OPERATOR'S CHECKLIST
HeartStart FR2+ Model No.: ______________________Serial No.:__________________________________
HeartStart FR2+ Location or Vehicle ID: _______________________________________________________
date
scheduled frequency
HeartStart FR2+
Clean, no dirt or contamination; no signs of damage
Supplies Available
•Two sets defibrillator pads, sealed, undamaged, within expiration date
•Ancillary supplies (hand towel, scissors, razor, pocket mask, gloves)
•Spare M3863A battery, within “Install Before” date
•Data cards, undamaged, and spare data card tray
Status Indicator Shows alternating hourglass/square; selftest passed.
Inspected by
Signature or initials of operator completing the maintenance inspection
Remarks, Problems,
Corrective Actions
P hili ps Me dical Sy stems