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CFR Kit Weekly check
MT V4.0 Updated 14 May 2022
1
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1
Date
Date of Check
/
Day
Month
Year
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2
There is now a simplified version of this form.
Please click below to be re-directed.
EandCFRChecks
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3
Date
*
This field is required.
Date of Check
/
Year
Month
Day
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4
Your name
*
This field is required.
First Name
Last Name
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5
Region
*
This field is required.
Cheshire
Cumbria
Greater Manchester
Lancashire
Merseyside
Cheshire
Cumbria
Greater Manchester
Lancashire
Merseyside
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6
Your PIN
*
This field is required.
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7
PIN
Ignore duplicate
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8
Call sign prefix
*
This field is required.
FR
ER
SR
CR
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9
Call Sign associated with pager
*
This field is required.
Where issued with pager/ Airwave device
Ignore leading zero
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10
Group Name
*
This field is required.
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11
Team (NWAS) phone number
If applicable
i.e if phone is provided for the team by NWAS
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12
Your E-mail
*
This field is required.
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13
AED Present & rescue ready
*
This field is required.
Yes
No
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14
AED Serial
*
This field is required.
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15
Pads Expiry
*
This field is required.
/
Assume 1st of month
Day
Month
Year
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16
Pocket mask present
*
This field is required.
Yes
No
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17
Medical sundries present (including ambulance dressings etc)
*
This field is required.
Yes
No
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18
O2 Cylinder present - (minimum 1/3 full)
*
This field is required.
Yes
No
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19
O2 Batch no:
*
This field is required.
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20
O2 Expiry
*
This field is required.
/
Date
Day
Month
Year
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21
Non-rebreather (100%) Oxygen mask present
*
This field is required.
yes
no
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22
Simple (60%) Oxygen mask present
*
This field is required.
yes
no
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23
Pulse oximeter present
*
This field is required.
Yes
No
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24
Suction device present
*
This field is required.
Yes
No
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25
Torch present
*
This field is required.
Yes
No
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26
NWAS Mobile phone present
*
This field is required.
Where applicable
Yes
No
Not issued
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27
Thermometer
*
This field is required.
YES
NO
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28
BP Device Present
*
This field is required.
YES
NO
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29
Airwave device present
*
This field is required.
Yes
No
Not applicable
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30
I have checked the expiry date on all relevant items and all are within date.
*
This field is required.
yes
no
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31
Any relevant comments (optional)
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32
Comment on out of date stock
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33
Do you require a copy of this to be sent to your team leader?
*
This field is required.
Yes
No
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34
Earliest expiry date of a piece of equipment
this relates to all consumable pieces of equipment (NON MANDATORY)
-
Date
Year
Month
Day
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35
Your team leader's E-mail
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36
Timer
*
This field is required.
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Should be Empty:
EQC2 - CFR KIT (Group & individual) Weekly Check
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