Philips M3860A Instructions For Use Manual page 30

4-4
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
M3860A/M3861A HEARTSTART FR2+
OPERATOR'S CHECKLIST