• Device exterior clean and free of damage
  Inspect the housing, screen, buttons, and carry case for cracks, missing parts, contamination, or other damage.
• Accessory compartment secure and complete
  Confirm the device case or cabinet contains all required accessories and the compartment closes properly.

Pads and Electrode Readiness

• Pads present and unopened
  Verify electrode pads are present, sealed, and not previously opened or used.
• Pads within expiration date
  Check the pad package expiration date and confirm it has not passed.
• Pads package condition acceptable
  Confirm the pad package is intact, dry, and free from tears, punctures, or seal failure.
• Correct pad type for device model
  Verify the pads are compatible with the AED model and intended patient use.

Battery and Power Readiness

• Battery installed and secure
  Confirm the battery is installed correctly and the compartment is closed and secure.
• Battery status indicates sufficient charge
  Verify the battery indicator or device display shows adequate charge or readiness.
• Battery replacement date checked
  Record the battery expiration or replacement date if shown on the device or battery label.
• Spare battery available if required by site SOP
  If your site procedure requires a spare battery, confirm one is available and in date.

Accessibility, Signage, and Corrective Action

• AED location accessible and unobstructed
  Confirm the defibrillator cabinet, wall mount, or storage location is accessible without obstruction.
• Cabinet or storage signage visible
  Verify AED signage is visible and the device can be quickly identified in an emergency.
• Any deficiency identified during inspection
  Mark Yes if any issue, non-conformance, or missing item was found during this inspection.
• Corrective action / service request details
  Document the deficiency, immediate action taken, and who was notified for repair or replacement.

Inspector Sign-off

• Inspector signature
  Signature confirming the monthly functional check was completed.