AED Registration Form
Publically accessible Automated External Defibrillators (AEDs) help save more lives. For every minute that someone is in cardiac arrest without CPR or defibrillation, their chances of surviving decrease by 10%, so the sooner someone receives help, the higher their chance of survival. Registering your AED means that your AED will be available to be an important part of the chain of survival.
What is your request? *
AED location details
Where is the AED located? *
Please ensure you give the full address, including business name if applicable and the building level or floor it's located on.
Your answer
What is the latitude (decimal)? *
Your answer
What is the longitude (decimal)? *
Your answer
Are there any other location descriptors that would help find your AED in an emergency?
Your answer
AED Hardware Details
Who is the AED manufacturer? *
Your answer
What model is the AED? *
Your answer
When was it last serviced? *
MM
/
DD
/
YYYY
Is the AED currently available? *
If it's not currently available, when is it expected to be available for use?
MM
/
DD
/
YYYY
AED access information
Is your AED publically accessible? *
By registering your device as publicly accessible (“Yes”), you are agreeing that nearby callers to Triple Zero may be given directions to the site or location registered herein, in the event of a suspected cardiac arrest. See also SAAS AED Registration Terms & Conditions: www.saambulance.com.au/ProductsServices/Forms.aspx
What hours is the AED publically accessible? *
Please give hours of availability for each day of the week. For example: Monday - Friday 7 - 2100, Saturday 7-1700, Sunday closed, or 24/7.
Your answer
AED ownership information
What is the business name (if applicable)?
Your answer
What is the contact's full name? *
Your answer
What is the postal address? (if different from the location)
Your answer
What is the responsible person's telephone number? *
Your answer
What is the responsible person's fax number?
Your answer
What is the reponsible person's email address? *
Your answer
What is the contact number of staff located nearest to the AED? *
For example, security or reception
Your answer
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