Title Page
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Site conducted
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Box Number
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Location
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Conducted on
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Inspected by
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1. Wound cleaner/antiseptic (100ml)
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2. Swabs for cleaning wounds
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3. Cotton wool for padding (100g)
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4. Sterile gauze (minimum quantity 10)
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5. 1 Pair of forceps (for splinters)
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6. 1 Pair scissors (minimum size 100mm)
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7. Set of safety pins
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8. 4 Triangular bandages
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9. Four roller bandages (75mm x 5m)
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10. Four roller bandages (100mm x 5m)
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11. One roll elastic adhesive bandage (25mm x 3m)
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12. 1 Non-allergic adhesive strip (25mm x 3m)
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13. 1 Packet of adhesive dressing strips (minimum quantity, 10 assorted sizes)
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14. 4 First aid dressings (150mm x 200mm)
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15. 4 First aid dressings (75mm x 100mm)
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16. 6 Straight splints
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17. Disposable latex gloves (2 pairs medium and 2 pairs large)
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18. 2 CPR mouth pieces or similar devices
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19. Box completely stocked according to minimum requirements
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20. Name of first aider on box
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21. Box clearly indicated by use of symbolic signs
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22. “ISSUE BOOK” contained in box
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23. Qualified First-aider available when needed
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24. Box removable in an emergency
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25. Box in generally good condition
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Additional Info
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Inspected By