AED Use Report To be completed when an AED has been used on any NC State University Campus. Name*Name of person who used the AED First Last Contact Phone number*Contact Email address* University Employee*Was person who used the AED a University employee Yes No Third Choice Type of employee Faculty Staff Student Building / Location*List the location where the AED was used. Buliding Location AED Model Responder(s)select all responders to the locationEH&S Fire & Life Safety OfficeUniversity PoliceEMSRaleigh Fire DepartmentRaleigh PoliceOther(s)List other respondersWas the AED easy to locate?* Yes No Third Choice Why was it hard to find the AED? Did you experience any difficulty with the AED?* Yes No Please describe the difficulty you had with the AEDCurrent status of the AED*After use status of the AED Check all that apply! Inspected (per monthly inspection) Replaced in it's location Replaced with a different unit I'm not sure of it's status Who Verified AED Condition / location?* I did Someone else did Name of person who inspected and replaced the AED(if known) First Last Briefly describe your actions during the use of the AED*SuggestionsDo you have any suggestions for us to improve the use of an AED?NameThis field is for validation purposes and should be left unchanged.