Defibrillator Survey

Company Details

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* 1. Company Name

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* 2. Number of Staff

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* 3. Location

Cheltenham

Gloucestershire

Other (please specify)

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* 4. Do you have a defibrillator on site?

Yes

Comment (optional)

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

Yes

If Yes, please give brief details of your plans.

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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?

Yes

Comment (optional)

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

Yes

Comment (optional)

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* 8. When was your defibrillator installed?

Within the last year

Within last 2 years

3 or more years ago

Not sure

Comment (please specify)

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

Yes

If yes, please give a brief description of the event

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* 10. Where is your defibrillator located?

In a prominent place, clearly labelled and easily accessed by all employees

On the building exterior with 24 hr & public access

In a separate room usually used by specific staff e.g. Medical Room, Managers Office,

In an cupboard/place that isn't specifically labelled as containing the defibrillator.

Not sure

Other (please specify)

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

We have a contract with the supplier

We have a contract with our local Ambulance Service

There are no special arrangements for maintenance

Not sure

Other (please specify)

Question Title

* 1. Company Name

Question Title

* 2. Number of Staff

Question Title

* 3. Location

Question Title

* 4. Do you have a defibrillator on site?

Question Title

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

Question Title

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

Question Title

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

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* 8. When was your defibrillator installed?

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

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* 10. Where is your defibrillator located?

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

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* 12. Please add any further comments here

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