Defibrillator Monthly Functional Check Log
Monthly AED functional check log for verifying readiness, pad and battery status, self-test results, and any corrective action before an emergency.
Trusted by frontline teams 15 years of frontline software AI customization in seconds
Built for: Office And Commercial Real Estate · Manufacturing · Warehousing And Logistics · Education · Healthcare Support Services
Overview
This Defibrillator Monthly Functional Check Log is for verifying that an AED or defibrillator is actually ready to use, not just present on the wall. It captures the monthly status items that matter in an emergency: self-test result, readiness indicator, error or service lights, cabinet accessibility, electrode pad condition and expiration, battery condition, accessory kit completeness, visible damage, and any corrective action taken.
Use this template when you need a repeatable record for routine AED readiness checks across one device or a fleet of devices. It works well for offices, warehouses, schools, retail sites, manufacturing plants, and other locations where a defibrillator is part of the emergency response plan. It is also useful after a device move, battery replacement, pad replacement, or vendor service visit, because those events often create documentation gaps.
Do not use this as a substitute for post-use incident documentation, manufacturer service records, or a full emergency response drill. It is also not enough by itself if your site policy requires weekly visual checks, alarm monitoring, or more frequent inspection of high-risk locations. The value of this log is consistency: it helps catch expired consumables, blocked access, unreadable indicators, and missing documentation before those issues become a failure during a cardiac emergency.
Standards & compliance context
- This template supports AED readiness documentation commonly expected under OSHA general industry safety programs and employer emergency response planning.
- It aligns with the kind of routine equipment verification expected in NFPA life-safety programs and facility emergency preparedness procedures.
- If the AED is part of a workplace health and safety system, the log can support ISO 9001-style record control and corrective action tracking.
- For healthcare, education, or public-access settings, local AHJ expectations and manufacturer instructions may require additional checks beyond this monthly log.
General regulatory context for orientation only — verify current requirements with counsel or the relevant agency before relying on this template for compliance.
What's inside this template
Inspection Details
This section establishes who inspected which device, when, and where, so every monthly check is traceable.
- Inspection date and time
- Device identifier / asset tag
- Inspection location
- Inspector name and signature
AED Self-Test and Readiness
This section confirms the device is signaling ready status and has no active alarms or service conditions.
-
Device self-test passed
Confirm the AED internal self-test indicates normal operation with no fault or service alert.
-
Readiness indicator shows ready status
Verify the status indicator is green/ready or otherwise indicates the unit is deployment-ready.
-
No error codes, alarms, or service lights present
Check for any audible alarms, flashing lights, or displayed error codes requiring service.
-
Cabinet or storage case accessible and unobstructed
Confirm the AED is mounted or stored in a location that is clearly accessible and not blocked.
Pads, Battery, and Consumables
This section verifies the consumables that determine whether the AED can actually be used in an emergency.
-
Electrode pads present and sealed
Verify adult pads are present, unopened, and stored according to manufacturer instructions.
-
Electrode pads expiration date valid
Record the pad expiration date and confirm it has not passed.
-
Battery installed and within service life
Confirm the battery is installed, secure, and not due for replacement based on the manufacturer service life or indicator.
-
Battery status indicates sufficient charge
Verify the battery indicator shows adequate charge for immediate use.
-
Accessory kit present and complete
Check for required accessories such as scissors, gloves, razor, towel, or barrier device if applicable to the site SOP.
Physical Condition and Documentation
This section captures visible damage, replacement history, and the corrective record that closes the loop on deficiencies.
-
Device housing free of visible damage
Inspect the AED casing, screen, connectors, and cables for cracks, corrosion, missing parts, or other visible damage.
-
Pads and battery replacement dates recorded
Confirm replacement or expiration dates are documented for tracking and preventive maintenance.
-
Inspection log completed and filed
Verify this monthly check is documented and retained per site procedure.
-
Corrective action documented for any deficiency
Describe any non-conformance, removed-from-service condition, or follow-up action taken.
How to use this template
- 1. Record the inspection date, time, device identifier, location, and inspector name before you begin the walk-through.
- 2. Confirm the AED self-test passed, the readiness indicator shows ready, and there are no error codes, alarms, or service lights.
- 3. Open the cabinet or storage case and verify the device is accessible, then check that electrode pads are present, sealed, and within expiration.
- 4. Confirm the battery is installed, within service life, and showing sufficient charge, and verify the accessory kit is complete if your site keeps one with the unit.
- 5. Inspect the housing for visible damage, record any pad or battery replacement dates, and document corrective action for every deficiency before filing the completed log.
Best practices
- Inspect the AED in the same order every month so missing items are easier to spot and the log stays consistent across inspectors.
