Enter the information below pertaining to the unit being inspected. All four inspection steps must be completed.
Check defibrillator and wall case for the presence of:
If any of the above conditions are found indicate them in the comments box below.
Complete all four inspection steps in the links above before completing the information below and submitting the form.
If your name needs to be added to the custodian listing in the drop-down menu above, submit an e-mail to email@example.com.
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