Date & Employe
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Conducted on
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Prepared by
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Where is the box located?
First Aid Box Check
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Is the first aid box in good condition?
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Has the seal been broken on the first aid box?
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Does the box contain a first aid leaflet?
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Does the box have (x3) First Aid Dressings 12x12cm?
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How many have been replenished?
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Does the box have (x2) First Aid Dressings 18x18cm?
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How many have been replenished?
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Does the box have (x2) Triangular Bandages?
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How many have been replenished?
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Does the box have (x6) Safety Pins?
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How many have been replenished?
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Does the box have (x3) Eye Dressings?
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How many have been replenished?
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Does the box have (x50) Wash-proof Plasters?
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How many have been replenished?
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Does the box have (x30) Sterile Wipes?
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How many have been replenished?
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Does the box have (x1) Microporous Tape 2.5cm x 5m?
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How many have been replenished?
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Does the box have (x5) Pairs of Nitrile Gloves?
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How many have been replenished?
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Does the box have (x3) Finger Dressings?
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How many have been replenished?
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Does the box have (x1) Face Shield?
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How many have been replenished?
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Does the box have (x2) Foil Blankets?
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How many have been replenished?
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Does the box have (x2) Burn Dressings?
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How many have been replenished?
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Does the box have (x1) Clothing Cutter?
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How many have been replenished?
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Does the box have (x2) Conforming Bandages 7.5cm?
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How many have been replenished?
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Does the box have (x10) Skin Closure Strips?
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How many have been replenished?
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Does the box have (x6) Eyewash Pods 20ml?
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How many have been replenished?
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Does the box have (x4) Adhesive Dressings 8x6cm?
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How many have been replenished?
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Does the box have (x4) Adhesive Dressings 10x8cm?
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How many have been replenished?
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Does the box have (x2) Disposable Aprons?
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How many have been replenished?
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Has the first aid box been resealed?