The BLS Roster is an essential document in the administration of Basic Life Support courses, a vital component of emergency cardiovascular care programs. It records comprehensive details about each course, including whether it is an instructor-led session or a HeartCode® BLS self-paced course. This distinction matters because both course formats require proper documentation before completion cards can be issued to qualifying participants.
The form captures the lead instructor's full name, AHA Instructor ID, and signature certifying that the course was conducted in accordance with AHA current guidelines. A BLS course may also include one or more co-instructors, whose names and IDs are documented on the roster alongside the lead instructor's information. This structure of accountability is fundamental to maintaining the integrity of the training process at every authorized AHA Training Center.
Beyond instructor details, the roster records all logistical aspects of the course: the training center name and address, the course date and session location, and the student-to-manikin ratio. AHA standards specify minimum manikin ratios to ensure every participant has adequate hands-on practice time with CPR and other life-saving skills. Training center coordinators verify these details before processing completion cards.
For each student enrolled in the course, the roster records their name, mailing address, email, telephone number, and completion status. Participants who demonstrate all required skills are marked Complete and become eligible for a BLS completion card. Those who do not fully meet the requirements are listed as Incomplete and may be scheduled for a remediation session. The form provides a dedicated space to record the remediation date for participants who need additional practice.
The BLS Roster also supports documentation for Advanced Cardiovascular Life Support (ACLS) and other AHA programs that require a current BLS certification as a prerequisite. Training centers that offer multiple AHA courses use the roster as a cross-reference to confirm that students hold valid BLS credentials before enrolling in ACLS, Heartsaver, or other advanced programs. This integration across program levels makes the roster a foundational record in AHA Training Center administration.
Once the course is complete, the lead instructor signs and dates the form, confirming that all recorded information is accurate and that the session complied with AHA standards. The completed roster is submitted to the training center coordinator for processing, then archived for the required documentation period. AHA-authorized Training Centers must retain these forms to support audits and quality reviews by the American Heart Association.
Explore related forms for your AHA training program:
| Question | Answer |
|---|---|
| Form Name | Aha Bls Roster 2016 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | bls course roster, bls roster pdf, aha healthcare provider roster, aha bls roster |
