Company Details

Company Name

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* 1. Company Name

Number of Staff

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* 2. Number of Staff

Location

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* 3. Location

Do you have a defibrillator on site?

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* 4. Do you have a defibrillator on site?

If No, do you have any plans to install one?

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* 5. If No, do you have any plans to install one?

Do you have a nominated First Aider on-site to deal with a sudden cardiac arrest or workplace health emergency?

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* 6. Do you have a nominated First Aider on-site to deal with a sudden cardiac arrest or workplace health emergency?

Have any staff have had training in CPR within the last 2 years?

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* 7. Have any staff have had training in CPR within the last 2 years?

When was your defibrillator installed?

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* 8. When was your defibrillator installed?

Have you ever had to use your defibrillator?

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* 9. Have you ever had to use your defibrillator?

Where is your defibrillator located?

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* 10. Where is your defibrillator located?

7.     Who looks after the servicing and upkeep of the defibrillator?

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* 11. 7.     Who looks after the servicing and upkeep of the defibrillator?

Please add any further comments here

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* 12. Please add any further comments here

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