Tallaght CFR AED Registration Form

Tallaght Community First Responders

Public Access Defibrillator Registration Form
Tallaght Community First Responders will not take ownership of or accept any liability or upkeep for public access defibrillators not owned or installed by them. Every reasonable effort has been made to ensure all the information pertaining to the AED, including location, expiration dates, and maintenance of equipment, is comprehensive and accurate. However, the information may not be completely comprehensive and accurate, and therefore it is provided on an 'as is' basis by the equipment owner.

By completing this form, you are providing Tallaght Community First Responders with public information pertaining to the AED only, for the purpose of displaying on a Google Maps page that is managed by Tallaght Community First Responders.

All AED information supplied in this form may be transferred to the National Ambulance Service & Dublin Fire Brigade databases and shared with 112/999 callers who may require its use during an emergency.

If you have any questions regarding these Terms & Conditions, please contact info@tallaghtcfr.ie.
AED Details:
Make of AED (if known)
e.g. Lifepak, ZOLL, HeartSine, Philips
Model of AED (if known)
e.g. CR2, AED3, PAD350, Heartstart
Do you know the AED Serial No:
This number will be used to register the AED with NAS & DFB, if not already registered.
AED Serial Number:
Alternatively, please upload a picture of the AED Serial No:

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Are the Pads & Battery in Date?
Please only check expiry dates if you are authorised to do so!
AED Pads Expiry

DayMonthYear
Date, if known!
AED Battery Expiry

DayMonthYear
Date, if known!
Has this AED been registered with the National Ambulance Service or Dublin Fire Brigade already?*
AED Location:
Do you know the EIRCODE of where the AED is located?
Address of AED:

Street Address

Street Address Line 2

CityCounty

Postal Code
EIRCODE:
D24 A123
AED Accessibility:
Is this AED available 24/7/365?
What are the hours this AED is available?
e.g. 09:00-17:00
Please upload a photo of the AED.

Please include the cabinet/casing it is housed in.
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Is the AED Locked or Unlocked?
Code for AED
e.g. C159X
Ownership Details:
Name of Owner/ Business/ Group
e.g. John Doe/ Tallaght Supermarket/ Tallaght CFR
Contact Number

Area CodePhone Number
E-mail adddress
Additional Information:
How did you hear about us?
Please Specify
Any additional comments/ suggestions?
Thank you for taking the time to fill out this form. We aim to capture as many Public Access Defibrillators as possible to further strengthen the chain of survival for a person experiencing a medical emergency.

If your AED requires maintenance, don't hesitate to get in touch with us via our Social Media channels or via our website, www.tallaghtcfr.ie and we can assist with finding a local, recommended company to get your AED responder ready!

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Tallaght Community First Responders