Delta Company Ltd.

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ELEMENT 2.4.1 Quarterly Portable Ladders Inspections

• LOCATION:

  Select Al Maather Al Hazem Al Waha Al Marjhan Hindawiah Khuzam Murjan Taima Hail Madinah

  • Al Maather
  • Al Hazem
  • Al Waha
  • Al Marjhan
  • Hindawiah
  • Khuzam
  • Murjan
  • Taima
  • Hail
  • Madinah

• First Aid Box Number:

• Year:

Register

• Date

  Date

• Injury Reported To:

• Surname, First Name,Middle Initial

• Type of Injury:

  Select Laceration Cut Contusion Bruise Punctured Dislocation Amputation Sprain and Strain

  • Laceration
  • Cut
  • Contusion
  • Bruise
  • Punctured
  • Dislocation
  • Amputation
  • Sprain and Strain

• Treatment:

  Select First Aid Medical Treatment Operation Surgery

  • First Aid
  • Medical Treatment
  • Operation
  • Surgery

• Equipment Used

  Select Bandage Plaster Casting

  • Bandage
  • Plaster
  • Casting

• Referred for Further Medical Treatment?

  Yes

  No