- Check the expiration date on the electrode pads and battery service life separately; a ready indicator does not guarantee consumables are still usable.
- Verify physical access to the cabinet or case, because a ready device that is blocked by storage, equipment, or a locked enclosure is still a response problem.
- Document the exact deficiency and the action taken, such as pad replacement, battery replacement, or vendor service request, instead of writing vague notes like 'fixed'.
- Record replacement dates at the time of the change, not later, so the log remains reliable during an audit or after an incident.
- Use the device manufacturer’s indicator meanings when interpreting alarms or service lights, since different AED models signal different conditions.
- Photograph damaged housings, missing accessories, or expired consumables when your program allows it, so the corrective record is easier to verify.
What this template typically catches
Issues teams running this template most often surface in practice:
Common use cases
Frequently asked questions
What does this defibrillator monthly functional check log cover?
It covers the core readiness checks for an AED or defibrillator: self-test status, readiness indicator, error or service alerts, pad condition and expiration, battery condition, accessory kit completeness, and visible physical damage. It also captures the inspector, date, location, and any corrective action. Use it as a monthly verification that the device is present and ready to respond.
How often should this log be completed?
This template is designed for monthly checks, which is the common cadence for AED readiness verification in workplaces and public-access locations. Some organizations also perform weekly visual checks or post-use inspections, but this log is meant for the recurring monthly review. If your policy, manufacturer guidance, or local program requires a tighter schedule, you can duplicate the template for that cadence.
Who should perform the inspection?
A trained employee, safety coordinator, facilities lead, or other assigned custodian can complete the check, as long as they understand the device indicators and escalation process. The inspector should be able to confirm readiness status, identify expired pads or batteries, and document deficiencies clearly. If a device shows an alarm or service light, the issue should be escalated to the program owner or vendor immediately.
Is this template tied to a specific regulation?
The template supports AED readiness programs that are commonly managed under OSHA general industry safety practices, NFPA life-safety expectations, and manufacturer instructions. It is not a substitute for site-specific legal review, but it helps document routine checks that many organizations need for internal compliance and audit readiness. If the AED is part of a regulated emergency response plan, keep the log aligned with that plan and any local AHJ requirements.
What are the most common mistakes this log helps catch?
The most common misses are expired electrode pads, batteries past service life, unreadable or ignored readiness indicators, and devices stored behind locked or blocked cabinets. Teams also forget to record replacement dates or to document what was done after a deficiency was found. This log makes those failure modes visible before the device is needed.
Can we customize the log for our AED model or site layout?
Yes. You can add model-specific indicators, cabinet alarm checks, spare pad sets, pediatric pads, or site-specific response notes. If you manage multiple buildings, add fields for floor, zone, or room number so the device can be located quickly during an emergency.
How does this compare with an ad hoc check on a clipboard or spreadsheet?
An ad hoc check often misses repeatable details like expiration dates, service lights, and follow-up documentation. This template standardizes the same checks every month, which makes trends easier to spot and deficiencies easier to close. It also creates a cleaner audit trail if you need to show that the AED program is being maintained.
What should we do if the AED fails a check?
Treat any failed self-test, missing pad set, expired battery, or service alarm as a deficiency that needs immediate action. Remove the device from service if required by your policy, replace the affected consumable or arrange service, and document the corrective action in the log. If the unit is part of a larger emergency response program, notify the responsible owner so the coverage gap is addressed.
Related templates
Go deeper on the topic
-
A daily huddle is a brief (10–15 minute) standing meeting held at the start of a shift or workday to align the team on priorities, surface issues, and...
-
A deskless worker is any employee whose job happens without a desk, a company laptop, or a fixed workstation. They're roughly 80% of the global workforce —...
-
A frontline employee app is a phone-first application that gives hourly, field, and deskless workers access to their schedule, pay, announcements, training,...
-
A frontline worker is any employee whose job happens away from a desk — on a production floor, in a patient room, behind a store counter, in a customer's...
-
MangoApps earned a Silver Stevie® Award for embedding AI across HR and workforce operations at enterprise scale, supporting 2M+ daily users.
-
MangoApps 2026 Winter Release adds native shift scheduling, structural AI for surveys and wikis, and a redesigned search—unifying frontline operations in one...
-
Retail workers are disconnected from management and underserved by communication tools. Learn 5 proven strategies to improve retail communication and reduce...
-
Artificial Intelligence helps Human Resources improve hiring, reduce bias, and boost workforce efficiency with smarter, data-driven decisions.
Ready to use this template?
Get started with MangoApps and use Defibrillator Monthly Functional Check Log with your team — pricing built for small business.